Valoriani Vania, Lotti Francesco, Vanni Claudia, Noci Maria-Chiara, Fontanarosa Nicolas, Ferrari Gabriella, Cozzi Cinzia, Noci Ivo
Clinical Psychology and Psychotherapy Unit, Azienda Ospedaliero-Universitaria Careggi (AOUC), Florence, Italy.
Sexual Medicine and Andrology Unit, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy.
Eur J Obstet Gynecol Reprod Biol. 2014 May;176:158-62. doi: 10.1016/j.ejogrb.2014.02.007. Epub 2014 Feb 15.
To evaluate the influence of Hatha-yoga (HY) practice on distress of women before starting their first in vitro fertilization (IVF) cycle.
We offered 143 consecutive women with couple infertility the opportunity to attend a free HY course lasting 3 months as a psychological support before starting their first IVF cycle. All women were asked to complete the State-Trait Anxiety Inventory-Y1 (STAY-Y1), Edinburgh Depression Scale (EDS) and General Health Questionnaire-12 (GHQ-12) at baseline (T1) and after 3 months (T2), to evaluate symptoms of anxiety, depression and distress, respectively.
Of the 143 women, 120 completed all three questionnaires. Of these, 45 attended the HY course and 75 did not. At T1, EDS and GHQ-12 scores were significantly higher in the HY group than in the non-HY group. There were no group differences in STAI-Y1 scores. At T2 there were no group differences. When, in each group, the score of each questionnaire at T1 was compared to the score at T2, a significant T1 to T2 reduction was observed in the HY group (p<0.0001 for STAY-Y1 and GHQ-12, p<0.001 for EDS).
Our data suggest that women who are more distressed are more likely to accept psychological support before starting an IVF cycle and that in these women HY practice is associated with distress reduction.
评估哈他瑜伽(HY)练习对首次进行体外受精(IVF)周期的女性的痛苦程度的影响。
我们为143名连续的不孕夫妇提供了参加为期3个月的免费HY课程的机会,作为她们首次IVF周期前的心理支持。所有女性均被要求在基线期(T1)和3个月后(T2)完成状态-特质焦虑量表-Y1(STAY-Y1)、爱丁堡抑郁量表(EDS)和一般健康问卷-12(GHQ-12),以分别评估焦虑、抑郁和痛苦症状。
143名女性中,120名完成了所有三份问卷。其中,45名参加了HY课程,75名未参加。在T1时,HY组的EDS和GHQ-12得分显著高于非HY组。STAI-Y1得分在两组间无差异。在T2时,两组间无差异。当将每组中每份问卷在T1时的得分与T2时的得分进行比较时,HY组观察到从T1到T2有显著下降(STAY-Y1和GHQ-12的p<0.0001,EDS的p<0.001)。
我们的数据表明,痛苦程度较高的女性在开始IVF周期前更有可能接受心理支持,并且在这些女性中,HY练习与痛苦程度降低相关。