Quality of life, anxiety, depression and hopelessness in infertile couples
DOI:
https://doi.org/10.33448/rsd-v11i16.37904Keywords:
Quality of life; Anxiety; Depression; Infertility.Abstract
Objectives: Evaluate quality of life, anxiety, depression and hopelessness of couples undergoing assessment/treatment at the public Human Reproduction Service in Brazil. Methods: All couples that were under assessment and treatment for fertilization from September 2014 to July 2015 were interviewed. The instruments used were the Hospital Anxiety and Depression Scale, the Fertility Quality of Life tool and Beck's Hopelessness Scale. Results: 272 people participated in this study (57.4% female). Symptoms of anxiety were found in 20.9%, of depression in 12.2% and hopelessness in 18.4% of the group. The results showed that the low indexes in the Emotional and Mind/Body subscales were related to depression symptoms in women, while in men the relationship with depression centered on the Mind/Body subscale. In the women, low indexes were found in the Emotional and Mind/Body subscales related to hopelessness, while in men the Mind/Body and Tolerability subscales were the most significantly compromised. Conclusions: The couple's experience becomes a greater risk of damage to quality of life during treatment, which furthers the possibility of significant impact to the physical and mental health of the couple.
References
Aarts, J. W. M., Huppelschoten, A. G., van Empel, I. W. H., Boivin, J., Verhaak, C. M., Kremer, J. A. M., & Nelen, W. L. (2012). How patient-centred care relates to patients quality of life and distress: A study in 427 women experiencing infertility. Human Reproduction, 27(2), 488–495. https://doi.org/10.1093/humrep/der386
Aarts, J. W. M., van Empel, I. W. H., Boivin, J., Nelen, W. L., Kremer, J. A. M., & Verhaak, C. M. (2011). Relationship between quality of life and distress in infertility: A validation study of the Dutch FertiQoL. Human Reproduction, 26(5), 1112–1118. https://doi.org/10.1093/humrep/der051
Bagheri, F., Nematollahi, A., Sayadi, M., & Akbarzadeh, M. (2021). Comparison of the quality of life in fertile and infertile women admitted to Shiraz’s healthcare centers during 2017-2018. Shiraz E Medical Journal, 22(6). https://doi.org/10.5812/SEMJ.104622
Boivin, J., & Gameiro, S. (2015a). Evolution of psychology and counseling in infertility. Em Fertility and Sterility (Vol. 104, Issue 2, p. 251–259). Elsevier Inc. https://doi.org/10.1016/j.fertnstert.2015.05.035
Boivin, J., & Gameiro, S. (2015b). Evolution of psychology and counseling in infertility. Em Fertility and Sterility (Vol. 104, Issue 2, p. 251–259). Elsevier Inc. https://doi.org/10.1016/j.fertnstert.2015.05.035
Boivin, J., Takefman, J., & Braverman, A. (2011). The fertility quality of life (FertiQoL) tool: Development and general psychometric properties. Human Reproduction, 26(8), 2084–2091. https://doi.org/10.1093/humrep/der171
Botega, N. J. (2017). Prática Psiquiátrica no Hospital Geral: Interconsulta e Emergência (4ed ed). Artmed.
Chachamovich, J., Chachamovich, E., Fleck, M. P., Cordova, F. P., Knauth, D., & Passos, E. (2009). Congruence of quality of life among infertile men and women: Findings from a couple-based study. Human Reproduction, 24(9), 2151–2157. https://doi.org/10.1093/humrep/dep177
Chachamovich, J. R., Chachamovich, E., Ezer, H., Fleck, M. P., Knauth, D., & Passos, E. P. (2010). Investigating quality of life and health-related quality of life in infertility: A systematic review. Em Journal of Psychosomatic Obstetrics and Gynecology (Vol. 31, Issue 2, p. 101–110). https://doi.org/10.3109/0167482X.2010.481337
Cunha, M. do C. V. da. (2008). Infertilidade: repercussões no psiquismo e na vida das mulheres durante diagnóstico e tratamento [Dissertação]. Universidade Federal de Pernambuco.
