Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA.
Fertil Steril. 2011 Feb;95(2):717-21. doi: 10.1016/j.fertnstert.2010.09.043. Epub 2010 Nov 10.
To compare multiple measures of psychological distress between men and women preparing for IVF.
Retrospective cohort study.
Outpatient, academic infertility clinic.
PATIENT(S): One hundred sixty-two consecutive couples presenting for infertility treatment with IVF.
INTERVENTION(S): Measures were completed as part of a routine, infertility-focused psychological evaluation, including the Beck Depression Inventory, State-Trait Anxiety Inventory, State-Trait Anger Inventory, and Impact of Events Scale.
MAIN OUTCOME MEASURE(S): Scores of above psychological questionnaires.
RESULT(S): Psychological distress scores were statistically significantly higher among women than men for symptoms of depression, state anxiety, infertility specific distress, and general perceived stress. However, aside from infertility-specific distress (d = .43), effect sizes for the paired differences between females and males ranged from d = .18 to .23.
CONCLUSION(S): Women consistently scored higher on multiple measures of psychological distress than their male partners in the context of preparing for IVF. Comparison of infertility-specific distress scores yielded the largest statistically and clinically significant difference compared with traditional measures of general depression and anxiety symptoms.
比较准备接受 IVF 的男性和女性在多种心理困扰指标上的差异。
回顾性队列研究。
门诊，学术型不孕不育诊所。
162 对连续就诊接受 IVF 治疗的夫妇。
作为常规不孕不育相关心理评估的一部分，患者完成了贝克抑郁量表、状态特质焦虑量表、状态特质愤怒量表和事件影响量表等多项评估。
上述心理问卷的评分。
与男性相比，女性在抑郁症状、状态焦虑、不孕相关困扰和一般感知压力方面的心理困扰评分显著更高。然而，除了不孕特异性困扰（d =.43）之外，女性和男性之间配对差异的效应大小范围为 d =.18 至.23。
在准备接受 IVF 的过程中，女性在多种心理困扰指标上的评分始终高于男性伴侣。与传统的一般抑郁和焦虑症状测量相比，不孕特异性困扰评分的比较产生了最大的统计学和临床显著差异。
