DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20200354

Assessment of depression, anxiety and stress among Indian infertile couples in a tertiary health care centre in Bihar

Kalpana Singh, Kumari Shashi, Kumari Rajshee, Shivani Sinha, Geetam Bharti

Abstract


Background: Infertility rate is on rising trend. It is often associated with a chronic state of stress which may manifest itself in anxiety-related and depressive symptoms. Also, the affected family faces social discrimination, ostracism and stigma which leads to increased anxiety or depression among infertile couples. The motive of this study was to assess the quality of life among infertile couples; to determine the relationship between various domains of quality of life of infertile couples i.e. emotional, mind/body, relational, social, environmental and tolerability and to determine the association of levels of quality of life of infertile couples with the selected variables visiting  IGIMS.

Methods: This was a cross-sectional based study; carried out in the department of reproductive medicine, IGIMS, Patna, Bihar for one-year duration (January 2017 to December 2017), on 122 infertile patients attending outpatient department for treatment. Data was collected by using self-administered questionnaire i.e. Ferti QoL questionnaire and HADS.

Results: Among all these 96 cases was found to be suffering from primary infertility and 26 cases from secondary infertility. In primary infertile patient social domain was the most affected domain having the greatest impact on their quality of life. In secondary infertile patients the tolerability domain was the most affected domain having the greatest impact on their quality of life. The total fertility quality of life score in primary infertility patients showed a lesser quality of life (55.41) than secondary infertility patients (66.29).

Conclusions: This study points at the necessity of specific psychological interventions, presently absent from the public healthcare routine, for women struggling with infertility, to help them manage potential mental health problems and meet their reproductive goals.


Keywords


Anxiety, Depression, Fertility quality of life, Hospital anxiety and depression scale, Infertility, Questionnaire

Full Text:

PDF

References


Verhaak CM, Smeenk J, Evers A, Kremer J, Kraaimaat F, Braat D. Women’s emotional adjustment to IVF: a systematic review of 25 years of research. Hum Reprod Update. 2007;13:27-36.

Dancet E, Nelen W, Sermeus W, Leeuw De L, Kremer J, Hooghe TD. The Patients perspective on fertility care: a systematic review. Hum Reprod Update. 2010;16(5):467-87.

Chachamovich JR, Chachamovich E, Ezer H, Fleck MP, Knauth D, Passos EP. Investigating quality of life and health-related quality of life in infertility: a systematic review. J Psychosom Obstet Gynaecol. 2010;31(2):101-10.

Schmidt L. Psychosocial burden of infertility and assisted reproduction. J Lancet. 2006;367(9508):379-80.

Boivin J, Takefman J, Braverman A. The fertility quality of life (FertiQoL) tool: development and general psychometric properties. Hum Reprod. 2011;26(8):2084-91.

Cousineau TM, Domar AD. Psychological impact of infertility. J Best Practice Res Clin Obstet Gynaecol. 2007;21(2):293-308.

Greil AL, Slauson-Blevins K, McQuillan J. The experience of infertility: a review of recent literature. Sociol Health Illn. 2010;32(1):140-62.

King RB. Subfecundity and anxiety in a nationally representative sample. Soc Sci Med. 2003;56(4):739-51.

Klemetti R, Raitanen J, Sihvo S, Saarni S, Koponen P. Infertility, mental disorders and well-being–a nationwide survey. Acta Obstet Gynecol Scand. 2010;89(5):677-82.

Verhaak CM, Smeenk JM, Evers AW, Kremer JA, Kraaimaat FW, Braat DD. Women's emotional adjustment to IVF: a systematic review of 25 years of research. Hum Reprod Update. 2007;13(1):27-36.

Greil AL, McQuillan J, Lowry M, Shreffler KM. Infertility treatment and fertility-specific distress: a longitudinal analysis of a population-based sample of U.S. women. SocSci Med. 2011;73(1):87-94.

Matthiesen SM, Frederiksen Y, Ingerslev HJ, Zachariae R. Stress, distress and outcome of assisted reproductive technology (ART): a meta-analysis. Hum Reprod. 2011;26(10):2763-76.

Lakatos E, Szigeti JF, Ujma PP, Sexty R, Balog P. Anxiety and depression among infertile women: a cross-sectional survey from Hungary. BMC Women's Health. 2017;17:48.

Beutel M, Kupfer J, Kirchmeyer P, Kehde S, Kohn FM, Schroeder-Printzen I, et al. Treatment related stresses and depression in couples undergoing assisted reproductive treatment by IVF or ICSI. Androl. 1999;31:27-35.

Domar AD, Broome A, Zuttermeister PC, Seibel M, Friedman R. The prevalence and predictability of depression in infertile women. Fertil Steril. 1992;58(6):1158-63.

Aarts J, Empel IV, Boivin J, Nelen W, Kremer J, Verhaak C. Relationship between quality of life and distress in infertility: a validation study of the Dutch FertiQoL. Hum Reprod. 2011;26(5):1112-8.

Ramezanzadeh F, Aghssa MM, Abedinia N, Zayeri F, Khanafshar N, Shariat M, et al. A survey of relationship between anxiety, depression and duration of infertility. BMC Womens Health. 2004;4(1):9.

Alhassan A, Ziblim AR, Muntaka S. A survey on depression among infertile women in Ghana. BMC Womens Health. 2014;14(1):42.