Mapping acceptance and commitment therapy outcomes in the context of infertility: a systematic review

Abstract

Evidence suggests that individuals with infertility are confronted with psychosocial challenges. This has led to a significant number of studies highlighting the subsequent negative effects on mental health. Acceptance and Commitment Therapy (ACT) has already been established as having a beneficial effect on psychological issues related to other health conditions. Since infertility is a relevant stressor, ACT was also expected to have a protective effect on the mental health of individuals with this disease. A systematic review of the literature was conducted to identify studies assessing Infertility and ACT. Empirical and quantitative studies were considered when they assessed mental health variables and ACT hexagon model components in patients with infertility. Out of the 137 studies initially identified, six met the eligibility criteria and were included in the review. The samples were composed of women (three) and couples (three). Since ACT variables appear to be associated with better mental health outcomes, couples with infertility were expected to benefit from intervention addressing ACT components. Implications for future research include the need for a distinction between ACT variables, the use of validated assessment methods and the empirical examination of predictors of changes in ACT variables.