Kee B S, Jung B J, Lee S H
Department of Psychiatry, College of Medicine, Chung-Ang University, Seoul, Korea.
J Assist Reprod Genet. 2000 Sep;17(8):445-8. doi: 10.1023/a:1009417302758.
The objectives of this study were to compare average stress levels in infertile women to fertile women, to determine the stress levels whether the patients was pregnant or not pregnant, and to examine for a cross-section of infertile patients in different stages of medical investigation for the infertility.
One hundred thirty-eight women receiving medical treatment for infertility attended the program. The State Trait Anxiety Inventory (STAI) and the Beck Depression Inventory (BDI) of perceived stress associated with the infertility was the outcome measure.
Infertile women showed significant increases in trait anxiety and depressive symptoms than the fertile women. Anxiety and depression in the in vitro fertilization (IVF)-failed women were significantly higher than the IVF-success women. According to the duration of infertility, STAI and BDI were moderately elevated in the first stage (< 3 year). There was a trend of a decreasing psychological stress with an advanced infertility duration. On depression scales, the intermediate and final duration of infertility patients showed less symptomatology than the first-stage patients. Contrary to the expectation, demographic factors such as religion and husband cooperation were not related to the experience of stress.
We must pay an attention to the infertile patient, especially from the initial infertility workup. We recommend psychological counselling for IVF-failed patients.
本研究的目的是比较不孕女性与可育女性的平均压力水平，确定患者怀孕与否时的压力水平，并对处于不孕医学检查不同阶段的不孕患者进行横断面研究。
138名接受不孕治疗的女性参加了该项目。以与不孕相关的感知压力的状态特质焦虑量表（STAI）和贝克抑郁量表（BDI）作为结果指标。
不孕女性的特质焦虑和抑郁症状比可育女性显著增加。体外受精（IVF）失败的女性的焦虑和抑郁明显高于IVF成功的女性。根据不孕持续时间，在第一阶段（<3年），STAI和BDI中度升高。随着不孕持续时间的延长，心理压力有下降趋势。在抑郁量表上，不孕患者的中期和末期比第一阶段患者表现出更少的症状。与预期相反，宗教和丈夫合作等人口统计学因素与压力体验无关。
我们必须关注不孕患者，尤其是从不孕初查开始。我们建议对IVF失败的患者进行心理咨询。
