Kazandi Mert, Gunday Ozlem, Mermer Timucin Kurtulus, Erturk Nuray, Ozkınay Erdinc
Department of Obstetrics and Gynecology, Ege University, İzmir, Turkey.
Iran J Reprod Med. 2011 Spring;9(2):99-104.
Infertility is a major psychosocial crisis as well as being a medical problem. The factors that predict psychosocial consequences of infertility may vary in different gender and different infertile populations.
The primary purpose of this study was to investigate whether Turkish infertile couples had higher levels of depression and anxiety when compared to non-infertile couples. Our secondary aim was to evaluate the relationship between sociodemographic characteristics and levels of depression and anxiety in Turkish infertile couples.
We designed a descriptive cross sectional study of 248 infertile women and 96 infertile men with no psychiatric disturbance and 51 women and 40 men who have children to evaluate the depression and anxiety levels between infertile couples and fertile couples. A gynecologist evaluated participants for demographic data and then they were visited by a psychologist to perform questionnaire scales which were The Beck Depression Inventory and the State-Trait Anxiety Inventory for the evaluation of the degree of psychopathology. The data were statistically analyzed, with p<0.05 as the level of statistical significance.
We observed significant differences between the infertile couples and fertile couples with respect to state and trait anxiety (p<0.0001) while no difference was regarding with depression, both of women and men. Anxiety and depression were observed as independent from gender when infertile women and men were compared (p=0.213).
We believed that the psychological management at infertile couples must be individualized with cultural, religious, and class related aspects.
不孕症既是一个主要的心理社会危机，也是一个医学问题。预测不孕症心理社会后果的因素在不同性别和不同不孕人群中可能有所不同。
本研究的主要目的是调查与非不孕夫妇相比，土耳其不孕夫妇是否有更高水平的抑郁和焦虑。我们的次要目的是评估土耳其不孕夫妇的社会人口学特征与抑郁和焦虑水平之间的关系。
我们设计了一项描述性横断面研究，对248名无精神障碍的不孕女性和96名不孕男性以及51名有子女的女性和40名有子女的男性进行研究，以评估不孕夫妇和有生育能力夫妇之间的抑郁和焦虑水平。一名妇科医生评估参与者的人口统计学数据，然后由一名心理学家对他们进行访问，以进行问卷调查量表，即贝克抑郁量表和状态-特质焦虑量表，以评估精神病理学程度。对数据进行统计学分析，以p<0.05作为统计学显著性水平。
我们观察到不孕夫妇和有生育能力夫妇在状态焦虑和特质焦虑方面存在显著差异（p<0.0001），而在抑郁方面，无论男女均无差异。比较不孕女性和男性时，焦虑和抑郁与性别无关（p=0.213）。
我们认为，对不孕夫妇的心理管理必须根据文化、宗教和阶级相关方面进行个体化。
