接受生育治疗的妇女的焦虑、抑郁和性功能障碍的评估。

IF 1.8 Q3 OBSTETRICS & GYNECOLOGY
Joon Cheol Park
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引用次数: 0

摘要

目的:不孕症和生育治疗可导致相当大的身体,情绪和心理困扰。这些影响可能受到个性、家庭关系和社会文化背景下的支持系统的影响。本初步调查调查了韩国接受体外受精(IVF)/胞浆内单精子注射(ICSI)的女性的焦虑、抑郁和性功能障碍。方法:纳入计划进行IVF/ICSI的妇女和进行一般健康检查的健康妇女(对照组)。参与者被要求完成标准化的、有效的问卷——医院焦虑和抑郁量表(HADS)、抑郁焦虑和压力量表(DASS)和女性性功能指数(FSFI)——以评估他们的焦虑、抑郁和性功能水平。结果:接受IVF/ICSI的女性的平均HADS评分为焦虑(6.35±3.48)分(范围0 ~ 13),抑郁(8.32±3.78)分(范围2 ~ 15)。然而,12.9%的不孕妇女有明显的临床焦虑(HADS-Anxiety score >1), 32.3%表现出抑郁(HADS-Depression score >1)。根据DASS评分,不孕女性的心理问题比对照组更普遍。不孕妇女和对照组妇女的FSFI总分,以及欲望、兴奋、润滑、满意度和疼痛的子量表评分,在不孕妇女和对照组妇女之间是相似的。然而,不育组的性高潮平均得分明显低于对照组(3.16分)。年龄、婚姻持续时间、不孕和胎次对HADS、DASS或FSFI评分没有显著影响。结论:在寻求生育治疗的女性中,焦虑和抑郁比健康对照组更为普遍。此外,不孕女性可能会经历更少或减少的性高潮。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of anxiety, depression, and sexual dysfunction in women undergoing fertility treatment.

Objective: Infertility and fertility treatment can lead to considerable physical, emotional, and psychological distress. These effects may be influenced by personality, familial bonds, and support systems within a sociocultural context. This preliminary investigation examined anxiety, depression, and sexual dysfunction in Korean women undergoing in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI).

Methods: Women scheduled for IVF/ICSI and healthy women seeking general health screening (controls) were enrolled. Participants were asked to complete standardized, validated questionnaires-the Hospital Anxiety and Depression Scale (HADS), Depression Anxiety and Stress Scale (DASS), and Female Sexual Function Index (FSFI)-to assess their levels of anxiety, depression, and sexual function.

Results: The mean HADS scores for women undergoing IVF/ICSI were 6.35±3.48 (range, 0 to 13) for anxiety and 8.32±3.78 (range, 2 to 15) for depression. However, 12.9% of the women with infertility experienced clinically significant anxiety (HADS-Anxiety score >11), while 32.3% exhibited depression (HADS-Depression score >11). Based on DASS scores, psychological difficulties were more prevalent among women experiencing infertility than among control participants. Total FSFI scores, along with subscale ratings for desire, arousal, lubrication, satisfaction, and pain, were similar between women with infertility and control women. However, the mean score for orgasm was significantly lower in the infertility group (3.16) than among controls. Age, the durations of marriage and infertility, and parity did not significantly influence HADS, DASS, or FSFI scores.

Conclusion: Anxiety and depression were more prevalent among women seeking fertility treatment than among healthy controls. Additionally, women with infertility may experience fewer or diminished orgasms.

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