Fekkes M, Buitendijk S E, Verrips G H W, Braat D D M, Brewaeys A M A, Dolfing J G, Kortman M, Leerentveld R A, Macklon N S
TNO Prevention and Health, Leiden, PO Box 2215, 2301 CE, The Netherlands.
Hum Reprod. 2003 Jul;18(7):1536-43. doi: 10.1093/humrep/deg276.
Specific subgroups of people planning IVF might be at risk of having more psychological or health-related problems. Identification of subgroups at risk may better enable allocation of appropriate counselling.
A group of 425 men and 447 women planning to undergo IVF treatment filled out a questionnaire. Four domains of health-related quality of life were measured, namely perceived emotional, physical, cognitive and social functioning.
Young men and women (aged 21-30 years) planning IVF had more short-term social and emotional problems than people of the same age group in the general population. No substantial differences were found in cognitive and physical functioning for all age groups of men nor women planning IVF compared with the general population. A high level of irrational parenthood cognitions substantially accounted for a less optimal score on all the different domains of quality of life. These cognitions ('needing a child in order to live a happy life') were especially prevalent among younger women.
Patients with high levels of irrational parenthood cognitions are at risk of a less optimal quality of life. A short cognitive counselling therapy is advised for patients with high levels of these cognitions.
计划进行体外受精（IVF）的特定人群亚组可能面临更多心理或健康相关问题。识别有风险的亚组可能更有助于进行适当的咨询安排。
一组计划接受IVF治疗的425名男性和447名女性填写了一份问卷。对与健康相关的生活质量的四个领域进行了测量，即感知到的情绪、身体、认知和社会功能。
计划进行IVF的年轻男性和女性（年龄在21 - 30岁之间）比普通人群中同年龄组的人有更多短期社会和情绪问题。与普通人群相比，计划进行IVF的所有年龄组男性和女性在认知和身体功能方面未发现实质性差异。高度的不合理生育认知在很大程度上导致生活质量所有不同领域的得分较低。这些认知（“为了过上幸福生活需要一个孩子”）在年轻女性中尤为普遍。
具有高度不合理生育认知的患者存在生活质量较低的风险。建议对具有高度此类认知的患者进行简短的认知咨询治疗。
