The role of infertility-related stress and sexist beliefs in anxiety symptoms in infertility couples

It is necessary to continue identifying the predictors of anxiety symptoms in men and women undergoing assisted reproductive technology (ART), especially from a psychosocial perspective. For this reason, this study evaluated a mediation model that demonstrates the effect of various stressors related to infertility, as well as the variables of sex, age, social support, and sexist beliefs, on anxiety symptoms. The sample of this cross-sectional study consisted of 215 infertility patients (146 women and 69 men) undergoing ART and residing in Spain. The Inventory of Infertility Problems (FPI) was used, which measures five stressors related to infertility (social, sexual and relationship concerns, rejection of a child-free lifestyle and need for parenthood). The Hospital Anxiety and Depression Scale (HADS) and the Ambivalent Sexism Inventory (ASI) were also used. Being women and perceiving less social support was associated with higher anxiety symptoms, due to the mediated effect of social, sexual and relationships concerns. Higher levels of sexist beliefs were related to greater concern about the relationship, greater rejection of a childless lifestyle and greater need for parenting. This pioneering research in Spain identifies factors predisposing to anxiety in ART patients. This evidence should be considered in infertility research and clinical practice.