Volume 9, Issue 4 (7-2011)                   IJRM 2011, 9(4): 309-314 | Back to browse issues page

XML Persian Abstract Print


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

Baghiani Moghadam M H, Aminian A H, Abdoli A M, Seighal N, Falahzadeh H, Ghasemi N. Evaluation of the general health of the infertile couples. IJRM 2011; 9 (4) :309-314
URL: http://ijrm.ir/article-1-240-en.html
1- Department of Health Education, Faculty of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2- Department of Psychology, Consultation Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- Research and Clinical Centre for Infertility, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
4- Department of General health, Faculty of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
5- Department of Medical Genetics, Research and Clinical Centre for Infertility, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
6- Department of Medical Genetics, Research and Clinical Centre for Infertility, Shahid Sadoughi University of Medical Sciences, Yazd, Iran , n479g@yahoo.co.uk
Abstract:   (2885 Views)
Background: The prevalence of infertility is variable between 5-30% around the world. In Iran, more than 2 million couples suffer from infertility. Infertility causes depression, anxiety, social isolation and sexual dysfunction.
Objective: This descriptive study was undertaken to determine general health in infertile couples.
Materials and Methods: One hundred and fifty infertile couples attending Yazd Research and Clinical Center for Infertility were randomly selected during March till September 2009. The GHQ-28 questionnaires were completed by researchers, based on face to face interview. It contains 28 items, which have been divided to four sub- items. The results come out by scoring the patients answer from 0 to 84. All data were analyzed by Chi-square and t-test in SPSS software.
Results: GHQ scores of all sub-scales and total in women were more than men, which shows general health condition in women is worse than men. There was no relation between the duration of infertility and general health scores.
Conclusion: This study suggests that the infertility has significant effect (p=0.001) on health situation of infertile couples, especially infertile women. They are at risk of somatic symptoms (p=0.0001), social dysfunction (p=0.0001) and severe depression (p=0.0001). GHQ could provided help and support in order to improve the health situation of infertile couples.
Full-Text [PDF 222 kb]   (660 Downloads) |   |   Full-Text (HTML)  (416 Views)  
Type of Study: Original Article |

