İnfertilite tedavisinin anksiyete ve depresyon düzeyleri üzerine etkisi

Year 2019, Volume: 44 Issue: 2, 410 - 415, 30.06.2019

Mahmut Yassa , Erol Arslan Duru Saygin Gulbahar

https://doi.org/10.17826/cumj.456723

Cited By: 7

Abstract

Amaç: Bu çalışmamın amacı kadınların depresyon ve anksiyete skorlarıyla en fazla ilişkili faktörlerin ortaya konması ve açıklanamayan infertiliteye sahip primer ve sekonder infertil kadınlar arasındaki olası farkların bulunmasıdır.

Gereç ve Yöntem: Bu çalışma 166 primer ve 60 sekonder infertil kadını içeren kontrollü prospektif bir çalışmadır. Bunlar hormonal ya da uterin patholojisi olmayıp açıklanamayan infertilite grubundaydı. Hastalar Beck depresyon envanteri ve Hamilton anksiyete skorlamasını içeren bir anket formunu doldurdular. 

Bulgular: İki grup arasında anksiyete ve depresyon skorları arasında fark bulunamadı. Alt grup analizileri arasında da sadece şiddetli depresyon sekonder infertil grupta anlamlı derecede daha yüksekti (11/60 ile 10/166,). Hastaların yaşı ile anksiyete skorları ve tedavi deneme sayısı ile depresyon skorları arasında korelasyon olduğu görüldü.

Sonuç: İnfertilite tedavisinin kadın sağlığı üzerine fiziksel yan etkileri olduğu kadar onlara psikolojik bir yük de getirmektedir.Belli kültürlerde çocuk sahibi olmak oldukça önemli olsa da yine de infertilite tedavisine başlamış ve daha fazla çocuk isteyen sekonder infertillerde stresi azaltmayabilmektedir. Primer ya da sekonder infertil olmasına bakılmaksızın infertilite tedavisine başlayacak hastaların desteklenmesi onların mizacını olumlu yönde etkilyeceği gibi tedavi başarısını arttırması bakımından da önemlidir.

Keywords

Açıklanamayan infertilite, kadın, depresyon, anksiyete

Effects of infertility treatment on anxiety and depression levels

Abstract

Purpose: In this study, we aimed to show the most related factors with women's anxiety and depression levels as well find out the differences between primary and secondary infertile women with unexplained reason. 

Materials and Methods: This was a prospective controlled study of 166 primary and 60 secondary infertile women. They had unexplained infertility and had not any hormonal or uterine pathology. Beck Depression Inventory and Hamilton Anxiety Rating Scale were used for questionnaire. 

Results: While there were not any differences between two groups for anxiety and depression scores as well for subgroups, secondary infertile women showed a higher rate of severe depression than primary infertile women (11/60 vs. 10/166). While patients' age was correlated with anxiety score, number of treatment attempts was correlated with depression score.

Conclusion: Infertility treatment does not have only physical side effects but it has also a psychological burden for women. While having a child is very important for some cultures it may not decrease the stress of women who started infertility treatment and wanted to have more. It is important to support the women who undergo infertility treatment whether is primary or secondary infertile, while this affects the patient's mood positively as well may increase the success of treatment.

Keywords

Unexplained infertility, women, depression, anxiety

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