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Abstract Summary Infertility is a major health problem and unique medical challenge that can have health behavioral consequence on infertile women including lack of selfesteem, depression, anxiety. The infertile women experience difficult in coping with emotional liability during diagnosis and treatment and a sense of fear and failure There is a negative psychological consequence such as sense of loss, feeling of isolation and lowered selfconcept and stress This stress could affect the relationship between man and woman and cause marital conflicts, sexual dissatisfaction (Faramarzi et al., 2014). Coping plays as a mediator between the stressor or adversity and the health consequences for an individual; the resultant effects coping have on the physical or psychological outcomes of an individual; the complex and intricate relationship between coping and multiple psychosocial protective factors, such as social support, resilience, positive affect, and subjective well-being; and the clinical implications of enhancing individuals’ adaptive coping behaviors in promoting well-being (Rubio, 2013). Social support can enhance resilience in infertile women. Resilience is an ability to adapt positively in the face of trauma and is associated with mental health by Summary 107 influencing on self-esteem spirituality, stress tolerance and feeling of adequacy. Resilience in infertile couples is a protecting factor against psychological distress and improves their quality of life (Silbe et al., 2010). Aim of the Study: The aim of this study was to assess self -concept and coping pattern among infertile women. Research question: This study is based on answering the following questions: - What are the level of self concept and coping pattern among infertile women? - Is there relation between socio-demographic characteristics of the studied sample and self- concept / coping pattern? Research settings: This study was conducted in the Obstetrics and Gynecology department at Beni-Suef university hospital and Beni-Suef general hospital. Summary 108 Subjects of the study: A convenient sample was selected. The whole sample was formed of 100 females with both primary and secondary infertility recruited over a period of 6 months. Tools of data collection: Data were collected using the following tools: 1- Interviewing Questionnaire: Designed by Fitts, 1972 and was adapted by investigator. It’s include socio-demographic data (Age, occupation, education… etc, obstetric data such as data on menstrual cycle, data on infertility and data on family history. 2- Tennessee Self Concept Scale (TSCS) This tool was designed by Fitts, 1972 and was adapted by investigator. It covered the following items; family self, psychological self, sexual self, social self and coping self. 3- Ways of coping (WQS) This tool was designed by Folkman, Lazarus, Dunkel-Schetter, DeLongis, and Gruen, 1986 and was adapted by the investigator after reviewing the related Summary 109 article the scale composed of 33 questions to assess coping pattern among infertile women. Pilot study: The pilot study was conducted on ten women from the hospital. They represent 10% of total sample. Those women were excluded from the actual study sample. The main findings of this study revealed that: An analysis of socio-demographic characteristics showed that 42% of the studied sample were ≤ 28 years, while 58% were older than that age. Regarding employment status almost half of the subjects (48%) were employed, while 52% house wife. 58% of the subjects were living in urban areas while 42% were living in rural areas. Besides, more than one third of the studied subjects (39%) were highly educated, 35 % with elementary education and 26% were illiterate. Concerning types of infertility, the table showed that more than half (53%) of the subjects had secondary infertility, while 47% had primary infertility. Besides, more than half (58%) of the participants were infertile for more than 3 years, while 42% of the participants were infertile for less or equal to 3 years. Summary 110 An analysis of self concept questionnaire showed that 36% of the study sample were defined as satisfactory by the self concept questionnaire while 64% of the study sample had unsatisfactory of self concept An analysis of ways of coping questionnaire showed that half of the subjects (50%) had satisfactory coping pattern, while the other half of the subjects (50%) un satisfactory coping pattern. Regarding the relationship between sociodemographic characteristics of the studied sample and self concept / coping pattern, the current study illustrated that, significant positive relationship between socio-demographic characteristics of the studied sample and self concept / coping pattern among infertile women. Regarding the correlation between self - concept and coping pattern, the current study illustrated that, significant positive correlation between self concept and coping pattern among infertile women. Summary 111 Conclusion: Based on the result of the current study; it can be concluded that: Women with infertility suffer from impairments of self-concept and coping pattern. Adding to that the current study found relationship between Socio-demographic characteristics of the infertile women and self concept / coping pattern among those women. In the light of these findings it was recommended that: Psychological counseling should be provided by psychiatric professionals for infertile women and their family members to facilitate dealing with stress, improve their mental health, increase their chance of conceiving, and improve marital satisfaction. Initiate group therapies and support groups for infertile women to improve self concept and coping pattern ability in these women. Further researches about the social stigmatization, mental, psychological health problems among infertile women and effect of the social and family support on infertility problem |