Validation and dyadic invariance of the Infertility Concerns Questionnaire among Brazilian couples

IntroductionInfertility often brings profound emotional challenges, intertwining the desire for parenthood with the complexities of communication within and beyond the couple. Existing scales fall short of fully capturing these nuances, prompting the development of the Infertility Concern Questionna...

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Main Authors: Victor Zaia, Paola Gremigni, Giulia Casu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Psychology
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1504554/full
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author Victor Zaia
Victor Zaia
Paola Gremigni
Giulia Casu
author_facet Victor Zaia
Victor Zaia
Paola Gremigni
Giulia Casu
author_sort Victor Zaia
collection DOAJ
description IntroductionInfertility often brings profound emotional challenges, intertwining the desire for parenthood with the complexities of communication within and beyond the couple. Existing scales fall short of fully capturing these nuances, prompting the development of the Infertility Concern Questionnaire (ICQ), which uniquely addresses both the parental desire and communication dimensions.MethodsThe ICQ was completed by 350 opposite-sex infertile couples from Brazil, aged 22–58 years, who were undergoing fertility treatment. Both partners of all couples completed the ICQ, and a subsample of 168 couples also completed a measure of infertility-related stress. The factor structure of the ICQ was evaluated using confirmatory factor analysis, and measurement invariance across couple members was tested within a dyadic framework.ResultsConfigural, metric, partial scalar, and strict measurement invariance was supported for the ICQ’s theoretical two-factor model of infertility concerns as made of parental (PAR - Examines the central role that the theme of procreation assumes in the construction of individual identity) and communication (COM - Investigates the significance of interpersonal sharing of reflections and experiences related to the decision to have—or not to have—children) dimensions. No between-partner differences were found in ICQ latent factor means. Reliability was found to be acceptable for both dimensions across genders. PAR correlated positively with intrapersonal infertility-related stress in both males and females, while COM correlated negatively with interpersonal infertility-related stress in females. Significant associations between ICQ scores and type of infertility, history of miscarriage, and treatment failures were observed among females.DiscussionThe findings provide initial evidence of the ICQ’s validity and reliability, suggesting its potential use by professionals in fertility treatment settings to better assess and address the distinct emotional and communicative concerns of individuals and couples experiencing infertility.
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spelling doaj-art-a3cbbbf294de41daa3fa18db08ca53b12025-06-27T05:31:16ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-06-011610.3389/fpsyg.2025.15045541504554Validation and dyadic invariance of the Infertility Concerns Questionnaire among Brazilian couplesVictor Zaia0Victor Zaia1Paola Gremigni2Giulia Casu3Postgraduate Program in Health Sciences, Centro Universitário FMABC, Santo André, BrazilIdeia Fértil Institute of Reproductive Health, Centro Universitário FMABC, Santo André, BrazilDepartment of Psychology, University of Bologna, Bologna, ItalyDepartment of Psychology, University of Bologna, Bologna, ItalyIntroductionInfertility often brings profound emotional challenges, intertwining the desire for parenthood with the complexities of communication within and beyond the couple. Existing scales fall short of fully capturing these nuances, prompting the development of the Infertility Concern Questionnaire (ICQ), which uniquely addresses both the parental desire and communication dimensions.MethodsThe ICQ was completed by 350 opposite-sex infertile couples from Brazil, aged 22–58 years, who were undergoing fertility treatment. Both partners of all couples completed the ICQ, and a subsample of 168 couples also completed a measure of infertility-related stress. The factor structure of the ICQ was evaluated using confirmatory factor analysis, and measurement invariance across couple members was tested within a dyadic framework.ResultsConfigural, metric, partial scalar, and strict measurement invariance was supported for the ICQ’s theoretical two-factor model of infertility concerns as made of parental (PAR - Examines the central role that the theme of procreation assumes in the construction of individual identity) and communication (COM - Investigates the significance of interpersonal sharing of reflections and experiences related to the decision to have—or not to have—children) dimensions. No between-partner differences were found in ICQ latent factor means. Reliability was found to be acceptable for both dimensions across genders. PAR correlated positively with intrapersonal infertility-related stress in both males and females, while COM correlated negatively with interpersonal infertility-related stress in females. Significant associations between ICQ scores and type of infertility, history of miscarriage, and treatment failures were observed among females.DiscussionThe findings provide initial evidence of the ICQ’s validity and reliability, suggesting its potential use by professionals in fertility treatment settings to better assess and address the distinct emotional and communicative concerns of individuals and couples experiencing infertility.https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1504554/fullinfertilitydesire for parenthoodcommunicationpsychometric validationdyadic invarianceassisted reproductive technology
spellingShingle Victor Zaia
Victor Zaia
Paola Gremigni
Giulia Casu
Validation and dyadic invariance of the Infertility Concerns Questionnaire among Brazilian couples
Frontiers in Psychology
infertility
desire for parenthood
communication
psychometric validation
dyadic invariance
assisted reproductive technology
title Validation and dyadic invariance of the Infertility Concerns Questionnaire among Brazilian couples
title_full Validation and dyadic invariance of the Infertility Concerns Questionnaire among Brazilian couples
title_fullStr Validation and dyadic invariance of the Infertility Concerns Questionnaire among Brazilian couples
title_full_unstemmed Validation and dyadic invariance of the Infertility Concerns Questionnaire among Brazilian couples
title_short Validation and dyadic invariance of the Infertility Concerns Questionnaire among Brazilian couples
title_sort validation and dyadic invariance of the infertility concerns questionnaire among brazilian couples
topic infertility
desire for parenthood
communication
psychometric validation
dyadic invariance
assisted reproductive technology
url https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1504554/full
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