Tavousi Sayed Abolfazl, Behjati Mohaddeseh, Milajerdi Alireza, Mohammadi Amir Hossein
Student Research Committee, Kashan University of Medical Sciences, Kashan, Iran.
Cellular, Molecular and Genetics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Front Psychol. 2022 Oct 28;13:961722. doi: 10.3389/fpsyg.2022.961722. eCollection 2022.
Infertility is a prevalent worldwide health issue and is defined by the World Health Organization (WHO) as a global health problem. Considering the importance of the psychological dimensions of infertility, various measurement tools have been used to measure the variables involved in infertility, of which the most widely used are the following: the Symptom Checklist 90 (SCL90), the Brief Symptom Inventory (BSI), the State-Trait Anxiety Inventory Form (STAI), and the Depression Anxiety Stress Scale (DASS). Therefore, given the problems of infertile people in terms of psychological dimensions, the aim of this meta-analysis was to assess the psychological assessment score in infertility. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol, we applied an online database with no time restriction. Data were gathered using a random-effect model to estimate the standard mean difference (SMD) for the evaluation of the strength of association analyses. Our data demonstrated a significant higher SCL90 score ( : 0.96, 0.34-1.57, heterogeneity: 94%, < 0.001), and a non-significant higher DASS score ( : 0.82, -0.14 to 1.79; CI : 0.8, -0.28 to 1.87; and : 0.82, -0.24 to 1.88). It is essential to seek for strategies to help infertile patients overcome their infertility-related psychological problems.
不孕症是一个全球普遍存在的健康问题，世界卫生组织（WHO）将其定义为一个全球性的健康问题。考虑到不孕症心理层面的重要性，人们使用了各种测量工具来测量与不孕症相关的变量，其中使用最广泛的有以下几种：症状自评量表90（SCL90）、简明症状量表（BSI）、状态-特质焦虑量表（STAI）和抑郁焦虑压力量表（DASS）。因此，鉴于不孕患者在心理层面存在的问题，本荟萃分析的目的是评估不孕症患者的心理评估得分。按照系统评价和荟萃分析的首选报告项目（PRISMA）方案，我们使用了一个无时间限制的在线数据库。数据采用随机效应模型收集，以估计用于评估关联分析强度的标准均数差（SMD）。我们的数据显示，SCL90得分显著更高（：0.96，0.34 - 1.57，异质性：94%，< 0.001），而DASS得分虽有升高但无统计学意义（：0.82，-0.14至1.79；可信区间：0.8，-0.28至1.87；以及：0.82，-0.24至1.88）。寻求帮助不孕患者克服与不孕相关心理问题的策略至关重要。
