Anxiety and Depression among Infertile Couples Undergoing Invitro Fertilization Treatment in Erbil City
DOI:
https://doi.org/10.15218/ejnm.2023.18Keywords:
Infertility couples, Anxiety, Depression, In-vitro fertilizationAbstract
Background and objectives: Infertility affects millions of couples worldwide and is a major public health problem. It is identified as a significant psychosocial crisis and a pathological state. The most prevalent psychological responses in infertile couples are anxiety and depression. This study aimed to assess the status of anxiety and depression symptoms in infertile couples attending IVF centers in Erbil City.
Methods: A quantitative cross-sectional study was conducted in two private IVF centers for infertility diagnosis and treatment at Sardam and Hawler Private Hospitals in Erbil City, Kurdistan Region, from 1st September 2021 to 1st November 2022. A non-probability (convenience) sampling technique was used on 150 infertile couples. Data were collected through the interview method by using data collection tools including a socio-demographic part and the Hospital Anxiety and Depression (HADS).
Results: The results of the present study revealed that 58% of the participants were between the ages of 29-39 years old, and 23.7% of husbands had self-Jobs, whereas wives, (26 %) were housewives, and the highest percentage of husbands and wives (14%) and (15%) graduated from university. The family income of the majority of couples was ≥1000,000IQD per month. The highest proportion 35.7% were married between 6-10 years. Levels of anxiety in wives were (13.3% mild, 16% moderate, and 7.3% severe) compared with (11%, 11%, and 6%) levels of anxiety among husbands. Wives had 17.7% mild,6.3% moderate, and 3.7% severe depression compared with 18%,3%, and 3 % depression levels in husbands. Anxiety levels were higher in wives than in husbands but no significant difference was shown for depression.
Conclusion: The study found that infertile couples receiving IVF treatment had a higher proportion of anxiety and depression symptoms, which could have negative effects on treatment for couples seeking assisted conception. According to the study, couples' psychosocial intervention should be a key .......
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References
Mascarenhas MN, Flaxman SR, Boerma T, Vanderpoel S, Stevens GA. National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys. PLoS medicine. 2012;18;9(12): e1001356.
Elhussein OG, Ahmed MA, Suliman SO, Adam I. Epidemiology of infertility and characteristics of infertile couples requesting assisted reproduction in a low-resource setting in Africa, Sudan. Fertility research and practice. 2019 ;5(1):1-5.
Cui C, Wang L, Wang X. Effects of self-esteem on the associations between infertility-related stress and psychological distress among infertile chinese women: a cross-sectional study. Psychology Research and Behavior Management. 2021; 14:1245.
Luk BH, Loke AY. The impact of infertility on the psychological well-being, marital relationships, sexual relationships, and quality of life of couples: A systematic review. Journal of sex & marital therapy. 2015; 2;41(6):610-25.
Rooney KL, Domar AD. The relationship between stress and infertility. Dialogues in clinical neuroscience. 2022; 1.
Çavdar NK, Coskun AM. The effect of infertility upon quality of life and self-esteem. MedCrave Online Journal of Women's Health. 2018;7(3):89-94.
Forgie M. Exploring Women's Experiences of Infertility, Reproductive Loss, and Grief (Doctoral dissertation, Université d'Ottawa/University of Ottawa). 2021; 15:161.
DeMartini J, Patel G, Fancher TL. Generalized anxiety disorder. Annals of internal medicine. 2019;2;170(7): ITC49-64.
Zaidouni A, Fatima O, Amal B, Siham A, Houyam H, Jalal K, “et al”. Predictors of infertility stress among couples diagnosed in a public center for assisted reproductive technology. Journal of Human Reproductive Sciences. 2018 ;11(4):376
Gdańska P, Drozdowicz-Jastrzębska E, Grzechocińska B, Radziwon-Zaleska M, Węgrzyn P, Wielgoś M. Anxiety and depression in women undergoing infertility treatment. Ginekologia polska. 2017;88(2):109-12.
