• Ammarah Saleem Department of Applied Psychology Government College Women University Faisalabad, Pakistan
  • Nazia Yaqoob Department of Applied Psychology, Government College Women University, Faisalabad, Pakistan


Infertility, Depression, Resilience


Background: Infertility is one the major cause of depression among married women of Pakistan. Resilience is a psychological skill that can help to manage depression in married women. This study was designed to assess depression and resilience among infertile women of Faisalabad. Methods: A correlational study was conducted from May to Aug 2022. Purposive sampling technique was used to gather information from different infertility centers and hospitals of Faisalabad, Pakistan. The Mean age of the subjects was 31.38±5.57 years. To assess the level of depression and resilience among infertile women, the Urdu version of the Siddiqui-Shah Depression Scale (SSDS) and the Resilience Scale (RS) were used. Statistical analysis was done on SPSS-26. Results: Out of the 110 participants, 89 (81%) were primary while 21 (20%) were secondary infertile. Resilience and depression negatively correlated significantly (p=0.000) in infertile women. The respondents from rural areas (p<0.05), those with increased number of treatments (p<0.05) and those having primary type of infertility (p<0.05) showed significantly high level of depression. Conclusion: Resilience and depression have negative association. Depression is predominant among rural as compared to urban residents, and in primary infertile women with increased number of treatments compared to secondary infertile women.

Pak J Physiol 2023;19(4):46–8


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Author Biography

Nazia Yaqoob, Department of Applied Psychology, Government College Women University, Faisalabad, Pakistan

Lecturer, Department of Applied Psychology


World Health Organization (WHO). International Classification of Diseases, 11th Revision (ICD-11). Geneva: WHO; 2018. (Infertility, 2020) retrieved from: %20disease%20of,unprotected%20sexual%20intercourse.(1)

Nik Hazlina NH, Norhayati MN, Shaiful Bahari I, Nik Muhammad Arif NA. Worldwide prevalence, risk factors and psychological impact of infertility among women: a systematic review and meta-analysis. BMJ Open 2022;12(3):e057132.

Royani Z, Heidari M, Vatanparast M, Yaghmaei F, Sarcheshme AK, Majomerd JK. Predictors of quality of life in infertile couples. J Menopausal Med 2019;25(1):35–40.

Kiani Z, Simbar M, Hajian S, Zayeri F. The prevalence of depression symptoms among infertile women: a systematic review and meta-analysis. Fertil Res Pract 2021;7(1):6.

Sadiq U, Rana F, Munir M. Marital quality, self-compassion and psychological distress in women with primary infertility. Sex Disabil 2022;40(1):167–77.

Hassan SN, Siddiqui S, Friedman BD. Health status and quality of life of women seeking infertility treatments in Baluchistan, Pakistan. Br J Soc Work 2020;50(5):1401–18.

Warne E, Oxlad M, Best T. Evaluating group psychological interventions for mental health in women with infertility undertaking fertility treatment: A systematic review and meta-analysis. Health Psychol Rev 2023;17(3):377–401.

Rooney KL, Domar AD The relationship between stress and infertility. Dialogues Clin Neurosci 2018;20(1):41–7.

Sax MR, Lawson AK. Emotional support for infertility patients: integrating mental health professionals in the fertility care team. Women 2022;2(1):68?75.

Bhamani SS, Zahid N, Zahid W, Farooq S, Sachwani S, Chapman M, et al. Association of depression and resilience with fertility quality of life among patients presenting to the infertility centre for treatment in Karachi, Pakistan. BMC Public Health 2020;20(1):1607.

Vatanparast M, Yasini Ardekani SM, Anvari M, Kalantari A, Yaghmaie F, Royani Z. Resilience as the predictor of quality of life in the infertile couples as the most neglected and silent minorities. J Reprod Infant Psychol 2022;40(3):216–27.

Faul F, Erdfelder E, Buchner A, Lang AG. Statistical Power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods 2009;41(4):149–60.

Siddiqui S, Ali Shah SA. Siddiqui-Shah depression scale (SSDS): development and validation. Psychol Dev Soc 1997(2):245–62.

Najam-us-Sahar, Muzaffar N. Role of family system, positive emotions and resilience in social adjustment among Pakistani adolescents. J Educ Health Community Psychol 2017;6(2):46–58.

Kim M, Nam H, Youn M. Infertility stress, depression, and resilience in women with infertility treatments. J Korean Public Health Nurs 2016;30(1):93–104.

Spies G, Seedat S. Depression and resilience in women with HIV and early life stress: does trauma play a mediating role? A cross-sectional study. BMJ open. 2014;4(2):e004200.

Verma K, Baniya GC. A comparative study of sociodemographic profile and fetal outcome in teenage and adult mother. Indian J Obstet Gynecol Res 2017;4(1):39–44.

Aycicegi-Dinn A, Kagitcibasi C. The value of children for parents in the minds of emerging adults. Int J Comp Social 2010;44(2):174–205.

Moura-Ramos M, Gameiro S, Canavarro MC, Soares I, Santos TA. The indirect effect of contextual factors on the emotional distress of infertile couples. Psychol Health. 2012;27(5):533–49.

Imran SS, Ramzan M. Depression among primary and secondary infertile women: Do education and employment play any role? Ann Pak Inst Med Sci 2017;13:39–42.

Greil AL, Shreffler KM, Schmidt L, McQuillan J. Variation in distress among women with infertility: evidence from a population-based sample. Hum Reprod 2011;26(8):2101–12.

Shamila S, Sasikala S. Primary report on the risk factors affecting female infertility in South Indian districts of Tamil Nadu and Kerala. Indian J Community Med 2011;36(1)):59–61.

Yusuf L. Depression, anxiety and stress among female patients of infertility; A case control study. Pak J Med Sci 2016;32:1340–3.

Al-Asadi JN, Hussein ZB. Depression among infertile women in Basrah, Iraq: Prevalence and risk factors. J Chin Med Assoc 2015;78(11):673–7.

Crawford NM, Hoff HS, Mersereau JE. Infertile women who screen positive for depression are less likely to initiate fertility treatments. Hum Reprod 2017;32(3):582–7.




How to Cite

Saleem A, Yaqoob N. RESILIENCE AS A PROTECTIVE FACTOR FOR DEPRESSION AMONG INFERTILE WOMEN OF FAISALABAD. Pak J Phsyiol [Internet]. 2023 Dec. 31 [cited 2024 Feb. 27];19(4):46-8. Available from: