Yusuf Lamia
Dr. Lamia Yusuf, Assistant Professor of Gynaecology/Obstetrics, Rashid Latif Medical College, Lahore, Pakistan.
Pak J Med Sci. 2016 Nov-Dec;32(6):1340-1343. doi: 10.12669/pjms.326.10828.
Infertility, in many ways, is a very distressing condition that can have its impact on social and marital life of a couple. Depression, anxiety and stress associated with infertility may affect treatment and outcomes for such couples. The purpose of this study was to find out prevalence of depression, anxiety and stress among females suffering from infertility.
One hundred females suffering from infertility as study subjects and 100 females accompanying them as controls were randomly selected from infertility clinic at Arif Memorial Teaching Hospital, Lahore, Pakistan. Females with diagnosed mental health issues and those from couples having male factor infertility were not included. Validated Urdu version of Depression, anxiety, stress scale (DASS) was used for assessment of depression, anxiety and stress scores. Results from both groups were compared and independent sample -test was used to analyze the results.
There was high prevalence of depression, anxiety and stress among females suffering from infertility compared to females in control group ( < 0.05). Level of education did not appear to have any positive effect on these scores. Similarly, results did not appear to change when occupations of infertile females were used for stratified analysis.
Depression, anxiety and stress are very common among females suffering from infertility. Healthcare professionals should consider psychological counseling, and psychiatric help if required, when they offer fertility treatment for such females.
不孕在很多方面都是一种非常令人苦恼的状况,会对夫妻的社会和婚姻生活产生影响。与不孕相关的抑郁、焦虑和压力可能会影响此类夫妻的治疗及治疗结果。本研究的目的是找出不孕女性中抑郁、焦虑和压力的患病率。
从巴基斯坦拉合尔阿利夫纪念教学医院的不孕门诊随机选取100名不孕女性作为研究对象,以及100名陪同她们的女性作为对照。排除诊断有心理健康问题的女性以及男方因素导致不孕的夫妻中的女性。使用经过验证的乌尔都语版抑郁、焦虑、压力量表(DASS)来评估抑郁、焦虑和压力得分。对两组结果进行比较,并使用独立样本检验来分析结果。
与对照组女性相比,不孕女性中抑郁、焦虑和压力的患病率较高(<0.05)。教育水平似乎对这些得分没有任何积极影响。同样,当对不孕女性的职业进行分层分析时,结果似乎也没有变化。
抑郁、焦虑和压力在不孕女性中非常普遍。医疗保健专业人员在为这类女性提供生育治疗时,应考虑进行心理咨询,并在需要时提供精神科帮助。