Mahadeen A, Mansour A, Al Halabi J, Al Habashneh S, Bani Kenana A. Psychosocial wellbeing of infertile couples in Jordan. EMHJ-Eastern Mediterranean Health Journal. 2018;24(02):169-76.
Zigmond, A.S. and Snaith, R.P. The Hospital and Anxiety Scale. Acta Psychiatric Scandinavica.1983;67(6):361-370.
Stern AF. The hospital anxiety and depression scale. Occupational medicine. 2014 ;1;64(5):393-4.
Chen TH, Chang SP, Tsai CF, Juang KD. Prevalence of depressive and anxiety disorders in an assisted reproductive technique clinic. Human reproduction. 2004; 1;19(10):2313-8.
Irfan SN, Rahman MM, Mithun S, Arafat SY, Zafreen F. Psychological State of Selected Infertile Couples of Bangladesh. Journal of Armed Forces Medical College, Bangladesh. 2018;14(1):41-5.
Maroufizadeh S, Ghaheri A, Almasi-Hashiani A, Mohammadi M, Navid B, Ezabadi Z,” et al”. The prevalence of anxiety and depression among people with infertility referring to Royan Institute in Tehran, Iran: A cross-sectional questionnaire study. Middle East Fertility Society Journal. 2018; 1;23(2):103-6.
Wang K, Li J, Zhang JX, Zhang L, Yu J, Jiang P. Psychological characteristics and marital quality of infertile women registered for in vitro fertilization-intracytoplasmic sperm injection in China. Fertility and. Fertility and sterility.2007;87(4), pp.792-798.
Ogawa M, Takamatsu K, Horiguchi F. Evaluation of factors associated with the anxiety and depression of female infertility patients. BioPsychoSocial medicine. 2011 ;5(1):1-5.
Omoaregba JO, James BO, Lawani AO, Morakinyo O. Psychosocial characteristics of female infertility in a tertiary health institution in Nigeria. Annals of African Medicine. 2011;10(1).
Drosdzol A, Skrzypulec V. Depression and anxiety among Polish infertile couples–an evaluative prevalence study. Journal of Psychosomatic Obstetrics & Gynecology. 2009; 1;30(1):11-20.
Gameiro, S., van den Belt-Dusebout, A.W., Bleiker, E., Braat, D., van Leeuwen, F.E. and Verhaak, C.M. Do children make you happier? Sustained child-wish and mental health in women 11–17 years after fertility treatment. Human Reproduction. 2014; 29(10), pp.2238-2246.
Yilmaz T, Oskay UY. The Evaluation of Methods Used to Cope with Infertility Stress of Infertile Couples in Turkey. International Journal of Caring Sciences. 2017 Sep 1;10(3).
Erdem K, Apay SE. A sectional study: the relationship between perceived social support and depression in Turkish infertile women. International journal of fertility & sterility. 2014 ;8(3):303.
Kazandi M, Gunday O, Mermer TK, Erturk N, Ozkınay E. The status of depression and anxiety in infertile Turkish couples. Iranian journal of reproductive medicine. 2011;9(2):99.
Kamışlı S, Terzioğlu C, Bozdağ G. The psychological health of women with infertility: Hopelessness, anxiety and depression levels. Journal of Psychiatric Nursing. 2021;12(1):43-9.
Karimzadeh M, Salsabili N, Asbagh FA, Teymouri R, Pourmand G, Naeini TS. Psychological disorders among Iranian infertile couples undergoing assisted reproductive technology (ART). Iranian Journal of Public Health. 2017;46(3):333.
Ho TT, Le MT, Truong QV, Nguyen VQ, Cao NT. Psychological burden in couples with infertility and its association with sexual dysfunction. Sexuality and Disability. 2020 ;38(1):123-33.
YASINI M, Khalili MA, Hashemian Z. The level of anxiety and depression among Iranian infertile couples undergoing in vitro fertilization or intra cytoplasmic sperm injection cycles. Journal of Research in Medical Sciences .2005;10(6):358-62
Pinar G, Zeyneloglu HB. Quality of life, anxiety and depression in turkish women prior to receiving assisted reproductive techniques. International journal of fertility & sterility. 2012 ;6(1):1.
