DEVELOPMENT AND APPROVAL OF A PROGRAM OF PSYCHOLOGICAL SUPPORT FOR SPOUSES IN CASE OF FAILURE TO PERFORM REPRODUCTIVE FUNCTION

Abstract

The article presents the development and empirical validation of a psychological support program for spouses facing unsuccessful reproductive experiences. Increasing numbers of couples encounter difficulties in conception, pregnancy loss, or the need for assisted reproductive technologies, which often provoke a multidimensional psychological crisis affecting both individual and family functioning. Reproductive challenges are associated with emotional distress, anxiety, guilt, frustration, helplessness, and disruptions in marital roles, contributing to relational tension and a sense of uncertainty. Recognizing these challenges as a systemic marital crisis, the study emphasizes the importance of structured, couple-oriented psychological interventions.

The designed program consists of two interconnected blocks. Block 1, the educational group component, focuses on forming knowledge about reproductive processes, understanding the couple as an integrated psychological system, developing communication and conflict-resolution skills, and preparing partners to cope with loss and grief. Block 2, the corrective and individualized component, provides personalized support addressing emotional, behavioral, and personal aspects of the reproductive crisis, including processing guilt, restoring intimacy, and facilitating joint decision-making.

Results indicate a positive impact of the program on psychological readiness, encompassing motivational, cognitive, behavioral, and personal components. Gender-specific analysis revealed that women demonstrated more pronounced improvements in motivation, cognitive awareness, and emotional stability, while men showed moderate positive changes, particularly in emotional regulation and behavioral adaptation. These findings underscore the importance of incorporating gender-sensitive approaches within couple-oriented interventions. The program offers a comprehensive, empirically supported framework for enhancing resilience, adaptive coping, and relational functioning in couples experiencing reproductive difficulties, contributing to both individual and marital well-being.