Journal List > Korean J Women Health Nurs > v.23(2) > 1089566

Yang and Yeo: Effects of Irrational Parenthood Cognition, Post Traumatic Stress Disorder and Spousal Support on Quality of Life of Infertile Women



This study examined degrees of irrational parenthood cognition, post traumatic stress disorder (PTSD), spousal support, and quality of life and investigated factors that influence the quality of life of infertile women.


Research design was a cross sectional correlational survey with a total of 113 female patients receiving treatment for infertility. Data were collected from August 1 to November 30, 2015. The collected data were analyzed using t-test, ANOVA, Pearson's correlation, and multiple regression analysis.


The mean score of the quality of life was 59.0±14.8. The quality of life was significantly associated with irrational parenthood cognition (r=-.70), post traumatic stress disorder (r=-.65), and spousal support (r=.56). The factors significantly affecting the quality of life in infertile women were irrational parenthood cognition (β=-.45), post traumatic stress disorder (β=-.34), and spousal support (β=.32). The explained variance by these factors was 70.4%, and the regression model was valid (F=89.81, p<.001).


This study may contribute to the development of nursing intervention program to improve the quality of life of infertile women.

Figures and Tables

Table 1

Differences in Quality of Life by General Characteristics of Subjects (N=113)

Characteristics Categories n (%) or M±SD Quality of life t or F p
Age (yr) 35.3±4.0
<30 6 (5.3) 63.2±12.4 1.24 .300
30~34 45 (39.8) 57.0±15.7
35~39 43 (38.1) 58.2±13.7
≥40 19 (16.8) 64.1±15.4
Educational level ≤High school 18 (15.9) 56.8±18.9 −0.67 .504
≥College 95 (84.1) 59.4±14.0
Occupation Yes 64 (56.6) 58.2±16.0 0.68 .501
No 49 (43.4) 60.1±13.3
Religion Yes 58 (51.3) 56.6±16.3 1.78 .078
No 55 (48.7) 61.5±12.7
Monthly income (10,000 won) <300 66 (58.4) 59.9±14.0 0.74 .461
≥300 47 (41.6) 57.8±15.9
Table 2

Differences in Quality of Life by Infertility related Characteristics (N=113)

Characteristics Categories n (%) or M±SD Quality of life t or F p
Duration of infertility (month) 35.4±22.9
<36 61 (54.0) 59.9±14.2 0.71 .482
≥36 52 (46.0) 57.9±15.5
Causes of infertility Unexplained 61 (54.0) 59.8±15.3 0.98 .406
Female 40 (35.4) 58.4±14.5
Male 8 (7.1) 52.2±13.7
Both 4 (3.5) 66.4±10.3
Financial burden of infertility treatments Yes 103 (91.2) 58.2±14.3 −1.86 .066
No 10 (8.8) 67.2±18.3
History of IUI treatment Yes 79 (69.9) 58.5±14.3 0.56 .576
No 34 (30.1) 60.2±16.1
History of IVF-ET treatment Yes 67 (59.3) 57.4±14.7 1.39 .168
No 46 (40.7) 61.3±14.7
Number of delivery None 93 (82.3) 58.4±14.3 −0.90 .373
≥1 20 (17.7) 61.7±17.0

IUI=intrauterine insemination; IVF-ET=in vitro fertilization-embryo transfer.

Table 3

Levels of Study Variables (N=113)

Variables Range Min Max n (%) M±SD
Irrational parenthood cognition 0~52 11 52 31.8±8.30
Post traumatic stress disorder 0~51 0 33 8.0±8.64
 Reexperiencing 0~15 0 12 2.0±2.69
 Avoidance 0~21 0 14 3.6±4.10
 Hyperarousal 0~15 0 12 2.4±3.04
 Low risk (<20) 98 (86.7) 5.4±5.65
 High risk (≥20) 15 (13.3) 25.1±3.64
Spousal support 10~40 14 40 33.7±5.25
Quality of life 0~100 15.6 89.6 59.0±14.8
 Emotional part 0~100 0.0 95.8 57.5±18.5
 Mind-body part 0~100 8.3 0100.0 58.6±19.6
 Relational part 0~100 20.8 0100.0 66.7±16.4
 Social part 0~100 4.2 91.7 53.1±19.4
Table 4

Relationships among Irrational Parenthood Cognition, Post traumatic Stress Disorder, Spousal Support and Quality of Life (N=113)

Variables Irrational parenthood cognition Post traumatic stress disorder Spousal support
r (p) r (p) r (p)
Qualify of life −.70 (<.001) −.65 (<.001) .56 (<.001)
Table 5

Factors Affecting Quality of Life (N=113)

Variables B β t p
Irrational parenthood cognition −0.81 −.45 −7.7 <.001
Spousal support 0.90 .32 5.78 <.001
Post traumatic stress disorder −0.57 −.34 −5.64 <.001
Adj. R2=.704, F=89.81, p<.001


This article is a condensed form of the first author's master's thesis from Dong-A University.

Summary Statement

▪ What is already known about this topic?
The quality of life in infertile women has been identified to have an association with depression, infertility related stress, marital adjustment, and family support.
▪ What this paper adds?
Influencing factors on the quality of life of infertile women were irrational parenthood cognition, post traumatic stress disorder, and spousal support.
▪ Implications for practice, education and/or policy
Nurses should take into consideration about irrational parenthood cognition, post traumatic stress disorder, and spousal support when taking care of the infertile couple in order to develop an intervention to improve the quality of life of infertile women.


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