The relationship between acceptance, self-compassion and hope in infertile women: a structural equation analysis

J Reprod Infant Psychol. 2024 Mar;42(2):365-376. doi: 10.1080/02646838.2022.2078485. Epub 2022 May 30.

Abstract

Objective: This study aimed to determine the relationship between psychological acceptance, self-compassion and hope in infertile women.

Background: Infertility distress can make women more vulnerable than men. Acceptance, self-compassion and hope can help infertile women to alleviate their distresses and to peruse the medical treatments.

Methods: This study was performed using a cross-sectional descriptive correlational design; A total of 346 women with primary infertility referred to infertility centres of Yazd, Isfahan and Kerman provinces, Iran, participated in the study by completing the self-compassion scale, hope scale and Acceptance and Action Questionnaire-II (AAQ-II). Data were analysed using structural equation analysis.

Results: The results of structural equation analysis showed that the path coefficient of self-compassion on acceptance (r = .69, p < .01) and hope (r = .29, p < .05) in infertile women was direct and significant. Acceptance also had a direct effect on hope in infertile women (r = .31, p < .05) and played a significant mediating role in the relationship between self-compassion and hope in infertile women.

Conclusions: The findings suggest that self-compassion is likely to be an important strategic intervention alongside medical treatments for infertile women, because it leads to problem acceptance and then increases hope in them.

Keywords: Acceptance; hope; infertility; self-compassion.

MeSH terms

  • Cross-Sectional Studies
  • Female
  • Humans
  • Infertility, Female* / psychology
  • Infertility, Female* / therapy
  • Male
  • Psychotherapy
  • Self-Compassion
  • Surveys and Questionnaires