Cunha, J. (2001). Manual da Versão em Português das Escalas Beck. Casa do Psicólogo.
Domar, A., Gordon, K., Garcia-Velasco, J., la Marca, A., Barriere, P., & Beligotti, F. (2012). Understanding the perceptions of and emotional barriers to infertility treatment: A survey in four European countries. Human Reproduction, 27(4), 1073–1079. https://doi.org/10.1093/humrep/des016
Domar AD, Friedman R, & Zuttermeister P. (1999). Distress and Conception in Infertile Women: A Complementary Approach. Journal of American Medical Women’s Association., 54(4), 196–198.
Dural, O., Yasa, C., Keyif, B., Celiksoy, H., Demiral, I., Yuksel Ozgor, B., Gungor Ugurlucan, F., & Bastu, E. (2016). Effect of infertility on quality of life of women: a validation study of the Turkish FertiQoL. Human Fertility, 19(3), 186–191. https://doi.org/10.1080/14647273.2016.1214754
Fallahzadeh, H., Zareei Mahmood Abadi, H., Momayyezi, M., Malaki Moghadam, H., & Keyghobadi, N. (2019). The comparison of depression and anxiety between fertile and infertile couples: A meta-analysis study. International Journal of Reproductive BioMedicine, 153–162. https://doi.org/10.18502/ijrm.v17i3.4514
Greil, A. L. (1997). Infertility and psychological distress: A critical review of the literature. Social Science and Medicine, 45(11), 1679–1704. https://doi.org/10.1016/S0277-9536(97)00102-0
Hakim, L. Z., Newton, C. R., MacLean-Brine, D., & Feyles, V. (2012). Evaluation of preparatory psychosocial counselling for medically assisted reproduction. Human Reproduction, 27(7), 2058–2066. https://doi.org/10.1093/humrep/des129
Hsu, P. Y., Lin, M. W., Hwang, J. L., Lee, M. S., & Wu, M. H. (2013). The fertility quality of life (FertiQoL) questionnaire in Taiwanese infertilecouples. Taiwanese Journal of Obstetrics and Gynecology, 52(2), 204–209. https://doi.org/10.1016/j.tjog.2013.04.009
Huppelschoten, A. G., van Dongen, A. J. C. M., Verhaak, C. M., Smeenk, J. M. J., Kremer, J. A. M., & Nelen, W. L. D. M. (2013). Differences in quality of life and emotional status between infertile women and their partners. Human Reproduction, 28(8), 2168–2176. https://doi.org/10.1093/humrep/det239
Kessler, R. C., Birnbaum, H., Bromet, E., Hwang, I., Sampson, N., & Shahly, V. (2010). Age differences in major depression: Results from the national comorbidity survey replication (NCS-R). Psychological Medicine, 40(2), 225–237. https://doi.org/10.1017/S0033291709990213
Kessler, R. C., Keller, M. B., & Wittchen, H.-U. (2001). The epidemiology of generalized anxiety disorder. The Psychiatric Clinics of North America, 24(1), 19–39.
