Prevalence of depressive and anxiety disorders in an assisted reproductive technique clinic

Chen, Ting-Hsiu; Chang, Shang‐Tzen; Tsai, Chia-Ming; Juang, Kai Dih

doi:10.1093/humrep/deh414

Cited by 271 publications

(119 citation statements)

References 23 publications

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“…This result is congruent with the results of a number of studies. [18,26] Soltani (2014) added that the process of ART itself is also associated with increased levels of anxiety/depression/stress. After the abortive treatment of zygotic embryos in IVF, 25% of women become depressed.…”

Section: Published By Sciedu Pressmentioning

confidence: 99%

“…In summation, the stress surrounding infertility may be attributed to the cyclical nature of the treatment or the side effects of fertility medications. [18] Anxiety is a state of mind which develops depending on environmental stimulants that are perceived by the individuals as being dangerous or threatening and have unpleasing effects. [19] It is well recognized that anxiety may occur at any period of the lifespan.…”

Section: Introductionmentioning

confidence: 99%

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Infertility profile, psychological ramifications and reproductive tract infection among infertile women, in northern upper Egypt

Hassan

2015

JNEP

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Background and objective: Reproductive tract infections (RTI) can have serious consequences, such as miscarriage and infertility. Infertility is a growing universal phenomenon, "crossed nearly all cultures and societies almost all over the World", that has a tremendous impact on women's quality of life and their psychological well-being. This is due to various stress and anxiety factors experienced by them at each stage of their life. To decrease and prevent developing psychological distress the psychological aspects of infertility should be receive more attention. The objectives of this study were to assess the prevalence rate of reproductive tract infections and the psychological consequences amongst those women who were infertile in relation to their sociodemographic characteristics, fertility history, assisted reproductive technology (ART) and RTI. Methods: Interview questionnaire with a convenience sample of 399 infertile women who were admitted to inpatient wards and/or attending to outpatient gynecological and infertility clinics at University Hospital, Health insurance Hospital and general Hospital in Beni-Suef City. Results: About 27.6% of study subjects had reproductive tract infections. Socio-cultural factors, gynecological issues, reproductive tract infections aggravated psychological distress amongst those women who were infertile in Northern Upper Egypt. A highly statistically significant deviation was observed (p = .000). Conclusions: Negative psychological consequences of childlessness are common and morbid in Northern, Upper Egyptian infertile women. Furthermore, infertility and psychological distress are associated in a complex way, which has to be taken care by the nurses and the clinicians to promote the quality of life of the women undergoing infertility treatment.

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Section: Published By Sciedu Pressmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Infertility profile, psychological ramifications and reproductive tract infection among infertile women, in northern upper Egypt

Hassan

2015

JNEP

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“…Depressive symptoms are prevalent among women seeking fertility treatment, with up to 17 % meeting criteria for major depressive disorder (MDD) on structured clinical interviews (Chen et al 2004). Depression has consequences in the context of infertility.…”

Section: Introductionmentioning

confidence: 99%

Interpersonal psychotherapy versus brief supportive therapy for depressed infertile women: first pilot randomized controlled trial

Koszycki

Bisserbe

Blier

et al. 2012

Arch Womens Ment Health

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Infertility is strongly associated with depression, yet treatment research for depressed infertile women is sparse. This study tested for the first time the feasibility and preliminary efficacy of interpersonal psychotherapy (IPT), the evidence-based antidepressant intervention with the greatest peripartum research support, as treatment for depressed women facing fertility problems. Patients who met DSM-IV criteria for major depressive disorder of at least moderate severity were randomized to either 12 sessions of IPT (n = 15) or brief supportive psychotherapy (BSP; n = 16), our control intervention. Eighty percent of IPT and 63 % of BSP patients completed the 12 sessions of therapy. Patients in both treatments improved. IPT produced a greater response rate than BSP, with more than two-thirds of women achieving a >50 % reduction in scores on the Montgomery-Åsberg Depression Rating Scale (MADRS). IPT also tended to have lower posttreatment scores on the Beck Depression Inventory, Clinical Global Impression-Severity Scale, and anxiety subscale of the Hamilton Depression Rating Scale, with between-group effect sizes ranging from 0.61 to 0.76. Gains persisted at 6-month follow-up. This pilot trial suggests that IPT is a promising treatment for depression in the context of infertility and that it may fare better than a rigorous active control condition. Should subsequent randomized controlled trials support these findings, this will inform clinical practice and take an important step in assuring optimal care for depressed women struggling with infertility.

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“…A number of studies have found that the incidence of depression in infertile couples presenting for infertility treatment is significantly higher than in fertile controls, with prevalence estimates of major depression in the range of 15%-54%. [29] Anxiety has also been shown to be significantly higher in infertile couples when compared to the general population, with 8%-28% of infertile couples reporting clinically significant anxiety. [30] In the present study, it is quite apparent that the scores obtained by infertile females were significantly higher (anxiety 83%, phobia 52%, obsession 72%, psychosomatic 65%, depression 77%).…”

Section: Discussionmentioning

confidence: 99%

Emotional problems of Infertile Egyptian women

Yakout

Talaat²,

Fayad³

2016

JNEP

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Background: Infertility is a very stressful life experience where women may experience emotional distress, threat, depression, anxiety, phobia, disappointment and marital problems. Overall prevalence of emotional problems among infertile couples has been estimated to be around 25%-60%. So the aim of our study was to determine emotional problems among a group of infertile women in Egypt. Methods: A convenient sample of 300 women was recruited for the purpose of this study. The study was implemented at infertility unit and Out-patient gynaecologic section at El-Kasr El-Aini Hospital Cairo university -Egypt. Structured Selfadministered questionnaire was used for data collection consists of two parts: Part I which included participants socio-demographic characteristics. Part II: A developed profile of emotional problems was used to assess the emotional problems of the infertile women in terms of anxiety, phobia, obsession, psychosomatic symptoms, depression, and hysterical manifestations. Results: Revealed that anxiety (83%) was the most significant emotional problems among studied subjects, followed by depression (77%), obsession (72%), psychosomatic disorders (65%), phobia (52%), and hysterical manifestation (2%). The levels of emotional problems had significant associated with subjects' age, level of education, duration of marriage and presence of children. Conclusions: There are high prevalence of emotional problems among infertile women, the study yielded that causes of infertility were mainly related to female factors. Emotional problems of the studied subjects ranked descending; anxiety, depression, obsession, psychosomatic disorders, phobia, and hysterical manifestation. So, it seems that more serious attention is required from nurses, gynecologists, psychiatrists and psychologists for better treatment of these emotional problems. The use of supportive teaching program should be considered as part of the general therapeutic framework of infertility.

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Prevalence of depressive and anxiety disorders in an assisted reproductive technique clinic

Cited by 271 publications

References 23 publications

Infertility profile, psychological ramifications and reproductive tract infection among infertile women, in northern upper Egypt

Infertility profile, psychological ramifications and reproductive tract infection among infertile women, in northern upper Egypt

Interpersonal psychotherapy versus brief supportive therapy for depressed infertile women: first pilot randomized controlled trial

Emotional problems of Infertile Egyptian women

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