Introducing the Hungarian Version of the SCREENIVF Tool into the Clinical Routine Screening of Emotional Maladjustment

Viktória Prémusz; Pongrác Ács; József Bódis; Ákos Várnagy; Ágnes Lászik; Alexandra Makai

doi:10.3390/ijerph191610147

Introducing the Hungarian Version of the SCREENIVF Tool into the Clinical Routine Screening of Emotional Maladjustment

Int J Environ Res Public Health. 2022 Aug 16;19(16):10147. doi: 10.3390/ijerph191610147.

Authors

Viktória Prémusz^{1

2

3}, Pongrác Ács¹, József Bódis^{2

3

4}, Ákos Várnagy^{2

3

4}, Ágnes Lászik¹, Alexandra Makai¹

Affiliations

¹ Faculty of Health Sciences, University of Pécs, H-7624 Pécs, Hungary.
² ELKH-PTE Human Reproduction Scientific Research Group, University of Pécs, H-7624 Pécs, Hungary.
³ National Laboratory on Human Reproduction, University of Pécs, H-7624 Pécs, Hungary.
⁴ Department of Obstetrics and Gynaecology, Medical School, University of Pécs, H-7624 Pécs, Hungary.

Abstract

Examining possible psychosocial maladjustments should be an integral part of fertility care. For the early detection of vulnerability, the present study aimed to adapt and test the reliability and validity of the Hungarian version of SCREENIVF against the Fertility Quality of Life Questionnaire (FertiQoL) in a cross-sectional on subfertile women (n = 60, age 34.6 ± 5.2 years, BMI 24.2 ± 4.9 kg/m2) at a university linked fertility clinic in South-Hungary. A confirmatory factor analysis (CFA) was conducted to investigate the construct validity. For the reliability testing, Cronbach alpha values were calculated. Spearman’s rank correlation tested the criterion validity. Discriminant validity was applied using Mann−Whitney U-test and Kruskal−Wallis test. The Edinburgh Framework and COSMIN checklist were applicable for the analysis using SPSS 27.0; significance was set at p < 0.05. The confirmatory factor analysis indicated a good fit; all dimensions were reliable (α ≥ 0.70). Cronbach’s alpha was excellent (0.825−0.904). Strong correlations were found between the total scale (FertiQoL) and anxiety (R = −0.507, p < 0.001), depression (R = 0.554, p < 0.001), and helplessness cognitions (R = −0.747, p < 0.001) and moderate or no correlation with acceptance cognitions (R = 0.317, p = 0.015) and social support (R = 0.230, p = 0.082). The Hungarian version of SCREENIVF proved a valid and reliable tool to measure psychological maladjustment before ART. A longitudinal, randomized, controlled trial involving the partners could further strengthen the results, which is among our long-term plans.

Keywords: ART; IVF; SCREENIVF; assisted reproduction; clinical routine care; emotional maladjustment; infertility; psychosocial factors; screening; validation.

Publication types

Randomized Controlled Trial
Research Support, Non-U.S. Gov't

MeSH terms

Adult
Cross-Sectional Studies
Female
Humans
Hungary
Psychometrics / methods
Quality of Life*
Reproducibility of Results
Surveys and Questionnaires

Grants and funding

This research was funded by the National Laboratory on Human Reproduction and by the ÚNKP-21-4-II-PTE-1241 New National Excellence Program of the Ministry for Innovation and Technology from the source of the National Research, Development and Innovation Fund. The APC was funded by the Thematic Excellence Program 2021 Health Sub-programme of the Ministry for Innovation and Technology in Hungary, within the framework of the EGA-10 project of the University of Pécs. The authors declare that the funding sources did not have any role in the study design, in the collection, analysis, and interpretation of data, or in writing and submitting this manuscript.