Vijayan Sruthi M, Rasania Sanjeev K, Acharya Anita S, Rasheed Nazish, Saxena Pikee
Department of Community Medicine, LHMC, New Delhi, India.
Department of Obstetrics and Gynaecology, LHMC, New Delhi, India.
Indian J Community Med. 2025 Mar-Apr;50(2):368-372. doi: 10.4103/ijcm.ijcm_328_23. Epub 2025 Feb 1.
Globally, there are 48 million couples and 186 million individuals who live with infertility, and in India, there are approximately 22-23 million infertile couples. Infertility and its treatment can negatively influence the couple's psychological well-being which in turn could affect their fertility and treatment outcome. Most of the studies have focused on the psychosocial stress among women due to infertility and very few studies have seen the impact it has on men. Hence, the objective of the study is to assess the psychological status of the couples attending the infertility clinic of a tertiary healthcare institution.
Couples attending the infertility clinic of Smt. Sucheta Kriplani Hospital (SSKH), New Delhi, were included. The study period was from January 2021 to June 2022. A semi-structured, self-designed interview schedule was used to collect information from study subjects. The DASS-21 questionnaire was used to assess subjects' psychological status.
The prevalence of depression, anxiety, and stress was higher among wives as compared to husbands ( value < 0.1 in all three psychological states). Depression, anxiety, and stress were found to be more in husbands and wives with primary infertility as compared to those with secondary infertility (however, this finding was found to be significant only in wives in relation to depression, < 0.05).
In general, the prevalence of depression, anxiety, and stress was higher in wives as compared to husbands.
全球有4800万对夫妇和1.86亿个人患有不孕症，在印度，约有2200 - 2300万对不孕夫妇。不孕及其治疗会对夫妇的心理健康产生负面影响，进而可能影响他们的生育能力和治疗结果。大多数研究关注的是女性因不孕产生的心理社会压力，很少有研究探讨其对男性的影响。因此，本研究的目的是评估在一家三级医疗机构不孕门诊就诊的夫妇的心理状况。
纳入在新德里苏切塔·克里普拉尼夫人医院（SSKH）不孕门诊就诊的夫妇。研究期间为2021年1月至2022年6月。采用半结构化、自行设计的访谈提纲从研究对象中收集信息。使用DASS - 21问卷评估研究对象的心理状况。
与丈夫相比，妻子中抑郁、焦虑和压力的患病率更高（在所有三种心理状态下， 值均<0.1）。与继发性不孕的夫妇相比，原发性不孕的夫妇中丈夫和妻子的抑郁、焦虑和压力更为明显（然而，这一发现仅在妻子的抑郁方面具有统计学意义，<0.05）。
总体而言，妻子中抑郁、焦虑和压力的患病率高于丈夫。
