Depression and coping strategies of Chinese women undergoing in-vitro fertilization

Wu, Gengxiang; Yin, Tailang; Yang, Jing; Xu, Wangming; Zou, Yujie; Wang, Yaqin; Wen, Jing

doi:10.1016/j.ejogrb.2014.10.019

Cited by 24 publications

(18 citation statements)

References 24 publications

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“…The WHO and the 1994 Cairo Conference on Population and Development addressed infertility as an important problem in the field of reproductive health. This condition should be of great concern for different countries, especially those belonging to the low-and middle-income brackets [49].…”

Section: Discussionmentioning

confidence: 99%

The prevalence of depression symptoms among infertile women: a systematic review and meta-analysis

Kiani

Simbar

Hajian

et al. 2021

Fertil Res and Pract

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Background Infertile women’s mental health problems, including depression, are key fertility health issues that affect infertile women more severely than infertile men. Depression may threaten the health of individuals and reduce the quality of their lives. Considering the role and impact of depression on responses to infertility treatments, a systematic review and meta-analysis were conducted to investigate the prevalence of depression symptoms among infertile women. Methods International databases (PubMed, Cochrane Library, Web of Sciences, Scopus, Embase, and PsycINFO), national databases (SID and Magiran), and Google Scholar were searched by two independent reviewers for articles published from 2000 to April 5, 2020. The search procedure was performed in both Persian and English using keywords such as “depression,” “disorders,” “infertility,” “prevalence,” and “epidemiology.” The articles were evaluated in terms of their titles, abstracts, and full texts. The reviewers evaluated the quality of the articles using the Newcastle–Ottawa Scale, after which they analyzed the findings using STATA version 14. The I2 and Egger’s tests were performed to examine heterogeneity and publication bias, respectively. Results Thirty-two articles were subjected to the meta-analysis, and a random effects model was used in the examination given the heterogeneity of the articles. The samples in the reviewed studies encompassed a total of 9679 infertile women. The lowest and highest pooled prevalence rates were 21.01% (95% confidence interval [CI]: 15.61–34.42), as determined using the Hospital Anxiety and Depression Scale, and 52.21% (95% CI: 43.51–60.91), as ascertained using the Beck Depression Inventory, respectively. The pooled prevalence values of depression among infertile women were 44.32% (95% CI: 35.65–52.99) in low- and middle-income countries and 28.03% (95% CI: 19.61–36.44) in high-income countries. Conclusion The prevalence of depression among infertile women was higher than that among the general population of a given country. Especially in low- and middle-income countries, appropriate measures, planning, and policy that target the negative effects of depression on infertile women’s lives should be established to reduce related problems.

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Section: Discussionmentioning

confidence: 99%

The prevalence of depression symptoms among infertile women: a systematic review and meta-analysis

Kiani

Simbar

Hajian

et al. 2021

Fertil Res and Pract

View full text Add to dashboard Cite

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“…Echoing evidence found in Western studies (Boivin et al, ; Gameiro et al, ; Verhaak, Smeenk, Van Minnen, Kremer, & Kraaimaat, ), researchers in Mainland China found significant psychosocial distress, such as depression or anxiety, among women with infertility (Wang et al, ). The incidence of depression was 22.6% among Chinese women with infertility (Wu et al, ), which may be strongly associated with sociocultural factors (Li et al, ).…”

Section: Introductionmentioning

confidence: 99%

Childbearing importance: A qualitative study of women with infertility in China

Yao

Chan

2017

Research in Nursing & Health

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The primary goal of this study was to examine and describe the importance of childbearing as perceived by infertile women in the Chinese familial and social context. We adopted a qualitative descriptive method and conducted semi-structured interviews with female patients diagnosed with infertility. Participants were recruited at a high-volume fertility clinic in Tianjin, China. Fifteen women with a diagnosis of infertility were interviewed for 60-90 min. Data were analyzed by thematic analysis.Two themes supported the importance of childbearing for Chinese women with infertility: childbearing as natural law, and childbearing for relational harmony.Childbearing as natural law referred to intrinsic forces to seek a child, including (i) achieving motherhood and womanhood and (ii) experiencing a developmental transition with childbearing as a landmark. Relational harmony included three primary factors: (i) to maintain marital quality by preventing marital failure and rejuvenating an unsatisfactory marital relationship; (ii) to fulfill both authoritative and reciprocal filial piety; (iii) to build a sense of normalcy within family and social networks. In summary, infertility resulted in loss of motherhood, womanhood, and a smooth developmental transition. Moreover, it threatened relationship harmony in the marriage, family, and social life. These insights on the value of childbearing in the Chinese context can inform healthcare professionals in identify infertility-related demands and developing relevant psychosocial services for people with infertility.

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“…A link between depression and dysfunctional coping strategies is well known [ 17 , 18 ] and it has been reported in several conditions such as rheumatoid arthritis [ 19 ], fibromyalgia [ 20 , 21 ], chronic and arthritis pain [ 22 , 23 ], cancer [ 24 ], HIV patients [ 25 ], and patients in the chronic phase after stroke [ 26 ], and women undergoing in vitro fertilization [ 27 ]. However, their occurrence in CD remains largely uninvestigated.…”

Section: Introductionmentioning

confidence: 99%

Unrevealed Depression Involves Dysfunctional Coping Strategies in Crohn’s Disease Patients in Clinical Remission

Viganò

Calzolari

Marinaccio

et al. 2016

Gastroenterology Research and Practice

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Background and Aims. This study investigated the proportion of CD patients in clinical remission with clinical depression, and coping strategies in those with severe depressive disorders. Materials and Methods. One hundred consecutive CD patients in clinical remission were screened for anxiety and depression by using Hospital Anxiety and Depression Scale and patients with depressive symptoms were further investigated by means of Cognitive Behavioural Assessment 2.0 and Beck Depression Inventory (BDI). Afterwards the coping strategies were assessed through the Brief-COPE questionnaire. Results. Twenty-one patients had anxious symptoms and 16 had depressive symptoms with or without anxiety. Seven of these patients (43.8%) showed significant depressive symptoms. Compared to patients without psychiatric disorders, these patients showed significant lower score in “positive reframing” (p: 0.017) and in “planning” (p: 0.046) and higher score in “use of instrumental social support” (p < 0.001), in “denial” scale (p: 0.001), and in “use of emotional social support” (p: 0.003). Conclusions. Depressed CD patients in clinical remission may have dysfunctional coping strategies, meaning that they may not be able to implement functional strategies to manage at best stress related with their disease.

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Depression and coping strategies of Chinese women undergoing in-vitro fertilization

Cited by 24 publications

References 24 publications

The prevalence of depression symptoms among infertile women: a systematic review and meta-analysis

The prevalence of depression symptoms among infertile women: a systematic review and meta-analysis

Childbearing importance: A qualitative study of women with infertility in China

Unrevealed Depression Involves Dysfunctional Coping Strategies in Crohn’s Disease Patients in Clinical Remission

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