Yong P, Martin C, Thong J
Assisted Conception Unit, Simpson Memorial Maternity Pavilion, Royal Infirmary of Edinburgh, Edinburgh EH3 9EF, United Kingdom.
J Assist Reprod Genet. 2000 Nov;17(10):553-6. doi: 10.1023/a:1026429712794.
The objectives were to identify the stage/s of IVF treatment where a woman is most vulnerable to psychological stress, and to assess the Mean Affect Adjective Check List (MAACL) as a measure of psychological functioning during IVF treatment, which has hitherto not been reported.
Thirty-seven women undergoing IVF treatment according to the long protocol of controlled ovarian stimulation completed the MAACL questionnaire at the following stages: (a) before treatment (visit 1), (b) before embryo transfer (visit 2), and (c) before pregnancy test (visit 3).
Apart from anxiety scores for visit 2, the hostility, depression, and state anxiety scores for visit 3 were higher than the corresponding scores for visits 1 and 2 (P < 0.001). Anxiety scores for visits 2 and 3 were similar.
Psychological counseling should be targeted at women after embryo transfer and leading up to the pregnancy test. The MAACL is a useful method for measuring psychological stress in women during IVF treatment.
本研究旨在确定体外受精（IVF）治疗过程中女性最易遭受心理压力的阶段，并评估平均情感形容词检查表（MAACL）作为IVF治疗期间心理功能的一种测量方法，此前尚未有相关报道。
37名按照控制性卵巢刺激的长方案接受IVF治疗的女性在以下阶段完成了MAACL问卷：（a）治疗前（第1次就诊），（b）胚胎移植前（第2次就诊），以及（c）妊娠试验前（第3次就诊）。
除第2次就诊的焦虑得分外，第3次就诊的敌意、抑郁和状态焦虑得分均高于第1次和第2次就诊的相应得分（P<0.001）。第2次和第3次就诊的焦虑得分相似。
心理咨询应针对胚胎移植后直至妊娠试验期间的女性。MAACL是测量IVF治疗期间女性心理压力的一种有用方法。
