Volume 9, Issue 2 (7-2011)                   IJRM 2011, 9(2): 99-104 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Kazandi M, Gunday O, Mermer T K, Erturk N, Ozkınay E. The status of depression and anxiety in infertile Turkish couples. IJRM 2011; 9 (2) :99-104
URL: http://ijrm.ir/article-1-221-en.html
1- Department of Obstetrics and Gynecology, Ege University, İzmir, Turkey
2- Department of Obstetrics and Gynecology, Ege University, İzmir, Turkey , timmer@mynet.com
Abstract:   (2448 Views)
Background: Infertility is a major psychosocial crisis as well as being a medical problem. The factors that predict psychosocial consequences of infertility may vary in different gender and different infertile populations.
Objective: The primary purpose of this study was to investigate whether Turkish infertile couples had higher levels of depression and anxiety when compared to non-infertile couples. Our secondary aim was to evaluate the relationship between sociodemographic characteristics and levels of depression and anxiety in Turkish infertile couples.
Materials and Methods: We designed a descriptive cross sectional study of 248 infertile women and 96 infertile men with no psychiatric disturbance and 51 women and 40 men who have children to evaluate the depression and anxiety levels between infertile couples and fertile couples. A gynecologist evaluated participants for demographic data and then they were visited by a psychologist to perform questionnaire scales which were The Beck Depression Inventory and the State-Trait Anxiety Inventory for the evaluation of the degree of psychopathology. The data were statistically analyzed, with p<0.05 as the level of statistical significance.
Results: We observed significant differences between the infertile couples and fertile couples with respect to state and trait anxiety(p<0.0001) while no difference was regarding with depression, both of women and men. Anxiety and depression were observed as independent from gender when infertile women and men were compared (p:0.213).
Conclusion: We believed that the psychological management at infertile couples must be individualized with cultural, religious, and class related aspects.
Full-Text [PDF 169 kb]   (594 Downloads) |   |   Full-Text (HTML)  (323 Views)  
Type of Study: Original Article |

References
1. Healy DL, Trounson AO, Andersen AN. Female infertility: causes and treatment. Lancet 1994; 343: 1539-1544. [DOI:10.1016/S0140-6736(94)92941-6]
2. Cwikel J, Gidron Y, Sheiner E. Psychological interactions with infertility among women. Eur J Obstet Gynaecol Reprod Biol 2004; 117: 126-131. [DOI:10.1016/j.ejogrb.2004.05.004]
3. Domar AD, Zuttermeister PC, Friedman R. The psychological impact of infertility: a comparison with patients with other medical conditions. J Psychosom Obstet Gynaecol 1993; 14 (suppl.): 45-52.
4. Domar AD, Broome A, Zuttermeister PC, Seibel M, Friedman R. The prevalence and predictability of depression in infertile women. Fertil Steril 1992; 58: 1158-1163. [DOI:10.1016/S0015-0282(16)55562-9]
5. Aghanwa HS, Dare FO, Ogunniyi SO. Sociodemographic factors in mental disorders associated with infertility in Nigeria. J Psychosom Res 1999; 46: 117-123. [DOI:10.1016/S0022-3999(98)00070-1]
6. Keye WR Jr. Psychosexual responses to infertility. Clin Obstet Gynecol 1984; 27: 760-766. [DOI:10.1097/00003081-198409000-00024]
7. Golombok S. Psychological functioning in infertility patients. Hum Reprod 1992; 7: 208-212. [DOI:10.1093/oxfordjournals.humrep.a137618]
8. Domar AD, Seibel MM, Benson H. The mind/body program for infertility: a new behavioral treatment approach for women with infertility. Fertil Steril 1990; 53: 246-249. [DOI:10.1016/S0015-0282(16)53275-0]
9. Wischmann T, Stammer H, Scherg H, Gerhard I, Verres R. Psychosocial characteristics of infertile couples: a study by the 'Heidelberg Fertility Consultation Service'. Hum Reprod 2001; 16: 1753-1761. [DOI:10.1093/humrep/16.8.1753]
10. Matsubayashi H, Hosaka T, Izumi S, Suzuki T, Makino T. Emotional distress of infertile women in Japan. Hum Reprod 2001; 16: 966-969. [DOI:10.1093/humrep/16.5.966]
11. Paulson JD, Haarmann BS, Salerno RL, Asmar P. An investigation of the relationship between emotional maladjustment and infertility. Fertil Steril 1988;49: 258-262. [DOI:10.1016/S0015-0282(16)59712-X]
12. Berg BJ, Wilson JF. Psychiatric morbidity in the infertile population: a reconceptualization. Fertil Steril 1990; 53: 654-661. [DOI:10.1016/S0015-0282(16)53459-1]
13. Downey J, Yingling S, McKinney M, Husami N, Jewelewicz R, Maidman J. Mood disorders, psychiatric symptoms, and distress in women presenting for infertility evaluation. Fertil Steril 1989; 52: 425-432. [DOI:10.1016/S0015-0282(16)60912-3]
14. Stoleru S, Teglas P, Fermanian J, Spira A. Psychological factors in the aetiology of infertility: a prospective cohort study. Hum Reprod 1993; 8: 1039-1046. [DOI:10.1093/oxfordjournals.humrep.a138189]
15. Greil AL. Infertility and psychological distress: a critical review of the literature. Soc Sci Med 1997; 45: 1679-1704. [DOI:10.1016/S0277-9536(97)00102-0]
16. Stoleru S, Teglas P, Spira A, Magnin F, Fermanian J. Psychological characteristics of infertile patients: discriminating etiological factors from reactive changes. J Psychosom Obstet Gynaecol 1996; 17: 103-118. [DOI:10.3109/01674829609025670]
17. Bringhenti F, Martinelli F, Ardenti R, La Sala GB. Psychological adjustment of infertile women entering IVF treatment: differentiating aspects and influencing factors. Acta Obstet Gynaecol Scand 1997; 76: 431-437. [DOI:10.3109/00016349709047824]
18. Schmidt L. Social and psychological consequences of infertility and assisted reproduction–what are the research priorities? Hum Fertil (comb.) 2009; 12: 14-20.
