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. 2023 Jan 6:13:1067970.
doi: 10.3389/fpsyg.2022.1067970. eCollection 2022.

Romantic attachment, infertility-related stress, and positive body image of women dealing with infertility

Vincenzo Calvo  1 , Chiara Fusco  2 , Camilla Pellicelli  1 , Chiara Masaro  1
Affiliations

Romantic attachment, infertility-related stress, and positive body image of women dealing with infertility

Vincenzo Calvo et al. Front Psychol. .

Abstract

Introduction: Infertility is a condition that can affect the physical, emotional, social, and relational well-being of women. Women's bodies seem to assume a crucial relevance as part of the experience of infertility and its treatments. An extended body of literature supports the role of romantic attachment orientations in facing infertility-related stress. However, the association between romantic attachment orientations, infertility-related stress, and women's body image has not been explored.

Methods: This cross-sectional study aimed to investigate the role of romantic attachment and infertility-related stress concerning positive body image in 113 women dealing with infertility. Data were analyzed with correlation and mediation path analyses.

Results: Results showed that high levels of attachment anxiety, attachment avoidance, and infertility-related stress were negatively associated with positive body image. Path analyses indicated that positive body image may be directly associated with romantic attachment anxiety. The negative association of attachment avoidance with body image appeared to be mediated by infertility-related stress.

Discussion: Findings suggest that romantic attachment insecurities and infertility-related stress are significantly associated with a worsened body image in infertile women. Implications for future research are discussed.

Keywords: infertility; infertility-related stress; medically assisted reproduction (MAR); positive body image; romantic attachment.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
The conceptual diagram of the mediation model.
Figure 2
Figure 2
Path analysis of the relationship between attachment anxiety, attachment avoidance, and positive body image, as mediated by infertility-related stress. Path coefficients are standardized; Not significant paths are represented with dotted lines; ns = not significant; * p < 0.05, ** p < 0.01, *** p < 0.001.
Figure 3
Figure 3
Path analysis of the relationship between attachment anxiety, attachment avoidance, and infertility-related stress, as mediated by positive body image. Path coefficients are standardized; Not significant paths are represented with dotted lines; ns = not significant; * p < 0.05, ** p < 0.01, *** p < 0.001.
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References

    1. Akhondi M. M., Dadkhah A., Bagherpour A., Ardakani Z. B., Binaafar S., Kosari H., et al. . (2011). Study of body image in fertile and infertile men. J Reprod Infertil. 12, 295–298. - PMC - PubMed
    1. Amir M., Horesh N., Lin-Stein T. (1999). Infertility and adjustment in women: the effects of attachment style and social support. J. Clin. Psychol. Med. Settings 6, 463–479. doi: 10.1023/A:1026280017092 - DOI
    1. Andrade C. (2020). The limitations of online surveys. Indian J. Psychol. Med. 42, 575–576. doi: 10.1177/0253717620957496, PMID: - DOI - PMC - PubMed
    1. Avalos L., Tylka T. L., Wood-Barcalow N. (2005). The body appreciation scale: development and psychometric evaluation. Body Image 2, 285–297. doi: 10.1016/j.bodyim.2005.06.002, PMID: - DOI - PubMed
    1. Bayley T. M., Slade P., Lashen H. (2009). Relationships between attachment, appraisal, coping and adjustment in men and women experiencing infertility concerns. Hum. Reprod. 24, 2827–2837. doi: 10.1093/humrep/dep235, PMID: - DOI - PubMed

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