Elsous Aymen, El-Kass Sae'd Abu, Salama Akram, Radwan Mahmoud, Abo-Eid Soha, Baloushah Suha
Faculty of Medical Sciences, Israa University-Gaza, Gaza Strip, State of Palestine.
Unit of Planning and Policy Formulation, Ministry of Health, Gaza Strip, State of Palestine.
Depress Res Treat. 2021 Jan 29;2021:6616489. doi: 10.1155/2021/6616489. eCollection 2021.
Mental disorders are expected for women suffering from infertility. Depression is a predictable consequence but requires more investigations and considerations. This study is aimed at determining the severity of depression symptoms and its predictors among infertile women in the Gaza Strip, Palestine.
A cross-sectional study was conducted. Three hundred eighty-five infertile women participated and were selected by convenience sampling. The participated women were selected from three large and major in vitro fertilization treatment centers (Al Helo, Al Basma, and Hindawi). A validated Arabic version of the Beck Depression Inventory-II was used. Univariate and multivariate logistic regression was applied to determine potential predictors for depression symptoms, and ≤ .05 was statistically significant.
The mean age of participated women was 29 ± 6.58 years, and the mean duration of marriage and infertility was 7.76 ± 5.31 and 5.43 ± 3.50 years, respectively. Half of the women had some form of depression symptoms (22.3%, 8.6%, and 10.6% showed to have mild depression, moderate, and severe depression symptoms, respectively). Predictors of depression symptoms were as follows: duration of marriage (Wald test: 10.493; CI95%: 0.248-0.774), at least one abortion (Wald test: 21.233; CI95%: 1.863-4.528), primary infertility (Wald test: 6.666; CI95%: 1.148-2.742), and husband cause of infertility (Wald test: 10.878; CI95%: 0.800-0.982).
Infertility affects the various aspect of women's life. Psychological intervention including counselling, support, and therapy would be necessary to limit the consequences of infertility. Such interventions could be implemented in infertility treatment clinics.
预计患有不孕症的女性会出现精神障碍。抑郁症是一个可预见的后果，但需要更多的调查和考虑。本研究旨在确定巴勒斯坦加沙地带不孕女性抑郁症状的严重程度及其预测因素。
进行了一项横断面研究。385名不孕女性参与研究，采用方便抽样法选取。参与研究的女性来自三个大型主要体外受精治疗中心（Al Helo、Al Basma和Hindawi）。使用经过验证的阿拉伯语版贝克抑郁量表第二版。应用单因素和多因素逻辑回归来确定抑郁症状的潜在预测因素，P≤0.05具有统计学意义。
参与研究的女性平均年龄为29±6.58岁，平均结婚年限和不孕年限分别为7.76±5.31年和5.43±3.50年。一半的女性有某种形式的抑郁症状（分别有22.3%、8.6%和10.6%表现为轻度、中度和重度抑郁症状）。抑郁症状的预测因素如下：结婚年限（Wald检验：10.493；95%置信区间：0.248 - 0.774）、至少一次流产（Wald检验：21.233；95%置信区间：1.863 - 4.528）、原发性不孕（Wald检验：6.666；95%置信区间：1.148 - 2.742）以及丈夫的不孕原因（Wald检验：10.878；95%置信区间：0.800 - 0.982）。
不孕症会影响女性生活的各个方面。包括咨询、支持和治疗在内的心理干预对于限制不孕症的后果是必要的。此类干预措施可在不孕症治疗诊所实施。
