印度一家中心接受辅助生殖技术治疗不孕症的夫妇的焦虑和抑郁情绪。

Ravish Kumar, Harpreet Singh Dhillon, Uzma Hashim, Gurpreet Kaur Dhillon, Shibu Sasidharan
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引用次数: 0

摘要

背景不孕症及其治疗常常与心理困扰有关。我们评估了接受辅助生殖技术(ART)治疗的不孕不育夫妇中焦虑和抑郁的发生率。方法 我们纳入了在一家 ART 中心接受不孕症治疗的 160 对已婚夫妇。使用医院焦虑抑郁量表评估焦虑和抑郁的发生率。结果 焦虑症和抑郁症的患病率分别为 46.2% 和 40.9%。女性的焦虑(10.76 [2.69])和抑郁(9.86 [2.06])平均得分(标清)较高;但这种性别差异仅在焦虑方面具有统计学意义(P=0.02)。当不孕的原因归咎于夫妻双方时,以及在治疗后的第一年和十年内,男女的平均焦虑分数都是最高的。在统计学上,20-24 岁和 40-44 岁年龄组的男性以及未接受过治疗的男性焦虑得分最高。从统计学角度看,随着年龄的增长,男女的平均抑郁分数都有明显下降。在男性中,未接受过治疗、男性不孕原因、治疗第一年和 10 年后的平均抑郁分数明显更高。结论 在接受抗逆转录病毒疗法治疗的不育夫妇中,焦虑和抑郁的发生率几乎是普通人群的两倍。男女双方的平均焦虑得分与治疗时间和性别归因有明显关系;但只有男性的焦虑得分与年龄和之前的治疗有关。抑郁的平均得分在男女两性中都与年龄有明显的相关性,而治疗时间、性别归因和之前的治疗只与男性有明显的相关性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anxiety and depression among couples undergoing treatment for infertility with assisted reproductive techniques at an Indian centre.

Background Infertility and its treatment are frequently associated with psychological distress. We assessed the prevalence of anxiety and depression in couples undergoing treatment for infertility with assisted reproductive techniques (ARTs). Methods We included 160 married couples undergoing treatment for infertility at an ART centre. The prevalence of anxiety and depression was assessed using the hospital anxiety and depression scale. Results The prevalence of anxiety and depression was 46.2% and 40.9%, respectively. Women had higher mean (SD) anxiety (10.76 [2.69]) and depression (9.86 [2.06]) scores; however, this gender difference was statistically significant only with respect to anxiety (p=0.02). The mean anxiety scores were highest among both genders when the cause of infertility was attributed to both partners and during the first year and 10 years after treatment. Men in the age groups of 20-24 years and 40-44 years and those with no prior treatment had a statistically significant association with the highest anxiety scores. The mean depression scores showed a statistically significant decline in both genders with increasing age. Among men, the mean depression scoreswere significantly higher in those with no prior treatment, male cause of infertility and during the first year and after 10 years of treatment. Conclusion The prevalence of anxiety and depression among infertile couples undergoing treatment with ART was almost twice as high as that in the general population. The mean anxiety scores were significantly associated with duration of treatment and gender-based attribution in both genders; however, age and prior treatment were associated with only men. The mean scores of depression were significantly associated with age in both genders, while duration of treatment, gender-based attribution and prior treatment were significantly associated only with men.

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