Department of Midwifery, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran.
Rev Bras Ginecol Obstet. 2021 Nov;43(11):826-833. doi: 10.1055/s-0041-1736305. Epub 2021 Dec 6.
The psychosocial burden of infertility among couples can be one of the most important reasons for women's emotional disturbance. The goal of the present study was to investigate the effect of counseling on different emotional aspects of infertile women.
The present randomized clinical trial was performed on 60 couples with primary infertility who were referred for treatment for the first time and did not receive psychiatric or psychological treatment. Samples were allocated to an intervention group (30 couples) and a control group (30 couples) by simple randomization. The intervention group received infertility counseling for 6 45-minute sessions twice a week, and the control group received routine care. The Screening on Distress in Fertility Treatment (SCREENIVF) questionnaire was completed before and after the intervention. Samples were collected from November to December 2016 for 3 months. For the data analysis, we used the Statistical Package for the Social Sciences (IBM SPSS Statistics for Windows, IBM Corp., Armonk, NY, United States) software, version 19.0, and the paired -test, the independent -test, the Mann-Whitney test, the Wilcoxon test, and the Chi-squared test.
The mean age of the participants was 33.39 ± 5.67 years. All studied couples had primary infertility and no children. The mean duration of the couples' infertility was 3 years. There was a significant difference regarding depression (1.55 ± 1.92; < 0.0001), social support (15.73 ± 3.41; < 0.0001), and cognitions regarding domains of fertility problems (26.48 ± 3.05; = 0.001) between the 2 groups after the intervention, but there was no significant difference regarding anxiety (25.03 ± 3.09; = 0.35).
The findings showed that infertility counseling did not affect the total score of infertile women' emotional status, but improved the domains of it except, anxiety.
夫妻不孕不育带来的心理社会负担可能是女性情绪困扰的最重要原因之一。本研究旨在探讨咨询对不孕女性不同情绪方面的影响。
本随机临床试验纳入了 60 对首次就诊且未接受精神或心理治疗的原发性不孕夫妇。采用简单随机化方法将样本分为干预组（30 对夫妇）和对照组（30 对夫妇）。干预组接受 6 次 45 分钟的不孕咨询，每周两次，对照组接受常规护理。干预前后采用生育治疗困扰筛查问卷（SCREENIVF）进行评估。样本于 2016 年 11 月至 12 月采集，为期 3 个月。数据分析采用 IBM SPSS Statistics for Windows 版本 19.0（IBM 公司，美国纽约州阿蒙克市）软件，采用配对 t 检验、独立 t 检验、Mann-Whitney 检验、Wilcoxon 检验和卡方检验。
参与者的平均年龄为 33.39±5.67 岁。所有研究夫妇均为原发性不孕且无子女。夫妇不孕不育的平均时间为 3 年。干预后，两组在抑郁（1.55±1.92；<0.0001）、社会支持（15.73±3.41；<0.0001）和对生育问题领域的认知（26.48±3.05；=0.001）方面存在显著差异，但焦虑（25.03±3.09；=0.35）方面无显著差异。
研究结果表明，不孕咨询并未影响不孕女性整体情绪状况，但改善了除焦虑以外的其他领域。
