Qualidade de vida, ansiedade, depressão e desesperança em casais inférteis

Autores

DOI:

https://doi.org/10.33448/rsd-v11i16.37904

Palavras-chave:

Qualidade de vida; Ansiedade; Depressão; Infertilidade.

Resumo

Objetivo: Avaliar qualidade de vida, ansiedade, depressão e desesperança em casais submetidos a avaliação/tratamento em serviço público de Reprodução Humana no Brasil. Método: Todos os casais estiveram em avaliação e tratamento para fertilização de setembro de 2014 a julho de 2015 foram entrevistados. Os instrumentos utilizados foram a Escala de Ansiedade e Depressão Hospitalar (HAD), o Fertility Quality of Life tool e a Escala de Desesperança de Beck. Resultados: Participaram do estudo 272 participantes (57,4% mulheres). Foram encontrados 20,9% de sintomas de ansiedade, 12,2% de depressão e 18,4% de desesperança no grupo. Os resultados mostraram que os baixos índices nas subescalas Emocional e Mente/Corpo estavam relacionados aos sintomas depressivos em mulheres, enquanto a relação com a depressão centrava-se na subescala Mente/Corpo. Nas mulheres, os baixos índices foram encontrados nas subescalas Emocional e Mente/Corpo relacionados com a desesperança, enquanto nos homens as subescalas Mente/Corpo e Tolerabilidade mostraram-se significativamente comprometidas. Conclusões: A experiência do casal pode se tornar um fator de risco maior aos danos na qualidade de vida durante o tratamento, o que aumenta a possibilidade de um impacto significativo na saúde física e mental do casal.

Referências

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

Publicado

15/12/2022

Como Citar

PINHEIRO, D.; GONÇALVES, C. de S. C. .; SANTOS, Ítala P. F. P. dos .; CALDAS, M. .; CUNHA, M. do C. V. da .; BARBOSA, L. N. F. .; GOMES, P. C. dos S. . Qualidade de vida, ansiedade, depressão e desesperança em casais inférteis . Research, Society and Development, [S. l.], v. 11, n. 16, p. e467111637904, 2022. DOI: 10.33448/rsd-v11i16.37904. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/37904. Acesso em: 4 jul. 2024.

Edição

Seção

Ciências da Saúde