Öztekin Ünal, Hacimusalar Yunus, Gürel Abdullah, Karaaslan Ozgul
Department of Urology, Bozok Unıversıty Faculty of Medicine, Yozgat, Turkey.
Department of Psychiatry, Bozok Unıversıty Faculty of Medicine, Yozgat, Turkey.
Psychiatry Investig. 2020 Apr;17(4):350-355. doi: 10.30773/pi.2019.0248. Epub 2020 Apr 8.
The purpose of this study was to investigate the relationship between infertility and factors such as anxiety, health anxiety, depression, and somatosensory amplification in male patients presenting with infertility.
In this study, we evaluated 198 patients (infertile group: 130, control group: 68). Patients that fit the inclusion criteria were informed about the aim and method of the study and filled out sociodemographic data collection form, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), The Somatosensory Amplification Scale (SSAS), and Health Anxiety Inventory (HAI) questionnaires.
The mean scores for SSAS, HAI, BAI, and BDI were significantly higher in the infertility group compared to the control group (p<0.001 for all comparisons). Moreover, the mean scores of the patients in the primary infertile group (n=107) were significantly higher than in the secondary infertile group (n=23) (p<0.05 for all comparisons). Logistic regression analysis revealed that infertility had a significant effect on age, HAI and BDI.
Psychiatric evaluation of infertile patients may contribute to more efficient use of health services, may reduce the negative effects of anxiety and depression on fertility, and in turn, increase the success of infertility treatment. Therefore, we recommend that each patient presenting with infertility undergoes psychiatric evaluation as part of their treatment.
本研究旨在调查不育男性患者中不育与焦虑、健康焦虑、抑郁及体感放大等因素之间的关系。
在本研究中,我们评估了198例患者(不育组:130例,对照组:68例)。符合纳入标准的患者被告知研究目的和方法,并填写社会人口统计学数据收集表、贝克抑郁量表(BDI)、贝克焦虑量表(BAI)、体感放大量表(SSAS)和健康焦虑量表(HAI)问卷。
与对照组相比,不育组的SSAS、HAI、BAI和BDI平均得分显著更高(所有比较p<0.001)。此外,原发性不育组(n=107)患者的平均得分显著高于继发性不育组(n=23)(所有比较p<0.05)。逻辑回归分析显示,不育对年龄、HAI和BDI有显著影响。
对不育患者进行精神科评估可能有助于更有效地利用医疗服务,可能减少焦虑和抑郁对生育能力的负面影响,进而提高不育治疗的成功率。因此,我们建议每位不育患者在治疗过程中接受精神科评估。