Purpose: The COVID-19 pandemic may cause fear and uncertainty in infertile couples during
their treatment. To investigate infertile couples’ fear of COVID-19 and whether they continue with
treatment.
Methods: This descriptive study was conducted from February to April 2021 in 101 (101 women
and 101 men) infertile couples receiving fertility treatment at the IVF Center Unit. Study data were
collected using a questionnaire to determine the sociodemographic and infertility-related
characteristics of the couples receiving infertility treatment and the Fear of COVID-19 Scale
scores. The data were evaluated using descriptive statistics, a student's t-test to compare the means
of two groups, and one-way ANOVA to compare the means of more than two groups.
Results: The couples’ mean Fear of COVID-19 Scale score was 23.63±1.54. A significant difference
in the mean Fear of COVID-19 Scale score was found regarding the infertility periods of the couples
(p<0.005). Most of the couples wanted to continue with treatment during the pandemic.
Conclusion: Fear of COVID-19 in infertile couples is at a moderate level.
Referans1. Ahorsu, D.K., Lin, C.Y., Imani, V., Saffari, M., Griffiths, M.D. et al. (2022). The Fear of COVID-19 Scale: Development and initial validation. International Journal of Mental Health and Addiction, 20, 1537–45 https://doi.org/10.1007/s11469-020-00270-8
Referans2. Altın, Z. (2020). Elderly People in Covid-19 Outbreak. The Journal of Tepecik Education and Research Hospital, 30, 49-57
Referans3. Asai, K., Wakashima, K., Toda, S., Koiwa, K. (2021). Fear of novel coronavirus disease (COVID-19) among pregnant and infertile women in Japan J Affect Disord Rep., 4, 100-4. doi: 10.1016/j.jadr.2021.100104
Referans4. American Psychiatric Association (APA) New poll: COVID-19 impacting mental wellbeing. https://www.psychiatry.org/newsroom/news-releases/new-poll-covid-19-impacting-mental-well- being-americans-feeling-anxiousespecially-for-loved-ones-olderadults-are-lessanxious Date: 2020 Date accessed: April 1, 2020
Referans5. Barra, F., Lucia, La Rosa V., Vitale, G.S., Commodari, E., Altieri, M. et al. (2022) Psychological status of infertile patients who had in vitro fertilization treatment interrupted or postponed due to COVID-19 pandemic: a crosssectional study. Journal of Psychosomatic Obstetrics & Gynecology,42(1):145-152 http://dx.doi.org/10.1080/ 0167482X.2020.1863651
Referans6. Beji, N.K. (2016). İnfertilite. Hemşire ve Ebelere Yönelik Kadın Sağlığı ve Hastalıkları Nobel Tıp Kitapevleri İstanbul: İletişim.
Referans7. Cooper, T.G., Noonan, E., Eckardstein, S. (2010). Hum. Reprod., 16, 3, 231–45.
Referans8.Cook, R.D., Weisburg, S. (2009). Applied Regression Including Computing and Graphics. John Wiley and Soons; Inc.
Referans9. Deka, P.K., Sarma, S. (2010). Psychological aspects of infertility. British Journal of Medical Practitioners, 3(3), 336-8.
Referans10. El, Kissi, Y., Romdhane, A.B., Hidar, S., Bannour, S., Khadjia, A. et al. (2013). General psychopathology, anxiety, depression and self-esteem in couples undergoing infertility treatment: a comparative study between men and women. Eur. J. Obs. Gynecol. Reprod. Biol., 167, 185–9. doi:10.1016/j.ejogrb.2012.12.014.
Referans11. European Society for Human Reproduction and Embriology. Coronavirus Covid-19: ESHRE statement on pregnancy and conception. 2020. Available at: https://www.eshre.eu/Press-Room/ESHRE-News (Accessed: 19 March 2020).
Referans12. Esposito, V., Rania, E., Lico, D., Pedri, S., Fiorenza, A. et al. (2020). Influence of COVID-19 pandemic on the psychological status of infertile couples. Eur J Obstet Gynecol Reprod Biol. Oct; 253,148-53.
