Patel Ansha, Venkata Narasimha Sharma Podila Satya, Kumar Pratap
Department of Psychiatry, Kasturba Medical College, MAHE, Manipal, Karnataka, India.
Department of Obstetrics and Gynaecology, The Manipal Assisted Reproduction Centre, Kasturba Medical College, MAHE, Manipal, Karnataka, India.
Int J Fertil Steril. 2020 Apr;14(1):68-71. doi: 10.22074/ijfs.2020.5759. Epub 2020 Feb 25.
Fertility treatments began in several countries, including India, in the1970s. Despite various advancements in intra uterine insemination (IUI) and in vitro fertilization (IVF), empirical investigations on the psychological endurance and emotional tolerance of Indian women to such treatments are rather scarce. Thus, the aim of this study is to estimate the prevalence of psychiatric disorders in Indian women seeking fertility treatments. It is a cross-sectional study with three hundred women participants undergoing various treatments at the Manipal Assisted Reproductive Centre, Kasturba Medical College, Karnataka, India. Psychiatric disorders were assessed in women using the "ICD- 10 Classification of Mental and Behavioural Disorders" followed by descriptive data analysis. The results show that 78% of women have psychological issues and 45% of them have a diagnosable psychiatric condition. Adjustment Disorders, Anxiety Disorders and Mixed Anxiety and Depression Disorder are established as the top three categories of diagnoses. The findings of this study suggest that women have a high emotional stake in infertility treatments. The data highlights the need for modification of the existing treatment protocol (in Indian clinics) in ways that ensure the emotional wellbeing of patients.
20世纪70年代，包括印度在内的几个国家开始了生育治疗。尽管宫内授精（IUI）和体外受精（IVF）取得了各种进展，但关于印度女性对这类治疗的心理承受力和情绪耐受力的实证研究相当匮乏。因此，本研究的目的是评估寻求生育治疗的印度女性中精神障碍的患病率。这是一项横断面研究，有300名女性参与者，她们在印度卡纳塔克邦卡斯图尔巴医学院马尼帕尔辅助生殖中心接受各种治疗。使用《国际疾病分类第10版：精神与行为障碍分类》对女性进行精神障碍评估，随后进行描述性数据分析。结果显示，78%的女性有心理问题，其中45%患有可诊断的精神疾病。适应障碍、焦虑症以及混合性焦虑和抑郁障碍被确定为三大诊断类别。本研究结果表明，女性在不孕治疗中情感投入很大。数据凸显了以确保患者情绪健康的方式修改（印度诊所的）现有治疗方案的必要性。
