Regarding "Stress management and In Vitro Fertilization (IVF): A pilot randomized controlled trial".

Q3 Medicine
S. Komiya, M. Banno, Yuki Itagaki
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引用次数: 0

Abstract

Koumparou et al.1 recently published a randomized controlled trial (RCT) on the effectiveness of psychological interventions (stress management training, SMT) for women planning in vitro fertilization (IVF). They concluded that while the effect of SMT was limited in terms of IVF outcome, it resulted in a significant reduction of stress levels in infertile patients. Since most women undergoing infertility treatment are exposed to high psychological stress,2 this study may be of great value in demonstrating the need for proactive SMT to maintain infertile women's mental health and motivation to continue treatment. However, we are concerned that the reliability of this RCT has been compromised in several ways. First, the registration of the RCT was not clearly stated. According to The CONsolidated Standards of Reporting Trials (CONSORT) 2010 guidelines, a prospective registration of the RCT is required, which prevents unnecessary concerns about the bias of results selection.3,4 Second, the lack of specific figures on the background of the participants in the case and control groups risks distorting the RCT results. The article states that there was no significant difference between the two groups. However, since aging and prolonged infertility treatment increase the psychological burden on infertile patients,5 detailed background information is necessary to interpret the results of an RCT accurately. Selection bias could not be determined, which weakened the validity of this RCT. Furthermore, the absence of any mention of case dropout makes the conclusions of this RCT uncertain; a discussion of cases demonstrating difficulty in completing an 8-week psychological program would clarify whether temporary SMT would show efficacy for patients. Finally, it is essential to note that the details of IVF have not been clarified. Since the timing of the SMT and IVF-ET cycles or details of the IVF-ET protocol were not shown, this RCT could not be used as a reference for IVF facilities to actually operate SMT. There is no doubt that psychological interventions are necessary for infertile patients exposed to high psychological stress, but this RCT has many details that have not been clarified, and the conclusions are attenuated. As details become clearer, this RCT will provide a foundation for the active use of SMT in infertility treatment settings.
关于“压力管理和体外受精:一项试点随机对照试验”。
Koumparou et al.1最近发表了一项随机对照试验(RCT),研究心理干预(压力管理训练,SMT)对计划体外受精(IVF)的妇女的有效性。他们得出结论,尽管SMT对试管婴儿结果的影响有限,但它显著降低了不孕患者的压力水平。由于大多数接受不孕症治疗的妇女都暴露在高心理压力下,2本研究可能在证明需要积极的SMT来维持不孕症妇女的心理健康和继续治疗的动力方面具有重要价值。然而,我们担心这项随机对照试验的可靠性在几个方面受到了损害。首先,RCT的注册没有明确规定。根据联合试验报告标准(CONSORT) 2010指南,RCT的前瞻性注册是必需的,这可以防止对结果选择偏差的不必要的担忧。3,4其次,缺乏病例和对照组参与者背景的具体数据可能会扭曲RCT结果。文章指出,两组之间没有显著差异。然而,由于老龄化和长期的不孕症治疗增加了不孕症患者的心理负担,因此需要详细的背景信息才能准确地解释一项RCT的结果。无法确定选择偏倚,这削弱了该RCT的有效性。此外,没有提及病例退出,使得该RCT的结论不确定;对难以完成8周心理治疗项目的病例进行讨论,将阐明临时SMT是否对患者有效。最后,必须指出的是,试管婴儿的细节尚未澄清。由于没有显示SMT和IVF- et周期的时间或IVF- et方案的细节,因此该随机对照试验不能作为IVF机构实际操作SMT的参考。毫无疑问,心理干预对于暴露于高心理压力下的不孕症患者是必要的,但本RCT有许多细节没有得到澄清,结论有所弱化。随着细节变得更加清晰,这项随机对照试验将为在不孕症治疗环境中积极使用SMT提供基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Psychiatrike = Psychiatriki
Psychiatrike = Psychiatriki Medicine-Medicine (all)
CiteScore
2.60
自引率
0.00%
发文量
37
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