Infertility, mental disorders and well‐being – a nationwide survey

Klemetti, Reija; Raitanen, Jani; Sihvo, Sinikka; Saarni, Samuli I.; Koponen, Päivikki

doi:10.3109/00016341003623746

Cited by 169 publications

(144 citation statements)

References 28 publications

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“…Fertility treatment for our participants was associated with a range of negative emotions, which is consistent with earlier literature [6] [23] [30] [31] [32]. In addition our participants described positive emotions that could occur, especially hope.…”

Section: Comparison With the Existing Literaturesupporting

confidence: 81%

Perception of the Psychosocial Aspects of Subfertility by Parents Following Successful Medically Assisted Conception: A Qualitative Study

Warmelink¹,

Meijer²,

Mulder³

et al. 2016

OJOG

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Nearly 5% of new-borns in the Netherlands are now born following Medically Assisted Conception (MAC), a steadily increasing number. Our qualitative study explored the subjective impact of subfertility and fertility treatment for parents who successfully achieve pregnancy following MAC and make health professionals more aware of the psychological needs of those clients. The study was based on the constructive/interpretative paradigm using a constant comparison/grounded theory design. Two men and nine women in the Netherlands who conceived as a result of MAC were interviewed in 2011. Our findings show that MAC-parents were exposed to a range of emotions such as disappointment, hope and uncertainty during the subfertile period, and these feelings were even felt after successful fertility treatment. The relationship and social support from friends and others in the same position were very important. Regarding the relationship with the partner during the subfertile period, the main thing the couple have to do is to keep talking with one another. Although they did not always agree on all issues, it was found that maintaining the communication strengthened the links between them by the end of the process. We concluded that the feelings and emotions during fertility treatment play a big role during the subfertile period and remain important during pregnancy and even after childbirth. Subfertile clients want maternity care providers to ask those who successfully achieve pregnancy following MAC about their experiences during fertility treatment, check that they still are receiving adequate social support, and involve the partner in prenatal checks.

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Section: Comparison With the Existing Literaturesupporting

confidence: 81%

Perception of the Psychosocial Aspects of Subfertility by Parents Following Successful Medically Assisted Conception: A Qualitative Study

Warmelink¹,

Meijer²,

Mulder³

et al. 2016

OJOG

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“…In addition, these To date, many researches showed that depression and anxiety were more frequently observed in women with infertility as compared to controls. [1][2][3][4][5][6] Matsubayashi et al reported that both scores were significantly higher in infertile women than those of pregnant women, and scores were not affected by women's work state similar to our data, however, their scores were not affected by age and duration of infertility in contrast with our data. 1 In another study infertile women were reported to have higher scores of suspicion, guilt and hostility.…”

Section: Discussioncontrasting

confidence: 57%

“…Klemetti et al mentioned that infertility was associated with mental health as the childless infertile women had intensified adjusted risk for anxiety disorders. 3 Chen at al. conducted a study on 112 participants in an assisted reproductive technique clinic.…”

Section: Discussionmentioning

confidence: 99%

“…Infertile women report higher levels of emotional distress and psychological stress than fertile controls. [1][2][3] In addition, a considerable proportion of infertile women show substantial emotional problems, mood and anxiety disorders, and low quality of life. [4][5][6][7] The prevalence of psychiatric trouble in infertile couples was notified to be 25-60%.…”

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confidence: 99%

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Is There a Relationship Between Ovarian Reserve Tests with Depression and Anxiety Scales?