Kjaer, T. K., Jensen, A., Dalton, S. O., Johansen, C., Schmiedel, S., & Küjaer, S. K. (2011). Suicide in Danish women evaluated for fertility problems. Human Reproduction, 26(9), 2401–2407. https://doi.org/10.1093/humrep/der188
Malik, S. M., & Coulson, N. (2008). The male experience of infertility: A thematic analysis of an online infertility support group bulletin board. Journal of Reproductive and Infant Psychology, 26(1), 18–30. https://doi.org/10.1080/02646830701759777
Martins, M. v., Peterson, B. D., Almeida, V. M., & Costa, M. E. (2011). Direct and indirect effects of perceived social support on womens infertility-related stress. Human Reproduction, 26(8), 2113–2121. https://doi.org/10.1093/humrep/der157
Mascarenhas, M. N., Flaxman, S. R., Boerma, T., Vanderpoel, S., & Stevens, G. A. (2012). National, Regional, and Global Trends in Infertility Prevalence Since 1990: A Systematic Analysis of 277 Health Surveys. PLoS Medicine, 9(12). https://doi.org/10.1371/journal.pmed.1001356
Mokhtari Sorkhani, T., Ahmadi, A., Mirzaee, M., Habibzadeh, V., & Alidousti, K. (2021). Effectiveness of Counseling for Infertile Couples on Women’s Emotional Disturbance: A Randomized Clinical Trial. Revista Brasileira de Ginecologia e Obstetricia, 43(11), 826–833. https://doi.org/10.1055/s-0041-1736305
Namdar, A., Naghizadeh, M. M., Zamani, M., Yaghmaei, F., & Sameni, M. H. (2017). Quality of life and general health of infertile women. Health and Quality of Life Outcomes, 15(1). https://doi.org/10.1186/s12955-017-0712-y
Rooney, K. L., & Domar, A. D. (2018). The relationship between stress and infertility. Dialogues in Clinical Neuroscience, 20(1), 42–46. www.dialogues-cns.org
Royani, Z., Heidari, M., Vatanparast, M., Yaghmaei, F., Sarcheshme, A. K., & Majomerd, J. K. (2019). Predictors of Quality of Life in Infertile Couples. Journal of Menopausal Medicine, 25(1), 35. https://doi.org/10.6118/jmm.2019.25.1.35
Sexty, R. E., Hamadneh, J., Rösner, S., Strowitzki, T., Ditzen, B., Toth, B., & Wischmann, T. (2016). Cross-cultural comparison of fertility specific quality of life in German, Hungarian and Jordanian couples attending a fertility center. Health and Quality of Life Outcomes, 14(1). https://doi.org/10.1186/s12955-016-0429-3
Simionescu, G., Doroftei, B., Maftei, R., Obreja, B.-E., Anton, E., Grab, D., Ilea, C., & Anton, C. (2021). The complex relationship between infertility and psychological distress (Review). Experimental and Therapeutic Medicine, 21(4). https://doi.org/10.3892/etm.2021.9737
Tao, P., Coates, R., & Maycock, B. (2012). Investigating Marital Relationship in Infertility: A Systematic Review of Quantitative Studies. J Reprod Infertil, 13(2), 71–80.
Verhaak, C. M., Smeenk, J. M. J., Evers, A. W. M., Kremer, J. A. M., Kraaimaat, F. W., & Braat, D. D. M. (2007). Women’s emotional adjustment to IVF: A systematic review of 25 years of research. Em Human Reproduction Update (Vol. 13, Issue 1, p. 27–36). https://doi.org/10.1093/humupd/dml040
Vieira, S., & Hossne, W. S. (2015). Metodologia Científica para a Área da Saúde.
Yaǧmur, Y., & Oltuluoǧlu, H. (2012). Social Support and Hopelessness in Women Undergoing Infertility Treatment in Eastern Turkey. Public Health Nursing, 29(2), 99–104. https://doi.org/10.1111/j.1525-1446.2011.00976.x
Yang, T., Wongpakaran, N., Wongpakaran, T., Saeng-Anan, U., Singhapreecha, C., Jenraumjit, R., & Peisah, C. (2022). Factors Associated with Anxiety and Depression in Infertile Couple: Study Protocol. Healthcare (Switzerland), 10(7). https://doi.org/10.3390/healthcare10071352
Zhang, L., Shao, H., Huo, M., Chen, J., Tao, M., & Liu, Z. (2022). Prevalence and associated risk factors for anxiety and depression in infertile couples of ART treatment: a cross-sectional study. BMC Psychiatry, 22(1). https://doi.org/10.1186/s12888-022-04256-9
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 David Pinheiro; Caio de Sousa Costa Gonçalves; Ítala Paula Feitosa Prazeres dos Santos; Madalena Caldas; Maria do Carmo Vieira da Cunha; Leopoldo Nelson Fernandes Barbosa; Paulo Cesar dos Santos Gomes
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
