Omani Samani Reza, Vesali Samira, Navid Behnaz, Vakiliniya Bahareh, Mohammadi Maryam
Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran.
Int J Fertil Steril. 2017 Jul-Sep;11(2):123-129. doi: 10.22074/ijfs.2017.4838. Epub 2017 Feb 16.
This study evaluated hope, depression, anxiety, and stress among three groups of infertile couples.
This cross-sectional study consisted of three groups of infertile couples-candidates for oocyte donation (n=60), embryo donation (n=60), and normal infertile (n=60). Participants included couples seen at Royan Institute, Tehran, Iran between 2013-2014 who were at least 18 years of age and could read and write in Persian. Participants provided demographic and general characteristics and completed the Persian version of the Adult Trait Hope Scale (hope, agency and pathway) and Depression, Anxiety, and Stress Scale (DASS). Data was analyzed by the paired t test, ANOVA, ANCOVA and Pearson correlation tests using SPSS statistical software.
Overall, 180 infertile couples participated in the three groups. There was a significant higher mean score for hope in husbands compared to wives in the normal infertile group (P=0.046). Husbands in the normal infertile group also had a significantly higher mean score for pathway (P=0.032). The frequency of anxiety significantly differed in female subjects (P=0.028). In the normal infertile group, the anxiety distribution significantly differed between wives and husbands (P=0.006). There was a significantly different stress frequency in male subjects (P=0.048). In the embryo donation group, stress significantly differed between wives and husbands (P=0.002). In the normal infertile group, stress also significantly differed between wives and husbands (P=0.05).
The results have suggested that hope might be important in reducing psychological symptoms and psychological adjustment in those exposed to infertility problems who follow medical recommendations, which accelerates recovery. It is recommended to hold psychological counseling sessions (hope therapy) during reproduction cycles.
本研究评估了三组不孕夫妇的希望、抑郁、焦虑和压力状况。
本横断面研究包括三组不孕夫妇——卵母细胞捐赠候选者（n = 60）、胚胎捐赠候选者（n = 60）和正常不孕夫妇（n = 60）。参与者包括2013年至2014年期间在伊朗德黑兰罗亚研究所就诊的夫妇，他们至少18岁，能用波斯语读写。参与者提供了人口统计学和一般特征，并完成了成人特质希望量表（希望、能动性和途径）的波斯语版本以及抑郁、焦虑和压力量表（DASS）。使用SPSS统计软件通过配对t检验、方差分析、协方差分析和皮尔逊相关检验对数据进行分析。
总体而言，180对不孕夫妇参与了这三组研究。在正常不孕组中，丈夫的希望平均得分显著高于妻子（P = 0.046）。正常不孕组的丈夫在途径方面的平均得分也显著更高（P = 0.032）。女性受试者的焦虑频率有显著差异（P = 0.028）。在正常不孕组中，妻子和丈夫之间的焦虑分布有显著差异（P = 0.006）。男性受试者的压力频率有显著差异（P = 0.048）。在胚胎捐赠组中，妻子和丈夫之间的压力有显著差异（P = 0.002）。在正常不孕组中，妻子和丈夫之间的压力也有显著差异（P = 0.05）。
结果表明，希望对于遵循医学建议的不孕问题患者减轻心理症状和进行心理调适可能很重要，这有助于加速康复。建议在生殖周期中开展心理咨询课程（希望疗法）。