Altınkaya¹,

Avcıoğlu²,

Küçük³

et al. 2017

Turkiye Klinikleri J Gynecol Obst

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A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : An important point at issue has been shown by the possible causal connection between psychopathology and infertility. The aim of the present study was to investigate whether there was an association between ovarian reserve tests and depression and anxiety scales. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : A total of 50 women, who attended the infertility clinic of Adnan Menderes University Hospital, with primary infertility, were eligible for the study. Anti-mullerian hormone (AMH), follicle stimulating hormone, luteinizing hormone and estradiol levels were assessed for establishing ovarian reserve. All participants fulfilled standardized questionnaires evaluating depression Beck Depression Inventory (BDI) and anxiety Beck Anxiety Inventory (BAI). Multiple Linear Regression analyses were used to determine the best independent predictor(s) which affected on both BDI and BAI levels. R Re es su ul lt ts s: : Both depression and anxiety scores were positively correlated with age, body mass index (BMI), duration of infertility, and diminished ovarian reserve (p<0.05). Regression analyses showed that lower AMH levels (p<0.001), higher BMI (p<0.05) and longer duration of infertility (p<0.05) were the predictors of both higher depression and anxiety scores. C Co on n--c cl lu us si io on n: : The data of the present study have established that higher depression and anxiety scores were associated with poor ovarian reserve as well as higher BMI and longer duration of infertility, suggesting that psychological support is needed for this group of women. K Ke ey yw wo or rd ds s: : Infertility; depression; anxiety Ö ÖZ ZE ET T A Am ma aç ç: : İnfertilite ile psikopatoloji arasında önemli bağlantı olduğu düşünülmektedir. Bu çal-ışmanın amacı infertil hastalarda depresyon ve anksiyeteyi ölçekler vasıtasıyla değerlendirip bu öl-çeklerin over rezerv testleriyle ilişkisini araştırmaktır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışmaya infertilite şikayeti ile başvuran 50 primer infertil hasta dahil edildi. Over rezervinin değerlendirilmesi amacıyla anti-müllerian hormon (AMH), siklusun 2-3-4'üncü günlerinde folikül stimülan hormon (FSH), lüteinizan hormon (LH), östradiol (E2) düzeyleri çalışıldı. Beck depresyon (BDI) ve Beck anksiyete (BAI) ölçekleri anket yöntemiyle doldurtuldu. Çoklu lineer regresyon analizleri ile bu ölçeklere etki eden en iyi bağımsız prediktörler tespit edildi. B Bu ul lg gu ul la ar r: : Hem depresyon hem de anksiyete skorları yaş, beden kitle indeksi (BKİ), infertilite süresi ve azalmış over rezervi ile pozitif korelasyon gösterdi (p<0,05). Regresyon analizi sonuçlarına göre düşük AMH düzeyleri (p<0,001), yüksek BKİ (p<0,05) ve infertilite süresinin uzunluğu (p<0,05) yüksek anksiyete ve depresyon skorları için en iyi prediktörler olarak belirlendi. S So on nu uç ç: : Bu çalışmanın sonuçlarına göre yüksek anksiyete ve depresyon skorları düşük over rezervi, yüksek BKİ ve infertilite süresinin uzunluğu ile ilişkilidir. K...

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“…Prospective [14][15][16][17] and cross-sectional [18][19][20] studies have assessed psychological functioning in men at diagnosis or immediately prior to ART treatment. In broad terms, these sought to elucidate the nature of psychological distress; whether there were differences in psychological symptoms, most commonly depression and anxiety or quality of life between men and women, whether rates of clinically significant symptoms exceeded population prevalence and whether risk factors for, or correlates of, mental health problems could be identified.…”

Section: Psychological Reactions To Infertility Diagnosesmentioning

confidence: 99%

Psychological and social aspects of infertility in men: an overview of the evidence and implications for psychologically informed clinical care and future research

Fisher¹,

Hammarberg²

2011

Asian J Androl

194

162

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Research concerning the psychosocial aspects of infertility and infertility treatment focuses more often on women than men. The aim of this review was to synthesize the English-language evidence related to the psychological and social aspects of infertility in men and discuss the implications of these reports for clinical care and future research. A structured search identified 73 studies that reported data concerning the desire for fatherhood and the psychological and social aspects of diagnosis, assisted reproductive technology (ART) treatment and unsuccessful treatment among men with fertility difficulties. The studies are diverse in conceptualisation, design, setting and data collection, but the findings were reasonably consistent. These studies indicated that fertile and infertile childless men of reproductive age have desires to experience parenthood that are similar to those of their female counterparts; in addition, diagnosis and initiation of treatment are associated with elevated infertility-specific anxiety, and unsuccessful treatment can lead to a state of lasting sadness. However, rates of clinically significant mental health problems among this patient population are no higher than in the general population. Infertile men who are socially isolated, have an avoidant coping style and appraise stressful events as overwhelming, are more vulnerable to severe anxiety than men without these characteristics. Men prefer oral to written treatment information and prefer to receive emotional support from infertility clinicians rather than from mental health professionals, self-help support groups or friends. Nevertheless, structured, facilitated psycho-educational groups that are didactic but permit informal sharing of experiences might be beneficial. There are gaps in knowledge about factors governing seeking, persisting with and deciding to cease treatment; experiences of invasive procedures; parenting after assisted conception; adoption and infertility-related grief and shame among men. Few resource-constrained countries have any data concerning male experiences of infertility.

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Infertility, mental disorders and well‐being – a nationwide survey

Abstract: Infertility was associated with mental health, especially dysthymia and anxiety. The results differed by gender and the permanency of infertility. Gender-specific psychosocial support and follow-up for infertile people is warranted.

Cited by 169 publications

References 28 publications

Perception of the Psychosocial Aspects of Subfertility by Parents Following Successful Medically Assisted Conception: A Qualitative Study

Perception of the Psychosocial Aspects of Subfertility by Parents Following Successful Medically Assisted Conception: A Qualitative Study

Is There a Relationship Between Ovarian Reserve Tests with Depression and Anxiety Scales?

Psychological and social aspects of infertility in men: an overview of the evidence and implications for psychologically informed clinical care and future research

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