References
1. Evers JL. Female sub fertility. Lancet 2002; 360: 151-159. [DOI:10.1016/S0140-6736(02)09417-5]
2. Abbasi-Shavazi MJ, Razeghi Nasrabad HB, Behjati Ardekani Z, Akhondi MA. Attitudes of infertile women towards gamete donation: a case study in Tehran. J Reprod Infertil 2006; 7: 139-148.
3. Leiblum Sr, Greenfield DA. Infertility: psychological issues and counseling strategies, Edited by: Leiblum SR, New York: John Wiley and Sons; 1997: 83-102.
4. Fassino S, Piero A, Boggio S, Piccioni V, Garzaro L: Anxiety, depression and anger suppression in infertile couples. Hum Reprod 2002; 17: 2986-2994. [DOI:10.1093/humrep/17.11.2986]
5. 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]
6. Greil AL. Infertility and psychological distress: a critical review of the literature. Social Sci Med 1997; 45:1679-1704. [DOI:10.1016/S0277-9536(97)00102-0]
7. Mohammadi MR, Ghalagabadi Farahani F. Emotional and Mental problems of infertility and methods for contrast with them. J Reprod Infertil 2001; 2: 33-39.
8. Leiblum SR, Greenfield DA. The course of infertility: immediate and long-term reactions. In Leiblum, S. (ed.), Infertility: Psychological Issues and Counseling Strategies. John Wiley & Sons, New York; 1997: 83-102.
9. Brkovich AM, Fisher WA. Psychological distress and infertility: forty years of research. J Psychosom Obstet Gynaecol 1998; 19: 218-228. [DOI:10.3109/01674829809025700]
10. Burns LH, Covington SH. Psychology of Infertility. In Burns LH, Covington SH. (eds), Infertility Counseling. A Comprehensive Handbook for Clinicians. Parthenon Publishing, New York, London; 1999: 3-25.
11. Berg BJ, Wilson JF. Psychological sequelae of infertility treatment: the role of gender and sex-role identification. Soc Sci Med 1991; 33, 1071-1080. [DOI:10.1016/0277-9536(91)90012-2]
12. 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]
13. Daniluk JC. Gender and infertility. In Leiblum, S. (ed.), Infertility: Psychological Issues and Counseling Strategies. John Wiley & Sons, New York; 1997; 103-125.
14. 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]
15. Jorda, C, Revenson TA. Gender differences in coping with infertility: a meta-analysis. J Behav Med 1999; 22: 341-358. [DOI:10.1023/A:1018774019232]
16. O'Moore AM, O'Moore RR, Harrison RF, Murphy G, Carruthers ME. Psychosomatic aspects in idiopathic infertility: effects of treatment with autogenic training. J Psychosom Res 1983; 27: 145-51. [DOI:10.1016/0022-3999(83)90091-0]
17. Callan VJ. The personal and marital adjustment of mothers and of voluntarily and involuntarily childless wives. JMF 1987; 49: 847-856. [DOI:10.2307/351978]
18. Callan VJ, Hennessey JF. The psychological adjustment of women experiencing infertility. Br J Me Psychol 1998; 61: 137-140. [DOI:10.1111/j.2044-8341.1988.tb02772.x]
19. Fekkes M, Buitendijk SE, Verrips GH, Braat DD, Brewaeys AM, Dolfing JG, et al. Health-related quality of life in relation to gender and age in couples planning IVF treatment. Hum Reprod 2003; 18: 1536-1543. [DOI:10.1093/humrep/deg276]
20. Blalock SJ, Devellis RF, Brown GK, Wallston KA. Validity of the center for epidemiological studies depression scale in arthritis population. Arthritis Rheum 1989; 32: 991-997. [DOI:10.1002/anr.1780320808]
21. Pincus T, Callahan LF. Depression scale in rheumatoid arthritis: criterion contamination of patient responses. Patient EDUC Couns 1993; 20: 133-143. [DOI:10.1016/0738-3991(93)90127-I]
22. Krol B, Sanderman R, Moun T, Suurmeijer T. Social support, rheumatoid arthritis and quality of life: concept, measurement and research. Patients Educ Couns 1993; 20: 101-120. [DOI:10.1016/0738-3991(93)90125-G]
23. Goldberg DP, Hillier VF. A scaled version of the General Health Questionnaire. Psychol Med 1979; 9: 139-145. [DOI:10.1017/S0033291700021644]
24. Krol B, Sanderman R, Moun T, Suurmeijer T, Doeglas D, Krijnen W, et al. A comparison of General Health Questionnaire- 28 between patients with rheumatoid arthritis from the Netherland, France, Sweden and Norway. Eur J Psychol Assess 1994; 10: 93-101.
