İNFERTİLİTE OLGULARINDA EMDR TERAPİSİ: 3 OLGULUK SERİ

Öz

İnfertilite ve ruh sağlığı ilişkisi düşünüldüğünde, infertilite ve tedavisi için geçirilen sürecin bireyler üzerinde yoğun stres oluşturduğu ve bu stresin de infertilite ile geçirilen süreci uzattığı ve olumsuz etkilediği gibi bir kısır döngü şeması öne sürmek mümkündür. Bu çalışmanın amacı, özellikle infertilite tedavisi sürecinde kişilerin yaşamış olduğu travmatik yaşantıların EMDR ile çalışılmasının bu süreçteki depresyon, stres ve kaygı belirtilerine etkisini incelemektir. Çalışmamızda özellikle infertilite tedavisi döneminde yaşanan stresör olayların etkilerinin azaltılmasında bu olayların EMDR ile hedeflenmesinin bir seçenek olabileceği düşünülmüştür. Ayrıca Danışanların kaygı, stres seviyelerinin azalabileceği de varsayılabilir. Anahtar Kelimeler: İnfertilite, EMDR, Travma

Anahtar Kelimeler

• infertilite
• emdr
• travma

EMDR THERAPY IN INFERTILITY CASE: 3 CASE SERIES

Öz

Considering the relationship between infertility and mental health, it is possible to carry out a vicious circle scheme alone, which creates intense stress on the operation groups for infertility and its treatment, and this stress prolongs the process of infertility and its effects and has negative consequences. The aim of this study is to examine the traumatic experiences of the person in the past, especially during the infertility treatment, with EMDR, and to examine the symptoms of depression, stress and anxiety in this process. In our study, it was thought that targeting this with EMDR could be an option in reducing the stressors experienced especially during the infertility treatment period. In addition, it can be assumed that the anxiety and stress behaviors of the clients may decrease. Keywords: Infertility, EMDR, Trauma

Anahtar Kelimeler

• infertility
• EMDR
• Trauma

Kaynakça

1. Akyüz, A., Gürhan, N. & Bakır, B. (2008). Development and validation of an infertility distress scale for Turkish women. TAF Prev Med Bul, 7(6):469-476
2. Bagade, T., Thapaliya, K., Breuer, E., Kamath, R., Li, Z., Sullivan, E., & Majeed, T. (2022). Investigating the association between infertility and psychological distress using Australian Longitudinal Study on Women's Health (ALSWH). Scientific reports, 12(1), 10808. https://doi.org/10.1038/s41598-022-15064-2
3. Bayer, S., Alper, M. M., Penzias, A. S. (2018). The Boston IVF handbook of infertility: a practical guide for practitioners who care for infertile couples. CRC Press.
4. Beck, A. T., Epstein, N., Brown, G., Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893-897
5. Beck, A. T., Steer, R. A., & Brown, G. K. (1987). Beck depression inventory. New York:: Harcourt Brace Jovanovich. Boivin, J., Bunting, L., Collins, J. A., & Nygren, K. G. (2007). International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care. Human reproduction (Oxford, England), 22(6), 1506–1512. https://doi.org/10.1093/humrep/dem046
6. Çorapçıoğlu, A., Yargıç, İ., Geyran, P., & Kocabaşoğlu, N. (2006). Olayların etkisi ölçeği. In IES-R) Türkçe versiyonunun geçerlilik ve güvenilirliği. Yeni Symposium (Vol. 44, No. 1, pp. 14-22).
7. Dube, L., Nkosi-Mafutha, N., Balsom, A. A., & Gordon, J. L. (2021). Infertility-related distress and clinical targets for psychotherapy: a qualitative study. BMJ open, 11(11), e050373. https://doi.org/10.1136/bmjopen-2021-050373
8. Faretta, E., & Dal Farra, M. (2019). Efficacy of EMDR therapy for anxiety disorders. Journal of EMDR Practice and Research, 13(4), 325-332. http://dx.doi.org/10.1891/1933-3196.13.4.325

9. Gauhar, Y. W. M. (2016). The efficacy of EMDR in the treatment of depression. Journal of EMDR Practice and Research, 10(2), 59–69. https://doi.org/10.1891/1933-3196.10.2.59.
10. Hart V. A. (2002). Infertility and the role of psychotherapy. Issues in mental health nursing, 23(1), 31–41. https://doi.org/10.1080/01612840252825464
11. Hisli, N. (1989). Beck Depresyon Envanterinin üniversite öğrencileri için geçerliği, güvenirliği. Psikoloji dergisi, 7(23), 3-13.
12. Horowitz, M., Wilner, N., & Alvarez, W. (1979). Impact of Event Scale: a measure of subjective stress. Psychosomatic medicine, 41(3), 209–218. https://doi.org/10.1097/00006842-197905000-00004
13. Lukse, M. P. ve Vacc N.A. (1999). Grief, depression, and coping in women undergoing infertility treatment. Obstetrics and Gynecology, 93, 245-251
14. Mosalanejad, L., Parandavar, N., & Abdollahifard, S. (2013). Barriers to infertility treatment: an integrated study. Global journal of health science, 6(1), 181–191. https://doi.org/10.5539/gjhs.v6n1p181
15. Shapiro, F. (2001). Eye movement desensitization and reprocessing (EMDR): Basic principles, protocols, and procedures. Guilford Press.
16. Shapiro F. (2014). The role of eye movement desensitization and reprocessing (EMDR) therapy in medicine: addressing the psychological and physical symptoms stemming from adverse life experiences. The Permanente journal, 18(1), 71–77. https://doi.org/10.7812/TPP/13-098
17. Shapiro, E., & Maxfield, L. (2019). The efficacy of EMDR early interventions. Journal of EMDR Practice and Research, 13(4), 291–301. https://doi.org/10.1891/1933-3196.13.4.291
18. Szkodziak, F., Krzyżanowski, J., & Szkodziak, P. (2020). Psychological aspects of infertility. A systematic review. The Journal of international medical research, 48(6), 300060520932403. https://doi.org/10.1177/0300060520932403
19. Taebi, M., Kariman, N., Montazeri, A., & Alavi Majd, H. (2021). Infertility Stigma: A Qualitative Study on Feelings and Experiences of Infertile Women. International journal of fertility & sterility, 15(3), 189–196. https://doi.org/10.22074/IJFS.2021.139093.1039
20. Ulusoy, M., Sahin, N. H., & Erkmen, H. (1998). Turkish version of the Beck Anxiety Inventory: psychometric properties. Journal of cognitive psychotherapy, 12(2), 163
21. Weiss, D. S., & Marmar, C. R. (1997). The Impact of Event Scale—Revised. In J. P. Wilson & T. M. Keane (Eds.), Assessing psychological trauma and PTSD (pp. 399–411). The Guilford Press.
22. World Health Organization (2023). Infertility. Erişim adresi: https://www.who.int/news-room/fact-sheets/detail/infertility