The prevalence of anxiety and depression among people with infertility referring to Royan Institute in Tehran, Iran: A cross-sectional questionnaire study

Maroufizadeh, Saman; Ghaheri, Azadeh; Almasi‐Hashiani, Amir; Mohammadi, Maryam; Navid, Behnaz; Ezabadi, Zahra; Samani, Reza Omani

doi:10.1016/j.mefs.2017.09.003

Cited by 61 publications

(55 citation statements)

References 23 publications

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“…The present study illuminates the differences in the ways women and men experience infertility, with reference to how demographic variables and infertility‐related problems are uniquely related to depression in each gender. Our results found that women are more likely to report a higher number of depressive symptoms than men, in parallel with the results of previous studies (Chiaffarino et al, ; Kissi et al, ; Maroufizadeh et al, ; Wichman, Ehlers, Wichman, Weaver, & Coddington, ). Ethnicity, number of clinic visits, social concern and sexual concern were significant factors associated with depression in women.…”

Section: Discussionsupporting

confidence: 92%

Gender differences in factors associated with depression in infertility patients

Bai

Sun

et al. 2019

Journal of Advanced Nursing

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Aims To clarify gender differences in the demographic variables and infertility problems associated with depression among men and women undergoing infertility treatment. Design A cross‐sectional study. Methods We surveyed 380 women and 360 men undergoing infertility treatment at the reproductive medicine center of a hospital in China's Ningxia Province from March ‐ September 2016. Results For women, ethnicity, the number of clinic visits, social concern, and sexual concern were factors linked with depression symptoms. For men, treatment cost pressure and social concern were significantly associated with depression symptoms. Conclusion Psychological counseling and intervention programs should be integrated into in‐vitro fertilization treatments and interventions should be targeted based on gender differences. Impact The provision of treatment‐related sexual knowledge by nurses is indispensable for infertile participants. Mental health policies should be developed to facilitate the implementation of psychological services. Psychological counseling and intervention programs should be integrated into in vitro fertilization treatment to help men and women with infertility cope with psychological distress.

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Section: Discussionsupporting

confidence: 92%

Gender differences in factors associated with depression in infertility patients

Bai

Sun

et al. 2019

Journal of Advanced Nursing

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“…Specific cases are those of Volgsten et al [25] and Klemetti et al [31], who reported prevalence levels of 8.8 and 14.8% in Sweden and Finland, respectively. Contrastingly, Upkong and Orgi [36] and Maroufizadeh et al [24] found prevalence rates of 37.5 and 58.1% in Nigeria and Iran, respectively. The range also varied in the other studies as anxiety seemed more likely to prevail among infertile women in lowincome countries.…”

Section: Discussionmentioning

confidence: 87%

“…Anxiety is globally recognized as an important determinant of low health and involvement in the use of health services [58]. Organizing support groups for infertile women and providing psychological interventions that emphasize training on coping skills, cognitive behavioral therapy, and anxiety management can exert positive effects on anxiety control in infertile women and their treatment process [24].…”

Section: Discussionmentioning

confidence: 99%

“…Global reports indicated differences in the prevalence of anxiety in infertile couples [21] as infertile women experience a higher level of anxiety than that experienced by infertile men, and the inability to conceive affects anxiety prevalence among the former [22]. The diversity in findings is reflected, for example, in the works of Alosaimi et al [23], Maroufizadeh et al [24], and Volgsten et al [25], who found that anxiety prevalence among infertile women in Saudi Arabia, Iran, and Sweden reached rates of 21.8, 58.1, and 14.8%, respectively. Despite the value presented by these studies, however, no metaanalytic research has been devoted to specifically outlining anxiety prevalence with regard to female factors.…”

Section: Introductionmentioning

confidence: 99%

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The prevalence of anxiety symptoms in infertile women: a systematic review and meta-analysis

Kiani

Simbar

Hajian

et al. 2020

Fertil Res and Pract

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Background: Infertile women are exposed more frequently to anxiety risk than are infertile men, thereby adversely affecting the procedures with which they are treated and the quality of their lives. Yet, this problem is often disregarded. This study accordingly determined the prevalence of anxiety symptoms among infertile women. Methods: All Persian and English studies published from the early 2000s to May 2019 were searched in international (i.e., PubMed, the Cochrane Library, Web of Science, Scopus, Embase, and PsycINFO) and national (i.e., SID, Magiran) databases as well as through Google Scholar. After the titles and abstracts of the articles were reviewed, their quality was evaluated, and relevant works for examination were selected in consideration of established inclusion and exclusion criteria. The risk of biases of individual studies according to Newcastle -Ottawa Scale was assessed. The heterogeneity of the studies was assessed using the I 2 statistic, and indicators of publication bias were ascertained using Egger's test. Stata (version 14) was employed in analyzing the findings. Results: Thirteen studies having a collective sample size of 5055 infertile women were subjected to meta-analysis, with study heterogeneity incorporated into a random effects model. The findings indicated that 36% of the infertile women involved in the evaluated studies self-reported their experience with anxiety. The pooled prevalence of the condition among the subjects was 36.17% [95% confidence interval (CI): 22.47-49.87]. The pooled prevalence levels in low-and middle-income countries and high-income countries were 54.24% (95% CI: 31.86-78.62) and 25.05% (95% CI: 15.76-34.34), respectively. The results revealed no evidence of publication bias (P Egger's test = 0.406). Conclusion: Considering the prevalence of anxiety in infertile women and its effects on health processes and quality of life, this problem requires serious consideration and planning for effective intervention, especially in lowand middle-income nations.

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“…[1] and affects 9% of reproductive-age couples globally [2]. It is a worldwide health problem that is associated with adverse psychological and social consequences [3][4][5][6][7]. Researchers have shown that negative feelings, such as depression, stress, and anxiety, are often mental disorders after experiencing infertility [4,8,9].…”

Section: Introductionmentioning

confidence: 99%

The 6-item Female Sexual Function Index (FSFI-6): factor structure, reliability, and demographic correlates among infertile women in Iran

Maroufizadeh

Riazi

Lotfollahi

et al. 2019

Middle East Fertil Soc J

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Background: The 6-item Female Sexual Function Index (FSFI) is a short form of the original 19-item FSFI that measures sexual function in women. The aim of this study was to examine the factor structure and reliability of the FSFI-6 and to determine the demographic correlates of sexual dysfunction among infertile women in Iran. Results: In total, 250 infertile women participated in this study. The mean total FSFI-6 score was 20.71 ± 5.09. Internal consistency of the FSFI-6 was high (Cronbach's alpha = 0.856). All inter-item correlations and item-total correlations were in acceptable range. The results of confirmatory factor analysis provided support for a unidimensional model of the FSFI-6. Among demographic and infertility variables, higher women's age, low education, unwanted marriage, short infertility duration, and low frequency of intercourse were associated with sexual dysfunction. Conclusions: The FSFI-6 demonstrated sound reliability and validity in this study, supporting its continued use for measuring sexual disfunction among infertile women. Its brevity and comprehensiveness allow a quick assessment both in clinical and research settings.

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The prevalence of anxiety and depression among people with infertility referring to Royan Institute in Tehran, Iran: A cross-sectional questionnaire study

Cited by 61 publications

References 23 publications

Gender differences in factors associated with depression in infertility patients

Gender differences in factors associated with depression in infertility patients

The prevalence of anxiety symptoms in infertile women: a systematic review and meta-analysis

The 6-item Female Sexual Function Index (FSFI-6): factor structure, reliability, and demographic correlates among infertile women in Iran

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