Kalhori Fatemeh, Masoumi Seyedeh Zahra, Shamsaei Farshid, Mohammadi Younes, Yavangi Mahnaz
Consultation in Midwifery, Department of Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran. Electronic Address:
Int J Fertil Steril. 2020 Apr;14(1):10-16. doi: 10.22074/ijfs.2020.5785. Epub 2020 Feb 25.
Assisted reproductive technologies (ARTs) such as in vitro fertilization (IVF) can lead to depressive symptoms in infertile women due to their low success and high costs. Mindfulness-based group counseling can decrease depressive symptoms by increasing mental concentration. The aim of the present study was to evaluate the effect of mindfulness-based group counseling on depression in infertile women undergoing IVF.
The present clinical trial included 90 infertile women undergoing IVF treatment in an infertility center in 2016. Women were divided into two groups, intervention and control. Both groups completed a demographic questionnaire and the Beck depression inventory (BDI). Eight 90-minute sessions (two each week) of mindfulness-based group counseling were held with the intervention group, while the control group received treatment as normal. Following the intervention, the BDI was again completed by both groups. The data were analyzed and independent t tests and, paired t tests conducted at a significance level of P<0.05.
No statistically significant demographic differences were observed between the two groups. Women in the control group had a somewhat lower depressive symptom score than the intervention group before the intervention. However, compared with before, the depressive symptom score among women in the intervention group decreased significantly (48%) (P<0.001) after the intervention. In contrast, the depressive symptom score in control women was higher after the intervention than before.
According to the findings of the present research, mindfulness-based group counseling is able to reduce depressive symptoms in infertile women under IVF treatment. Therefore, group counseling sessions are suggested for all depressed women undergoing infertility treatment (Registration number: IRCT2015082013405N14).
体外受精（IVF）等辅助生殖技术（ARTs）由于成功率低且成本高，可能导致不孕女性出现抑郁症状。基于正念的团体咨询可以通过提高心理专注力来减轻抑郁症状。本研究的目的是评估基于正念的团体咨询对接受IVF治疗的不孕女性抑郁的影响。
本临床试验纳入了2016年在一家不孕不育中心接受IVF治疗的90名不孕女性。将女性分为两组，干预组和对照组。两组均完成了一份人口统计学调查问卷和贝克抑郁量表（BDI）。对干预组进行了八次90分钟的基于正念的团体咨询（每周两次），而对照组接受常规治疗。干预后，两组再次完成BDI。对数据进行分析，并进行独立t检验和配对t检验，显著性水平为P<0.05。
两组之间未观察到统计学上显著的人口统计学差异。干预前，对照组女性的抑郁症状评分略低于干预组。然而，与干预前相比，干预组女性的抑郁症状评分在干预后显著降低（48%）（P<0.001）。相比之下，对照组女性干预后的抑郁症状评分高于干预前。
根据本研究的结果，基于正念的团体咨询能够减轻接受IVF治疗的不孕女性的抑郁症状。因此，建议对所有接受不孕治疗的抑郁女性进行团体咨询（注册号：IRCT2015082013405N14）。
