Quantitative and Qualitative Analyses of Psychological Experience and Adjustment of In Vitro Fertilization-Embryo Transfer Patients

Kong, Lin; Shao, Yun; Xia, Jing; Han, Jiyang; Zhan, Yuhua; Guo, Lan; Wang, Xumei

doi:10.12659/msm.916627

Cited by 20 publications

(18 citation statements)

References 21 publications

(19 reference statements)

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“…On the one hand, reproductive problems in this population are inherently heterogeneous, and their fertility tends to be less than that of the general population. On the other hand, it is di cult to distinguish between anxiety as a cause or a consequence of semen quality decline in such subjects [53] .…”

Section: Discussionmentioning

confidence: 99%

Association of Anxiety With Sperm Quality: a Multicentre Cross-sectional Study in China During the COVID-19 Outbreak

Wang

Yang

et al. 2021

Preprint

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Objectives: There is no report about association of anxiety on sperm quality during the COVID-19 epidemic. Purpose of this study was to investigate the relationship between anxiety and sperm quality during the COVID-19 outbreak in China.Methods: 896 sperm donors from 7 sperm banks in China were investigated, and passed the screening for sperm donation between 23 January 2020 and 8 June 2020. Semen quality analysis follows the standards of the WHO Fifth Edition Human Semen Examination and Processing Manual. Anxiety symptoms were assessed by the Generalized Anxiety Disorder Scal-7(GAD-7). Logistic regression and linear regression were used to identify the association between anxiety level and sperm quality.Results: Participants with anxiety status (N = 155; 17.3%) had lower sperm concentration (56.81 ± 32.70 vs. 47.21 ± 30.76 [106/mL]), sperm volume (3.58 ± 1.65 vs. 3.04 ± 1.69 [mL], P < 0.001), total sperm count (7.29 ± 1.23 vs. 6.56 ± 1.63 [106], P < 0.001), and progressive motility (50.86 ± 12.45 vs. 38.50 ± 17.00 [%], P < 0.001) than those without anxiety. Linear regression showed that anxiety symptoms was significantly associated with 8.13 (95% confidence interval [CI]: 2.51, 13.75), 0.49 (0.20, 0.79) ,51.05 (23.43, 78.68) and 12.15 (95% CI: 23.43, 78.68), reduction in sperm concentration, semen volume, and total sperm count and progressive motility respectively.Conclusions: This study revealed that anxiety symptoms were negatively associated with semen quality, and interaction was discovered between debt stress and anxiety.

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Section: Discussionmentioning

confidence: 99%

Association of Anxiety With Sperm Quality: a Multicentre Cross-sectional Study in China During the COVID-19 Outbreak

Wang

Yang

et al. 2021

Preprint

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“…The long-term married couples will face more psychological pressure with repeated failure in the long-term treatment. Li et al [32] found that in 260 pairs of infertile couples treated with IVF-ET, the incidence of psychological problems such as anxiety and depression was signi cantly higher than that of normal fertile couples. The infertile women with repeated IVF-ET cycles often bear the dual pressure of family and society, and have varying degrees of psychological problems.…”

Section: Discussionmentioning

confidence: 99%

Analysis on the Levels of Hope and Influencing Factors of Infertile Women with First-time and Repeated IVF-ET Cycle

Huang

Tong

et al. 2021

Preprint

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Purpose: To explore the hope level and influencing factors of infertile women with first-time and repeated in vitro fertilization-embryo transfer (IVF-ET).Methods: Patients were divided into First (first-time) and Repeat (≥2 cycles) groups, then questionnaire survey was conducted. The questionnaire included demographic information, Herth hope index (HHI) scale, Locke-Wallace short marital-adjustment test scale and social support rating scale. Multiple linear regression was used to analyze the associated influencing factors with hope level.Results: A total of 298 IVF-ET patients were recruited in the study, including 150 (50.3%) in the first cycle and 148(49.7%) in the repeated cycle. The HHI score of the repeated cycle was significantly lower than that of the first cycle (34.4 ± 3.5 vs. 37.5± 3.7, P<0.001). Multiple linear regression analysis indicated that repeated IVF-ET and age was independently negatively correlated with HHI, with a standardized coefficient β of -0.895 and -0.223, both P＜0.001. While high education level (P=0.002), high monthly income(P=0.020), high degree of short marital-adjustment test(P＜0.001) and social support rating(P＜0.001) were independently positively correlated with HHI.Conclusion: The infertile women with repeated IVF-ET have a low hope level. Maintaining a good marriage adjustment, establishing a good social support and relationship network, may effectively improve their hope level.

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“…Understanding the patient experience during a global pandemic is imperative especially given the increased rates of mental health conditions (e.g., anxiety, depression) within the IVF community [ 5 ]. In our study, we selected Instagram posts that followed the ASRM’s recommendation to postpone IVF cycles to detail the experiences of patients impacted by COVID-19.…”

Section: Discussionmentioning

confidence: 99%

“…The process of undergoing medical treatment for infertility is challenging for women and requires significant cost, time, and tolerance for the physical effects of procedures and hormonal injections [ 2 , 3 ]. In-vitro fertilization (IVF) treatments often require multiple cycles to achieve pregnancy leading to emotional oscillations between hope and grief and thereby placing patients at increased risk of mental health conditions [ 4 , 5 ]. With the emergence of the COVID-19 pandemic, additional challenges arose as physicians, including infertility specialists, were confronted with achieving a balance between providing high-quality healthcare and minimizing patient risk.…”

Section: Introductionmentioning

confidence: 99%

Trends in Social Media Topics During COVID-19 Among Women Undergoing Assisted Reproductive Technology Treatments

Perone¹,

Stump²,

Herweck³

et al. 2020

Cureus

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Patients undergoing fertility treatments, such as in-vitro fertilization (IVF), face unique challenges both physically and mentally. With the emergence of the COVID-19 global pandemic, IVF patients began to face additional obstacles as hospitals and clinics shut down in compliance with recommendations for limiting exposure risk. In order to assess the impact of COVID-19 on IVF patients, we conducted a qualitative analysis using 563 public Instagram posts collected from three randomly selected days in March 2020. After the exclusion of 354 posts, thematic coding was used to analyze 209 posts. Five major themes were identified including (1) the medical and physical experience of IVF, (2) emotional spectrum, (3) sources of social support, (4) coping mechanisms, and (5) education on social media. Posts were categorized based on whether COVID-19 was discussed and theme frequencies were compared. The majority of patients impacted by the pandemic discussed setbacks to care, such as clinic closures. In addition, posts authored by those impacted by COVID-19 contained more negative emotions and fewer positive emotions compared to unaffected users. Despite an increase in setbacks and negative emotions, posts offering support nearly tripled in frequency highlighting the resilience of the IVF community. Our thematic analysis supports the need for careful consideration of the psychological and social effects of cycle cancellations on the IVF community. Experiences and sentiments revealed by this study should be considered when a successive pandemic or global emergency threatens IVF treatment protocols.

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Quantitative and Qualitative Analyses of Psychological Experience and Adjustment of In Vitro Fertilization-Embryo Transfer Patients

Cited by 20 publications

References 21 publications

Association of Anxiety With Sperm Quality: a Multicentre Cross-sectional Study in China During the COVID-19 Outbreak

Association of Anxiety With Sperm Quality: a Multicentre Cross-sectional Study in China During the COVID-19 Outbreak

Analysis on the Levels of Hope and Influencing Factors of Infertile Women with First-time and Repeated IVF-ET Cycle

Trends in Social Media Topics During COVID-19 Among Women Undergoing Assisted Reproductive Technology Treatments

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