19. Abdallah S, Daar ZM. Infertility and social suffering: the case of ART in developing countries. Section 1, Infertility and assisted reproductive technologies in the developing world. Current Practices and Controversies in Assisted Reproduction: Report of a meeting on "Medical, Ethical and Social Aspects of Assisted Reproduction" WHO Headquarters; Geneva, Switzerland; 2001: 15-21.
20. Ashkani H, Akbari A, Heydari ST. Epidemiology of depression among infertile and fertile couples in Shiraz, Southern Iran. Indian J Med Sci 2006;60:399–406. [DOI:10.4103/0019-5359.27670]
21. Fido A, Zahid MA. Coping with infertility among Kuwaiti women: Cultural perspectives. Int J Soc Psychiatry 2004; 50: 294-300. [DOI:10.1177/0020764004050334]
22. Guz H, Ozkan A, Sarisoy G, Yanik F, Yanik A. Psychiatric symptoms in Turkish infertile women. J Psychosom Obstet Gynaecol 2003; 24: 267-271. [DOI:10.3109/01674820309074691]
23. Nasseri M. Cultural similarities in psychological reactions to infertility. Psychol Rep 2000; 86: 375-378. [DOI:10.2466/pr0.2000.86.2.375]
24. Kee BS, Jung BJ, Lee SH. A study on psychological strain in IVF patients. J Assist Reprod Genet 2000; 17: 445-448. [DOI:10.1023/A:1009417302758]
25. Lee TY, Sun GH, Chao SC. The effect of an infertility diagnosis on the distress, marital and sexual satisfaction between husbands and wives in Taiwan. Hum Reprod 2001; 16: 1762-1767. [DOI:10.1093/humrep/16.8.1762]
26. Ozkan M, Baysal B. Emotional distress of infertile women in Turkey. Clin Exp Obstet Gynecol 2006; 33: 44-46.
27. Benyamini Y, GozlanM, Kokia E. Variability in the difficulties experienced by women undergoing infertility treatments. Fertil Steril 2005; 83: 275-283. [DOI:10.1016/j.fertnstert.2004.10.014]
28. Barzilai-Pesach V, Sheiner EK, Sheiner E, Potashnik G, Shoham-Vardi I. The effect of women's occupational psychologic stress on outcome of fertility treatments. J Occup Environ Med 2006; 48: 56-62. [DOI:10.1097/01.jom.0000183099.47127.e9]
29. Dyer SJ, Abrahams N, Mokoena NE, Lombard CJ, van der Spuy ZM. Psychological distress among women suffering from couple infertility in South Africa: A quantitative assessment. Hum Reprod 2005; 20: 1938-1943. [DOI:10.1093/humrep/deh845]
30. Dyer SJ, Abrahams N, Hoffman M, van der Spuy ZM. Infertility in South Africa: Women's reproductive health knowledge and treatment-seeking behaviour for involuntary childlessness. Hum Reprod 2002; 17: 1657-1662. [DOI:10.1093/humrep/17.6.1657]
31. Inhorn MC. Global infertility and the globalization of new reproductive technologies: Illustrations from Egypt. Soc Sci Med 2003; 56: 1837-1851. [DOI:10.1016/S0277-9536(02)00208-3]
32. Beck AT, Ward CH, Mendelson M, Mock JE, Erbaugh JK. An inventory for measuring depression. Arch Gen Psychiatry 1961; 4: 561-571. [DOI:10.1001/archpsyc.1961.01710120031004]
33. Spielberger CD, Gorsuch RL, Lushene RE. STAI: Manual for the State-Trait Anxiety Inventory (Self-Evaluation Questionnaire). Palo Alto, California; Consulting Psychological; 1970.
