Prevalence of anxiety and depression among female patients awaiting pre-implantation genetic diagnosis in a Saudi Arabian tertiary hospital.

Abstract

Objectives: To estimate the prevalence of anxiety and depression symptoms in females awaiting preimplantation genetic diagnosis (PGD) as well as investigate their associated factors.

Methods: This cross-sectional study included 289 female patients awaiting PGD at a large tertiary hospital in Saudi Arabia. A structured questionnaire was used to collect information on patient characteristics, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, and data on PGD. Independent factors associated with anxiety and depression were identified using multivariable analysis.

Results: The prevalence of anxiety was 13.5% and that of depressive symptoms was 12.1%. Odds of anxiety were higher among females with a Master's degree (adjusted OR: 14.9, 95% CI: 3.1-72.4, p<0.01), those with a psychiatric disorder (adjusted OR: 3.4, 95% CI: 1.2-9.8, p=0.02), and with 3 or more children with congenital issues (adjusted OR: 6.6, 95% CI: 1.3-33.1, p=0.02). However, for depression, no significant predictors were observed.

Conclusion: Anxiety and depression are prevalent problems among females awaiting PGD. This promotes periodic mental health assessments of individuals on the waiting list, especially those at risk, and early referrals to women's mental health services. Furthermore, these findings may be useful for family physicians and experts in women's health who wish to better understand this problem, particularly in Arab countries.