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Associations Between Trait Mindfulness and Distress in Fertility Patients

Amanda J. Dillard, Brian P. Meier, Todd J. Williams, Michael B. W. Wolfe, Mili Thakur

European Journal of Health Psychology October 1, 2025 DOI: 10.1027/2512-8442/a000189 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Cross-sectional study Peer reviewed
Sample size 426
Population Women with fertility problems: 324 recently seeking fertility treatment (Study 1) and 102 at first IVF consultation (Study 2); predominantly White and highly educated
Topics Meditation
Key findings Trait mindfulness was moderately associated with every distress indicator (correlations .34 to .57): women higher in mindfulness were less anxious, less depressed, had lower fertility-specific distress, and anticipated fewer negative emotions if IVF failed. The authors suggest women lower in trait mindfulness may need more mental health support when experiencing fertility problems or undergoing IVF.

Abstract

Abstract:

Background: Women who experience fertility problems often report high levels of distress. Trait mindfulness, or the tendency to be present-minded and accepting of one’s thoughts and feelings, could offset this distress.

Aims: In two cross-sectional studies, we tested if fertility patients who were higher in trait mindfulness were lower in psychological distress as measured by anxiety and depressive symptoms, fertility-specific distress, and anticipated negative emotions.

Method: Study 1 ( N = 324; Age M = 34.3; 90% White) included women who had recently sought treatment for fertility problems, and Study 2 ( N = 102; Age M = 32.9; 94% White) included fertility patients who were having a consult for their first in-vitro fertilization (IVF) treatment. Both studies tested associations between trait mindfulness, anxiety, and depressive symptoms. Study 1 also measured fertility-specific distress and Study 2 measured anticipated negative emotions for IVF outcomes.

Results: Trait mindfulness was moderately associated with every indicator of distress ( rs ranged = .34 – .57). Those higher in mindfulness were less anxious, less depressed, had lower distress about fertility problems (Study 1), and anticipated fewer negative emotions if treatment should fail (Study 2). Higher mindfulness was particularly important when imagining IVF treatment failed.

Limitations: Both samples were predominantly White and highly educated, and a more general sample of women with fertility problems should be tested.

Conclusion: This research contributes to a small literature exploring personality traits in fertility patients. When experiencing fertility problems or navigating IVF treatment, women lower in trait mindfulness may need more mental health support.

Comparable studies

Other cross-sectional and survey studies on meditation, most cited first.

Study Year Design Participants
Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples Experienced meditators and nonmeditating comparison groups 2008 Cross-sectional study
Neural Correlates of Dispositional Mindfulness During Affect Labeling Adult participants 2007 Observational cross-sectional n = 27
Assessing mindfulness in children and adolescents: Development and validation of the Child and Adolescent Mindfulness Measure (CAMM). School-aged children and adolescents 2011 Cross-sectional validation study n = 1,413
Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators Experienced meditators and demographically matched nonmeditators 2012 Cross-sectional study n = 152
Mechanisms of Action in the Inverse Relationship Between Mindfulness and Psychological Distress Undergraduates 2008 Cross-sectional, correlational

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