Effect of a mind-body therapeutic program for infertile women repeating in vitro fertilization treatment on uncertainty, anxiety, and implantation rate

Asian Nurs Res (Korean Soc Nurs Sci). 2014 Mar;8(1):49-56. doi: 10.1016/j.anr.2014.02.002. Epub 2014 Feb 20.


Purpose: The study aimed to develop a mind-body therapeutic program and evaluate its effects on mitigating uncertainty, anxiety, and implantation rate of second-trial in vitro fertilization (IVF) women.

Methods: This study employed a nonequivalent control group nonsynchronized design. The conceptual framework and program content were developed from a preliminary survey of eight infertile women and the extensive review of the literature. Program focuses on three uncertainty-induced anxieties in infertile women: cognitive, emotional, and biological responses. To evaluate the effect of the intervention, the infertile women with unknown cause preparing for a second IVF treatment were sampled at convenience (26 experimental and 24 control).

Results: The experimental group in the study showed greater decrease in uncertainty and anxiety in premeasurements and postmeasurements than the control group did. However, no statistically significant differences in the implantation rate between groups were observed.

Conclusion: This study is meaningful as the first intervention program for alleviating uncertainty and anxiety provided during the IVF treatment process. The positive effects of the mind-body therapeutic program in alleviating both uncertainty and anxiety have direct meaning for clinical applications.

Keywords: anxiety; fertilization in vitro; infertility; mind-body therapies; uncertainty.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anxiety* / psychology
  • Anxiety* / therapy
  • Case-Control Studies
  • Embryo Implantation
  • Female
  • Fertilization in Vitro / psychology*
  • Humans
  • Infertility, Female / psychology*
  • Mind-Body Therapies / methods*
  • Treatment Outcome
  • Uncertainty*
  • Women / psychology*