Christianne Verhaak

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BACKGROUND A longitudinal study into the course of the emotional response to IVF from pre-treatment to 6 months post-treatment and factors that contributed to that course. METHODS A total of 148 IVF patients and 71 partners completed self-report questionnaires on anxiety, depression, personality characteristics, meaning of fertility problems, coping,(More)
This review provides an overview of how women adjust emotionally to the various phases of IVF treatment in terms of anxiety, depression or general distress before, during and after different treatment cycles. A systematic scrutiny of the literature yielded 706 articles that paid attention to emotional aspects of IVF treatment of which 27 investigated the(More)
OBJECTIVE To gain more insight into psychological aspects of dropping out from IVF-ICSI. DESIGN Prospective cohort study. SETTING University hospital-based tertiary care fertility clinic. PATIENT(S) Women entering their first treatment cycle of IVF or ICSI. INTERVENTION(S) Standardized psychological questionnaires were administered before the start(More)
Discontinuation is a problem in fertility clinics. Many couples discontinue assisted reproductive technologies (ART) without achieving a live birth for reasons other than poor prognosis or the cost of treatment. Discontinuation has been attributed to the burden of treatment. The causes of burden can be broadly classified according to whether they originate(More)
BACKGROUND The patients' role in assessing health care quality is increasingly recognized. Measuring patients' specific experiences and needs generates concrete information for care improvement, whereas satisfaction surveys only give an overoptimistic, undifferentiating picture. Therefore, this study aimed to investigate possible weaknesses, strengths and(More)
The predictive value of a comprehensive model with personality characteristics, stressor related cognitions, coping and social support was tested in a sample of 187 nonpregnant women. The emotional response to the unsuccessful treatment was predicted out of vulnerability factors assessed before the start of the treatment. The results indicated the(More)
OBJECTIVE To determine differences in emotional status (anxiety and depression) and marital satisfaction in pregnant and nonpregnant women before and after their first cycle of IVF and intracytoplasmic sperm injection (ICSI). DESIGN Repeated measurement. SETTING Fertility department at a university and a regional hospital. PATIENT(S) Women entering(More)
BACKGROUND Fertility problems are accompanied by a lot of emotional distress, resulting in a considerable proportion of female patients showing severe maladjustment after assisted reproductive technology. Although this interferes with their daily life, emotional distress has also shown to be related to dropout of treatment and deterioration of health(More)
BACKGROUND The aim of this study was to gain more insight into long-term psychological adjustment to IVF in women. METHODS In a prospective cohort study, 298 women entering their first IVF treatment cycle (including ICSI) completed standardized psychological questionnaires before the start of the treatment, just after the last treatment cycle, and 6(More)
STUDY QUESTION Based on the best available evidence in the literature, what is the optimal management of routine psychosocial care at infertility and medically assisted reproduction (MAR) clinics? SUMMARY ANSWER Using the structured methodology of the Manual for the European Society of Human Reproduction and Embryology (ESHRE) Guideline Development, 120(More)