25. Goldberg DP, Williams P. A user's guide to the General Health Questionnaire. NFER NELSON Publishing Company Ltd. Windsor; 1988.
26. Mc Dowell I, Newell C. Measuring Health. New York, Oxford. Oxford University Press; 1987.
27. Banks M. Validitation of the General Health Questionnaire in a young community sample. Psychol Med 1983; 13: 349-353. [DOI:10.1017/S0033291700050972]
28. Sanderman R, Stewart R. The assessment of psychological distress: psychometric properties of the GHQ. Int J Health Sci 1990; 1: 195-202.
29. Yaghoby N. A survey about epidemiology of psychotic disorders in Soumeah sara city. Thought and Behavior in Clinical Psychology 1996; 2: 55-65.
30. Torkamani por Rouh angiz, Palahang H. Prevalence of mental disorders in the internal ward of Kashani Hospital, Shahrekord. J Shahrekord Univ Med Sci 1999; 1: 44-51.
31. Van Balen F, Trimbos-Kemper TC: Factors influencing the well-being of long-term infertile couples. J Psychosom Obstet Gynaecol 1994; 15: 157-164. [DOI:10.3109/01674829409025641]
32. Pasch LA, Dunkel-Schetter C, Christensen A: Differences between husbands, and wives, approach to infertility affect marital communication and adjustment. Fertil Steril 2002; 77: 1241-1247. [DOI:10.1016/S0015-0282(02)03097-2]
33. Lee TY, Sun GH and Chao SC. The effect of an infertility diagnosis on the distress, marital and sexual satisfaction between husbands and wives in Taiwan. Hum Repord 2001; 16: 1762-1767. [DOI:10.1093/humrep/16.8.1762]
34. Fekkes M, Buitendijk SE, Verrips GH, Braat DD, Brewaeys AM, Dolfing JG, et al. Health related quality of life in relation to gender and age in couples planning IVF treatment. Hum Repord 2003; 18: 1536- 1543. [DOI:10.1093/humrep/deg276]
35. Shindel AW, Nelson CJ, Naughton CK, Ohebshalom M, Mulhall JP. Sexual function and quality of life in the male partner of infertile couples: prevalence and correlates of dysfunction. J Urol 2008; 179: 1056-1059. [DOI:10.1016/j.juro.2007.10.069]
36. Alizadegan S, Ashrafi M, Baghestani AR. Mental Health Status of Women Referring to Royan Infertility Treatment Center. Fertil Steril 2005; 84 (Suppl.): 231-232. [DOI:10.1016/j.fertnstert.2005.07.597]
37. Ragni G, Mosconi P, Baldini MP, Somigliana E, Vegetti W, Caliari I, et al. Health- related quality of life and need for IVF in 1000 Italian infertile couples. Hum Reprod 2005; 20: 1286-1291. [DOI:10.1093/humrep/deh788]
38. Rashidi B, Montazeri A, Ramezanzadeh F, Shariat M, Abdinia M, Ashrafi M. Health- related quality of life in infertile couples receiving IVF or ICSI treatment. BMC Health Services Research 2008; 8: 186. [DOI:10.1186/1472-6963-8-186]
39. Guz H, Ozkan A, Sarisoy G, Yanik F, Yanik A. Psychiatric symptoms in Turkish infertile women. J Psychosom Obstet Gynecol 2003; 24: 267-271. [DOI:10.3109/01674820309074691]
40. Khayata GM, Rizk DE, Hasan MY, Ghazal Aswad S, Asaad MA. Factors influencing the quality of life of infertile women in United Arab Emirates. Int J Gynecol Obstet 2003; 80: 183-188. [DOI:10.1016/S0020-7292(02)00387-9]
41. Matsubayashi H, Hosaka T, Izumi T, Makino T. Emotional distress of infertile women in Japan. Hum Reprod 2001; 16: 966- 969. [DOI:10.1093/humrep/16.5.966]
42. Beutel M, Kupfer J, Kirchmeyer P, Kehde S, Kohn FM, Schroeder- printzen I, et al. Treatment- related stresses and depression in couples undergoing assisted reproduction treatment by IVF or ICSI. Andrologia 1999; 31 (Suppl.): 37-44. [DOI:10.1111/j.1439-0272.1999.tb01449.x]
43. Hsu YL, Kuo BJ. Emotional reactions and coping behaviors as well as correlated factors for infertile couples receiving assisted reproductive technologies. J Nurs Res 2002; 10: 291-302. [DOI:10.1097/01.JNR.0000347610.14166.52]
44. Schmidt L, Holstien BE, Boivin J, Tjqrnhqj-Thomsen T, Blaabjerg J, Hald F, et al. High rating of satisfaction with fertility treatment is common: finding from the Copenhagen multi-center psychological infertility(COMPI) Research programe. Hum Repord 2003; 18: 2638-2646. [DOI:10.1093/humrep/deg505]

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