Introducing the Hungarian Version of the SCREENIVF Tool into the Clinical Routine Screening of Emotional Maladjustment

Abstract

Examining possible psychosocial maladjustments should be an integral part of fertility care. For the early detection of vulnerability, the present study aimed to adapt and test the reliability and validity of the Hungarian version of SCREENIVF against the Fertility Quality of Life Questionnaire (FertiQoL) in a cross-sectional on subfertile women (n = 60, age 34.6 ± 5.2 years, BMI 24.2 ± 4.9 kg/m2) at a university linked fertility clinic in South-Hungary. A confirmatory factor analysis (CFA) was conducted to investigate the construct validity. For the reliability testing, Cronbach alpha values were calculated. Spearman’s rank correlation tested the criterion validity. Discriminant validity was applied using Mann–Whitney U-test and Kruskal–Wallis test. The Edinburgh Framework and COSMIN checklist were applicable for the analysis using SPSS 27.0; significance was set at p < 0.05. The confirmatory factor analysis indicated a good fit; all dimensions were reliable (α ≥ 0.70). Cronbach’s alpha was excellent (0.825–0.904). Strong correlations were found between the total scale (FertiQoL) and anxiety (R = −0.507, p < 0.001), depression (R = 0.554, p < 0.001), and helplessness cognitions (R = −0.747, p < 0.001) and moderate or no correlation with acceptance cognitions (R = 0.317, p = 0.015) and social support (R = 0.230, p = 0.082). The Hungarian version of SCREENIVF proved a valid and reliable tool to measure psychological maladjustment before ART. A longitudinal, randomized, controlled trial involving the partners could further strengthen the results, which is among our long-term plans.

Emotional risk factors before in vitro fertilization among infertile couples in daily clinical practice in Sari in 2020–2022

“…Furthermore, 19.3% of the couples reported depression, 44.2% perceived low social support, 27.7% had low acceptance of infertility problems, and 15.7% exhibited vulnerability. A cross-sectional study conducted by Prémusz et al (2022) on infertile women reported that 56.9% experienced anxiety, 24.1% had depression, 37.79% had low social support, 20.7% had low acceptance, and 25.9% experienced feelings of helplessness [ 22 ].…”

The SCREENIVF Hungarian version is a valid and reliable measure accurately predicting possible depression in female infertility patients

“…A review of cutoffs applied in the original 16 and the validation studies of the SCREENIVF 18 , 20 – 22 was performed to inform thresholds for use in the present study. First, cutoff points for all Hungarian SCREENIVF subscales were calculated on the basis of sample means plus/minus standard deviations (M ± SD), as adequate.…”

“…The one recommended for screening purposes is the SCREENIVF 16 , a combination of both generic and specific items, also assessing three domains (emotional, social-relational and cognitive), and quick to complete. Out of the existing fertility-related questionnaires, only the FertiQoL and the SCREENIVF have been validated in Hungarian 17 , 18 .…”

“…Cutoff values are not uniform in these studies, and there are considerable deviations in the rates of patients found to be at risk. A Hungarian validation study was performed on a small sample (N = 60), showing good reliability and model fit but low specificity 18 . Therefore, further validation of the Hungarian version seems justified.…”

A pszichológiai szűrés és ellátás helye az asszisztált reprodukcióban

“…A mérőeszköz előnye, hogy kezelhető terjedelme (34 tétel) és viszonylag rövid kitöltési ideje (10-12 perc) ellenére informatív, és mind általános (szorongás, depresszió, társas támogatás), mind pedig betegségspecifikus rizikóterületeket (meddőséggel szembeni tehetetlenség, az infertilitás elfogadásának hiánya) felmér. Bár a szűrő kérdőív jelenleg még csak öt nyelven érhető el, magyar validálása egy kisebb [56], valamint egy több mint 600 fős -egyelőre csak női -mintán is megtörtént [57]. Belső konzisztenciája megfelelő (Cronbach-alfa>0,8), valamint a szenzitivitás és a specificitás optimális egyensúlyát mutatja, így összességében alkalmas az ART-kezelésekért folyamodó magyar páciensek rutinellátásában a pszichológiai kockázati csoport kiszűrésére.…”