Changes in affect and state anxiety across an in vitro fertilization/intracytoplasmic sperm injection cycle

Gender differences in emotional reactions to in vitro fertilization treatment: a systematic review

“…Although the scores for levels of anxiety on the day of the oocyte retrieval (T2), before the embryo transfer (T3), and before the pregnancy test (T4) were all higher than at baseline (T1), there were no differences between the three time points (STAI-S, T1 < T2 = T2, m = 44.00 vs. 46.41 vs. 46.72; MAACL, T1 < T3 = T4, m = 60.00 vs. 77.26 vs. 71.51) [28,31]. Four of the studies reported that anxiety levels (or the prevalence of anxiety [32]) in T4 were higher than at pretreatment, but the differences were not significant [10,29,30].…”

“…Women and/or men's anxiety was explored in ten studies using different instruments: STAI [28][29][30], the Zung Anxiety Scale (ZAS) [9,26], MAACL [10,31], SAS [27,32], and PRIME-MD [17]. The incidence of anxiety in women was high on the day of the oocyte retrieval (ZAS ≥ 40, 33.3 %; PRIME-MD, anxiety disorder: 14.8 %) [17,26], within 2 h after the embryo transfer (SAS 40, 38.5 %) [27], and 20 days after the embryo transfer (SAS > 40, 25.9 %) [32].…”

“…Apart from depression and anxiety, the psychological distress of infertile couples, including positive and negative affect, and general psychological impacts and reactions, were assessed in five studies using different instruments: MAACL [10,31], the Positive and Negative Affect Schedule (PANAS) [28], the Effects of Infertility Questionnaire (EIQ) [6], and the Daily Record Keeping Chart (DRK) [33].…”

“…A study examining the negative affect (NA) of women showed that the mean NA scores before the embryo transfer and oocyte retrieval were higher than that in the pretreatment period (PANAS, m = 31.89 vs. 29.75 vs. 26.44) [28]. It was reported that the men reacted in the same psychological pattern as their wives [10].…”

Escala de Preocupações durante a Procriação Medicamente Assistida: Estudo exploratório das características psicométricas da versão portuguesa

“…Por exemplo, estudos anteriores têm apontado que a etapa ou fase do tratamento médico pode influenciar o funcionamento psicológico dos pacientes com infertilidade (Berg & Wilson, 1991;Yong, Martin, & Thong, 2000), sendo a punção ovárica e a transferência de embriões referidas como as fases mais indutoras de stresse (Mahajan et al, 2010). Neste estudo, a fase específica do tratamento não foi controlada, pelo que investigação futura deverá considerar este aspecto.…”