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焦虑和感知压力与不孕女性受精结局的关联:一项横断面研究。

The Association of Anxiety and Perceived Stress with Fertilization Outcomes in Infertile Women: A Cross-sectional Study.

作者信息

Abdoli Sara, Gholami Amir Hossein, Masoumi Seyedeh Zahra, Najafi-Vosough Roya, Azimi Mozhdeh, Jenabi Ensiyeh, Aliabadi Sahar, Soltanian Ali Reza, Ghaleiha Ali, Pilehvari Shamim

机构信息

Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.

Malayer School of Medical Science, Hamadan University of Medical Sciences, Hamadan, Iran.

出版信息

J Hum Reprod Sci. 2025 Jan-Mar;18(1):16-22. doi: 10.4103/jhrs.jhrs_168_24. Epub 2025 Mar 29.

DOI:10.4103/jhrs.jhrs_168_24
PMID:40342885
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12057839/
Abstract

BACKGROUND

The studies have shown that the effects of psychological distress on the outcome of fertilization (IVF) treatment are unclear, and there is still no conclusive empirical evidence that lower anxiety levels lead to better outcomes in assisted reproductive technique treatments.

AIM

the present study was conducted to investigate the impact of perceived anxiety and stress on the outcome of IVF in infertile women in Western Iran.

SETTINGS AND DESIGN

The current study is a cross-sectional study.

MATERIALS AND METHODS

This study was conducted on infertile women who were candidates for IVF and visited the infertility center at Fatemiyeh Hospital in Hamadan City in the west of Iran from 8 July 2023, to 15 March 2024. The questionnaires were demographic and midwifery characteristics, the Spielberger State-Trait Anxiety Inventory and Perceived Stress Scale-14.

STATISTICAL ANALYSIS USED

All statistical analyses were performed in SPSS software at a significance level of 0.05.

RESULTS

The stress was significantly associated with metaphase II eggs ( = -0.487), and the number of transferred embryos based on grade ( = -0.562), duration of marriage ( = 0.628), duration of infertility ( = 0.595) and duration of treatment ( = 0.595). There was no significant association between stress and endometrial thickness ( = 0.189). In addition, the anxiety was significantly associated with age ( = 0.509), husband›s age ( = 0.436), endometrial thickness ( = -0.173), metaphase II eggs ( = -0.570), and the number of ‎transferred embryos based on grade ( = -0.610), duration of marriage ( = 0.604), duration of infertility ( = 0.592) and duration of treatment ( = 0.604).

CONCLUSION

Mean stress and anxiety in infertile women were significantly lower in infertile women with successful IVF. Stress was significantly associated with age, spouse's age, metaphase stage oocytes, embryo grade, duration of marriage and infertility and duration of treatment.

摘要

背景

研究表明,心理困扰对体外受精(IVF)治疗结果的影响尚不清楚,目前仍没有确凿的实证证据表明较低的焦虑水平会在辅助生殖技术治疗中带来更好的结果。

目的

本研究旨在调查伊朗西部不孕女性感知到的焦虑和压力对体外受精结果的影响。

设置与设计

本研究为横断面研究。

材料与方法

本研究针对2023年7月8日至2024年3月15日期间在伊朗西部哈马丹市法蒂米亚医院不孕中心就诊、符合体外受精条件的不孕女性展开。问卷内容包括人口统计学和助产特征、斯皮尔伯格状态-特质焦虑量表以及感知压力量表-14。

所用统计分析方法

所有统计分析均在SPSS软件中进行,显著性水平设定为0.05。

结果

压力与中期II级卵子(=-0.487)、根据等级划分的移植胚胎数量(=-0.562)、婚姻持续时间(=0.628)、不孕持续时间(=0.595)以及治疗持续时间(=0.595)显著相关。压力与子宫内膜厚度之间无显著关联(=0.189)。此外,焦虑与年龄(=0.509)、丈夫年龄(=0.436)、子宫内膜厚度(=-0.173)、中期II级卵子(=-0.570)、根据等级划分的移植胚胎数量(=-0.610)、婚姻持续时间(=0.604)、不孕持续时间(=0.592)以及治疗持续时间(=0.604)显著相关。

结论

体外受精成功的不孕女性的平均压力和焦虑水平显著较低。压力与年龄、配偶年龄、中期卵母细胞阶段、胚胎等级、婚姻持续时间、不孕持续时间以及治疗持续时间显著相关。

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本文引用的文献

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Effect of Stress on Each of the Stages of the IVF Procedure: A Systematic Review.压力对试管婴儿各阶段的影响:系统评价。
Int J Mol Sci. 2024 Jan 5;25(2):726. doi: 10.3390/ijms25020726.
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Infertility-related stress and its relationship with emotional divorce among Iranian infertile people.不孕相关压力及其与伊朗不孕人群情感离婚的关系。
BMC Psychiatry. 2023 Sep 12;23(1):666. doi: 10.1186/s12888-023-05159-z.
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A Meta-Analysis of The Prevalence and Etiology of Infertility in Iran.伊朗不孕症患病率与病因的荟萃分析。
Int J Fertil Steril. 2023 Apr 1;17(3):160-173. doi: 10.22074/ijfs.2023.541991.1215.
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Psychological assessment in infertility: A systematic review and meta-analysis.不孕症的心理评估:一项系统综述与荟萃分析。
Front Psychol. 2022 Oct 28;13:961722. doi: 10.3389/fpsyg.2022.961722. eCollection 2022.
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Stress, anxiety, and depression in infertile couples are not associated with a first IVF or ICSI treatment outcome.不孕夫妇的压力、焦虑和抑郁与首次 IVF 或 ICSI 治疗结果无关。
BMC Pregnancy Childbirth. 2021 Oct 27;21(1):725. doi: 10.1186/s12884-021-04202-9.
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The association of in vitro fertilization/intracytoplasmic sperm injection results with anxiety levels and stress biomarkers: An observational, case-control study.体外受精/胞浆内单精子注射结果与焦虑水平和应激生物标志物的相关性:一项观察性、病例对照研究。
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Stress management and In Vitro Fertilization (IVF): A pilot randomized controlled trial.应激管理与体外受精(IVF):一项初步随机对照试验。
Psychiatriki. 2021 Dec 20;32(4):290-299. doi: 10.22365/jpsych.2021.029. Epub 2021 Aug 5.
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Diagnosis and Management of Infertility: A Review.不孕不育的诊断与管理:综述。
JAMA. 2021 Jul 6;326(1):65-76. doi: 10.1001/jama.2021.4788.
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Neuroendocrine interactions of the stress and reproductive axes.应激和生殖轴的神经内分泌相互作用。
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Stress and Anxiety Levels in Couples who Undergo Fertility Treatment: a Review of Systematic Reviews.接受生育治疗的夫妻的压力和焦虑水平:系统评价综述
Mater Sociomed. 2021 Mar;33(1):60-64. doi: 10.5455/msm.2021.33.60-64.