34. Hisli N. Reliability and validity of Beck Depression Inventory among university students. Journal of Turkish Psychology 1989; 7: 3-13.
35. Oner N. Le Compte A. Handbook for the State-Trait Anxiety Inventory (Self-Evaluation Questionnaire). Istanbul, Turkey; Bogazici Universitesi Yayımları; 1985.
36. Ozcelik B, Karamustafalioglu O, Ozcelik A. The psychological and psychiatric aspects of infertility. Anatolian Journal of Psychiatry 2007; 8: 140-148.
37. Franco JG, Baruffi RL, Mauri AL, Petersen CG, Felipe V, Garbellini E. Psychological evaluation test for infertile couples. J Assist Reprod Genet 2002; 19: 269-273. [DOI:10.1023/A:1015706829102]
38. Domar AD, Zuttermeister PC, Seibel M, Benson H. Psychological improvement in infertile women after behavioral treatment: a replication. Fertil Steril 1992; 58: 144-147. [DOI:10.1016/S0015-0282(16)55151-6]
39. Chen TH, Chang SP, Tsai CF, Juang KD. Prevalence of depressive and anxiety disorders in an assisted reproductive technique clinic. Hum Reprod 2004; 19: 2313-2318. [DOI:10.1093/humrep/deh414]
40. Wilson JF, Kopitzke EJ. Stress and infertility. Curr Womens Health Rep 2002; 2: 194-199.
41. Greil AL. Infertility and psychological distress: A critical review of the literature. Soc Sci Med 1997; 45: 1679-1704. [DOI:10.1016/S0277-9536(97)00102-0]
42. Abbey A, Andrews FM, Halrnan LJ. Gender's role in responses to infertility. Psychology of Women Quarterly 1991; 15: 295-316. [DOI:10.1111/j.1471-6402.1991.tb00798.x]
43. Wright J, Duchesne C, Sabourin S, Bissonnette F, Benoit J, Girard Y. Psychosocial distress and infertility: men and women respond differently. Fertil Steril 1991; 55: 100-108. [DOI:10.1016/S0015-0282(16)54067-9]
44. Connolly KJ, Edelmann RJ, Cooke ID, Robson J. The impact of infertility on psychological functioning. J Psychosom Res 1992; 36: 459-468. [DOI:10.1016/0022-3999(92)90006-N]
45. Nachtigall RD, Becker G, Wozny M. The effects of gender-specific diagnosis on men's and women's response to infertility. Fertil Steril 1992; 57: 113-121. [DOI:10.1016/S0015-0282(16)54786-4]
46. Newton CR, Sherrard W, Glavac I. The Fertility Problem Inventory: measuring perceived infertility-related stress. Fertil Steril 1999; 72: 54-62. [DOI:10.1016/S0015-0282(99)00164-8]
47. Ramezanzadeh F, Aghssa MM, Abedinia N, Zayeri F, Khanafshar N, Shariat M, et al. A survey of relationship between anxiety, depression and duration of infertility. BMC Womens Health 2004; 4: 9. [DOI:10.1186/1472-6874-4-9]
48. Hunt J, Monach JH. Beyond the bereavement model the significance of depression for infertility counseling. Hum Reprod 1997; 12:188-194.
49. Domar AD. Impact of psychological factors on dropout rates in insured infertility patients. Fertil Steril 2004; 81: 271-273. [DOI:10.1016/j.fertnstert.2003.08.013]
50. Taymor ML. Emotional aspects of infertility. Fertil Steril 1982; 37:137-145. [DOI:10.1016/S0015-0282(16)46029-2]
51. Van Rooij FB, Van Balen F, Hermanns JM. Emotional distress and infertility: Turkish migrant couples compared to Dutch couples and couples in Western Turkey. J Psychosom Obstet Gynaecol 2007; 28: 87-95. [DOI:10.1080/01674820701410015]
52. Csemiczky G, Landgren BM, Collins A. The influence of stress and state anxiety on the outcome of IVF-treatment: psychological and endocrinological assessment of Swedish women entering IVF-treatment. Acta Obstet Gynecol Scand 2000; 79: 113-118. [DOI:10.1034/j.1600-0412.2000.079002113.x]
53. Anvar M, Meshkibaf MH, Kokabi R. Study of psychiatric disturbance in infertile women. Iran J Reprod Med 2006; 4: 73-75.
54. Wischmann T, Stammer H, Scherg H, Gerhard I, Verres R. Psychosocial characteristics of infertile couples: a study by the Heidelberg Fertility Consultation Service. Hum Reprod 2001; 16: 1753-1761. [DOI:10.1093/humrep/16.8.1753]

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Designed & Developed by : Yektaweb