Risk factors for psychiatric disorders in infertile women and men undergoing in vitro fertilization treatment

Volgsten, Helena; Svanberg, Agneta Skoog; Ekselius, Lisa; Lundkvist, Örjan; Sundström‐Poromaa, Inger

doi:10.1016/j.fertnstert.2008.11.008

Cited by 75 publications

(48 citation statements)

References 39 publications

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“…Nevertheless, literature focuses principally on the psychological and emotional impact of infertility and treatment failure couples face [3–6], while it pays less attention on how clinicians can manage delivering bad news in the ART context. Some [10, 19] have highlighted the necessity for infertility specialists to be prepared in disclosing bad news.…”

Section: Introductionmentioning

confidence: 99%

Breaking bad news in assisted reproductive technology: a proposal for guidelines

et al. 2017

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BackgroundThe issue of breaking bad news in assisted reproductive technology (ART) has been only partially explored by literature, and although some recommendations are available, specific guidelines are lacking. The present study aimed to explore the applicability of the oncologic SPIKES Protocol to the ART context.MethodsThirteen ART clinicians (7 gynecologists; 4 psychologists; 1 biologist; 1 obstetrician) completed the Critical Incidents Report (CIR) to describe the experience of delivering bad news in ART. The CIRs were first discussed with clinicians, then a focus group was created composed of 13 clinicians, one health communication expert and a patient to discuss the applicability of the six-step (SPIKES) Buckman Protocol to ART. The discussion was audiotaped, transcribed and analyzed with content analysis.ResultsThe SPIKES Protocol seems to fit ART consultations and participants found it practical and easy to understand. Some specificities were found for the ART context: the reiteration of bad news, the “patient” as a couple and the fact that ability to conceive is closely related to self-esteem, as well as to social and family identity. During the discussion of the SPIKES Protocol, participants highlighted the importance of: 1) providing a caring setting, by adding a reflection on the value of communication by phone; 2) exploring patients’ perceptions but also misinformation; 3) exploring patients’ desires and expectations, while balancing the need to be honest and clear; 4) applying Buckman’s suggestions for delivering information, and integrating clinical aspects with psychosocial ones; 5) managing and legitimizing patients’ emotions, in particular anger; 6) having a strategy for follow-up and supporting couples to make meaning of the ART experience.ConclusionThe proposal of a shared protocol for giving bad news in ART could be the starting point for training and experimental studies.

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Section: Introductionmentioning

confidence: 99%

Breaking bad news in assisted reproductive technology: a proposal for guidelines

et al. 2017

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“…Research on infertile IVF patients has found that 20%–50% report mild to moderate symptoms of depression, 2% report severe symptoms of depression, 15% to 56% report clinically significant anxiety, and that these symptoms worsen after failed treatment cycles (31–33). Of the few studies that have been conducted with FP patients, it has been found that a considerable percentage of FP patients also experience emotional distress during treatment with as many as one third reporting significant anxiety or depression symptoms and 14% taking prescribed antidepressant medication (5, 14).…”

Section: Introductionmentioning

confidence: 99%

Prospective study of depression and anxiety in female fertility preservation and infertility patients

Lawson

Klock

Pavone

et al. 2014

Fertility and Sterility

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Objective To prospectively assess anxiety, depression, coping, and appraisal in female fertility preservation patients compared to infertile patients. Design Prospective pre- and post-treatment survey. Setting Academic medical center. Patients 47 women with cancer (FP) and 91 age-matched infertile patients. Interventions None. Main Outcome Measures Depression, anxiety, coping, infertility–related stress, appraisal of treatment, and medical outcomes. Results FP patients reported more symptoms of anxiety and depression than infertile patients, but infertile patients’ symptoms worsened over time. 44% of FP and 14% of infertile patients’ scores exceeded the clinical cut-off for depression at pre-treatment. The interval between surveys and medical treatment data did not predict changes in mood symptoms. Coping strategies and infertility-related stress did not differ between groups and avoidant coping predicted higher depression and anxiety scores. Conclusion FP patients reported more anxiety and depression than infertile patients at enrollment in treatment, with more than one third of FP patients reporting clinically significant depressive symptoms. However, infertile patients’ anxiety and depressive symptoms increased across treatment. This increase was not related to time between registration for IVF and oocyte retrieval or the medical aspects of treatment. FP and infertile patients should be provided psychological consultation prior to treatment to identify mood and anxiety symptoms and to refer patients for counseling as needed to prevent worsening of symptoms.

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“…As many as 20%–50% of women undergoing IVF cycles were found to have mild-to-moderate symptoms associated with depression, and 2% had severe symptoms. Further, symptoms gradually worsened after failed cycles (29303132). Although we did not find a significant difference in the degree of depression based on smoking status in infertile women, we are the first to report the prevalence of depression in infertile women in Korea.…”

Section: Discussionmentioning

confidence: 99%

Major Disease Prevalence and Menstrual Characteristics in Infertile Female Korean Smokers

et al. 2017

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We investigated the prevalence of smoking and factors associated with smoking in infertile Korean women. Smoking status, education, occupation, personal habits, past medical history, current illness, stress level, and menstrual characteristics were collected from self-report questionnaires. The Beck Depression Inventory (BDI) was used to assess the degree of depression. Data on the causes of infertility and levels of six reproductive hormones were collected from medical records. Among 785 women less than 42 years of age, the prevalence of current, secondhand, past, and never smokers were 12.7%, 45.7%, 0.9%, and 40.6%, respectively. Primary infertility was more frequent in secondhand smokers. Causes of infertility were similar among current, secondhand, and never smokers. Current smokers were less educated (P < 0.001) and more likely to consume alcohol than secondhand or never smokers (P < 0.001). Secondhand smokers slept less than current smokers (P = 0.041). Among several major diseases, only the prevalence of diabetes mellitus (4.0%) was significantly higher in current smokers than in secondhand smokers (0.0%, P = 0.002) or never smokers (0.6%, P = 0.031). The self-reported prevalence of depression, and the degree of depression were similar among women with different smoking statuses. There were no differences in menstrual characteristics or serum levels of six reproductive hormones between current, secondhand, and never smokers, even after excluding women with polycystic ovary syndrome. In conclusion, education/employment status, alcohol drinking, and the prevalence of primary infertility and diabetes mellitus were significantly different according to smoking status among infertile women.

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Risk factors for psychiatric disorders in infertile women and men undergoing in vitro fertilization treatment

Cited by 75 publications

References 39 publications

Breaking bad news in assisted reproductive technology: a proposal for guidelines

Breaking bad news in assisted reproductive technology: a proposal for guidelines

Prospective study of depression and anxiety in female fertility preservation and infertility patients

Major Disease Prevalence and Menstrual Characteristics in Infertile Female Korean Smokers

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