Benbella A, Ktiri F, Kasouati J, Aboulmakarim S, Hardizi H, Zaidouni A. Depression and Anxiety Among Infertile Moroccan Women: A Cross-Sectional Study in the Reproductive Health Center in Rabat. Journal of Depression and Anxiety. 2018;7(312):2167-1044.
Verma P, Rastogi R, Sachdeva S, Gandhi R, Kapoor R, Sachdeva S. Psychiatric morbidity in infertility patients in a tertiary care setup. Journal of clinical and diagnostic research: JCDR. 2015;9(9):VC01.
Maroufizadeh S, Karimi E, Vesali S, Samani RO. Anxiety and depression after failure of assisted reproductive treatment among patients experiencing infertility. International Journal of Gynecology & Obstetrics. 2015;1;130(3):253-6.
Güleç G, Hassa H, YALÇIN EG, Yenilmez C. The effects of infertility on sexual functions and dyadic adjustment in couples that present for infertility treatment. Turk Psikiyatri Dergisi. 2011; 1;22(3):166.
Bakhtiar K, Ardalan A, Ebrahimzadeh F, Almasian M, Bastami F. Depression Severity and Sexual Satisfaction in Fertile and Infertile Women in Iran: A Population-Based Case-Control Study. Jundishapur Journal of Health Sciences. 2022; 31;14(1).
Razzaque MA, Ali A, Ahmed W, Hussain S, Wahid A, Razzaque A. Assessment of the Level of Depression, Anxiety, Stress among Infertile Women (20-45 Years Age) in Tertiary Care Hospital. Journal of Liaquat University of Medical & Health Sciences. 2021;20(5):358-62.
Yassa M, Arslan E, GULBAHAR DS. Effects of infertility treatment on anxiety and depression levels. Cukurova Medical Journal. 2019;44(2):410-5.
Alosaimi FD, Altuwirqi MH, Bukhari M, Abotalib Z, BinSaleh S. Psychiatric disorders among infertile men and women attending three infertility clinics in Riyadh, Saudi Arabia. Annals of Saudi medicine. 2015;35(5):359-67.
Singh V, Bhirud YR, Lele P, Bhagasra S. A study to screen infertile couples for psychological problems by using the perceived stress scale, brief COPE scale and hospital anxiety and depression scale. International Journal of Research in Medical Sciences. 2021 ;9(3):750.
Liu YF, Fu Z, Chen SW, He XP, Fan LY. The analysis of anxiety and depression in different stages of in vitro fertilization-embryotransfer in couples in China. Neuropsychiatric Disease and Treatment. 2021; 17:649.
Chiaffarino F, Baldini MP, Scarduelli C, Bommarito F, Ambrosio S, D’Orsi C, “et al”. Prevalence and incidence of depressive and anxious symptoms in couples undergoing assisted reproductive treatment in an Italian infertility department. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2011;1;158(2):235-41.
Friedrich MJ. Depression is the leading cause of disability around the world. Journal of American Medical Association. 2017; 18;317(15):1517-.
Vaioleti T. Talanoa: Differentiating the talanoa research methodology from phenomenology, narrative, Kaupapa Maori and feminist methodologies. Reo, Te. 2013 ; 56:191-212.
Faramarzi M, Pasha H, Esmaelzadeh S, Jorsarai G, Mir MRA, Abedi S. Is coping strategies predictor of anxiety and depression in couple infertile? Health;2013; 5(3): pp. 643–9.
KRSO, IOM, UNFPA. The Demographic Survey of the Kurdistan Region of Iraq .2018. Available from: https://krso.gov.krd/en/pressreleases/demographic-survey-of-the-kurdistan-region-of-iraq-press-release.
Hassan HE, Hassan SE, Mohammed A, Baraka MA. A survey of relationship between duration of infertility and depression among infertile women in BeniSuef Governorate. IJSR. 2013;4:1169-77.
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