Past Issue

Volume 12, Number 2, Jul-Sep 2018, Pages: 130-135

The Persian Version of Fertility Adjustment Scale: Psychometric Properties

Asma Tiyuri, B.Sc, 1, Seyyed Abolfazl Vagharseyyedin, Ph.D, 2, Marziyeh Torshizi, M.Sc, 2, Najmeh Bahramian, B.Sc, 1, Morteza Hajihosseini, M.Sc, 3, *,
Faculty of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran
East Nursing and Midwifery Research Center, Birjand and Midwifery College, Birjand University of Medical Sciences, Birjand, Iran
Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran
*Corresponding Address: P.O.Box: 9717853577 Cardiovascular Diseases Research Center Birjand University of Medical Sciences Birjand Iran



Infertility is a common clinical problem. Psychological adjustment to infertility refers to changing the viewpoint and attitude of an infertile person toward infertility problems, treatments and possible outcomes. The present study aims to prepare a valid and reliable scale for assessing the psychological adjustment to infertility, by determining the cultural adaptation, validity and reliability of the Persian version of the Fertility Adjustment Scale.

Materials and Methods

This is a cross-sectional study performed to localize and validate the Fertility Adjustment Scale, in which 40 infertile women and 40 healthy subjects (fertile or having children) were detected by a gynecolo- gist and the subjects who completed the Fertility Adjustment Scale (FAS) questionnaire were recruited. This study had four steps: in the first step, the literature was reviewed, in the second step, the scale was translated, in the third step, the content and construct validity indicators were calculated, and in the fourth step, reliability of the scale was validated.


The mean (± SE and range) of fertility adjustment total scores in the infertile group and the control group were 43.2 (1.2 and 27-57) and 42.3 (1.5 and 18-57), respectively (P=0.623). The content validity was good according to Con- tent Validity Index score (0.7-0.8). A two-component structure was extracted from factor analysis which approximately justifies 52.0% of the cumulative variations. A Cronbach’s alpha value of 0.68 showed moderate reliability.


The results of this study revealed that the infertility adjustment scale is a useful tool for the analysis of psy- chological reactions towards infertility problems and evaluation of the consequences of treating this social-clinical problem.