Referans13. Gordon, L.J., Balsom, A.A. (2020). The psychological impact of fertility treatment suspensions during the COVID-19 pandemic. PLoS ONE, 15, 9, 239-53. https://doi.org/10.1371/journal.pone.0239253
Referans14. Haham, L.M., Youngster, M., Shani, A.K. Yee, S., Ben-Kimhy, R. et al. (2021). Suspension of fertility treatment during the COVID-19 pandemic: views, emotional reactions and psychological distress among women undergoing fertility treatment. Reprod Biomed Online.,42(4): 849–858. doi: 10.1016/j.rbmo.2021.01.007
Referans15. Ladi̇kli̇, N., Bahadır, E., Yumuşak, F., Akkuzu, H., Karaman, G. et al. (2020). Covid-19 Korkusu Ölçeği’nin Türkçe güvenirlik ve geçerlik çalışması. International Journal of Social Science, 3, 2, 71-80
Referans16. Lawson, A.K., McQueen, D.B., Swanson, A.C., Confinol, R., Feinberg, E.C. et al. (2021). Psychological distress and postponed fertility care during the COVID-19 pandemic Journal of Assisted Reproduction and Genetics, 38, 333–341
Referans17. Mascarenhas, M.N., Flaxman, S.R., Boerma, T., Vanderpoal, S., Stevens, A.G. (2012). National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys. PLoS Med, 9, 12 doi: 10.1371/journal.pmed.1001356
Referans18. Ostle, B., Malone, L.C. (1988). Statistics in Research. Low a State Unıversity Press., Ames, Lowa Republic of Turkey Ministry of Health, 2022 Covid 19 Bilgilendirme Formu https://covid19.saglik.gov.tr/ Erişim Tarihi: 24.11.2022
Referans19. Rutstein, S.O., Shah, I.H. (2004). Infecundity infertility and childlessness in developing countries. Geneva: World Health Organization
Referans20. Şahin, B., Şahin, B., Karlı, P., Sel, G., Hatırnaz, Ş. et al. (2021). Level of depression and hopelessness among women with infertility during the outbreak of COVID-19: a cross-sectional investigation Clin. Exp. Obstet. Gynecol., 48, 3, 594-600 doi:10.31083/j.ceog.2021.03.2435
Referans21. Taşkın, L. (2016). Doğum ve Kadın Sağlığı Hemşireliği, Akademisyen Tıp Kitabevi. 71-80.
Turkish Statistical İnstitute (TUİK) infertility Rate, 2020
Referans22. Zar, J.H. (1984). Biostatisticalanalysis. Second Edition. Prentice-Hall. Englewood Cliffs, New Jersey. World Health Organization (WHO) Coronavirus (COVID-19) dashboard. https://covid19.who.int/?adgroupsurvey={adgroupsurvey}&gclid=CjwKCAjwv_iEBhASEiwARoemv CAkqxEj_7Guq73FQLj8aD7gVGm2cP0FGWKQOrwoROTGRFvRIqmklhoCQKIQAvD_BwE Date: 2020 Date accessed: November 14, 2022
Referans23. World Health Organization (WHO) Director-General's remarks at the media briefing on 2019-nCoV on 11 February 2020. https://www.who.int/dg/speeches/detail/who-director-general-s-remarks-at-the-media-briefing-on-2019-ncov-on-11-february-2020 Date: 2020 Date accessed: April 19, 2022
İnfertil Çiftlerin COVID-19 Korkusu ve Tedaviye Devam Etme Durumlarının Belirlenmesi
Amaç: COVID-19 pandemisi tedavi sürecinde olan infertil çiftlerin korku ve belirsizlik yaşamalarına
neden olabilir. Bu araştırma, infertilite tedavisi alan çiftlerin COVID-19 korkusu ve tedaviye devam
etme durumlarını belirlenmesi amacıyla yapıldı.
Yöntem: Bu tanımlayıcı araştırma, Şubat- Nisan 2021 tarihleri arasında Tüp Bebek Merkezi
Ünitesi’nde infertilite tedavisi alan araştırmaya katılmaya gönüllü olan 202 (101 kadın,101 erkek)
infertil çift oluşturdu. Araştırmanın verileri; infertilite tedavisi alan çiftlerin sosyo-demografik ve
infertiliteye ilişkin özelliklerini belirlemeye yönelik anket formu ve COVID-19 korku ölçeği
kullanılarak toplandı. Elde edilen veriler; tanımlayıcı istatistikler, iki grup ortalamaları karşılaştırması
için student’s t testi ve ikiden fazla grup ortalamaları karşılaştırması için oneway ANOVA testi
kullanılarak değerlendirildi.
Bulgular: Araştırmada infertil çiftlerin COVID 19 korku ölçeği puan ortalamasının 23.63±1.54
olduğu saptandı. Çiftlerin infertilite süresine göre COVID-19 korku ölçeği puan ortalamaları
aralarında anlamlı bir farklılığın olduğu belirlendi (p<0.005). Araştırmada çiftlerin çoğunluğunun
pandemi sürecinde tedaviye istekli olduğu saptandı.
Sonuç: Araştırma, infertil çiftlerin COVID-19 pandemi korkusunun orta düzeyin üzerinde olduğunu göstermiştir.
Araştırmamıza katılan tüm infertil çiftlere teşekkür ederiz
Kaynakça
Referans1. Ahorsu, D.K., Lin, C.Y., Imani, V., Saffari, M., Griffiths, M.D. et al. (2022). The Fear of COVID-19 Scale: Development and initial validation. International Journal of Mental Health and Addiction, 20, 1537–45 https://doi.org/10.1007/s11469-020-00270-8
Referans2. Altın, Z. (2020). Elderly People in Covid-19 Outbreak. The Journal of Tepecik Education and Research Hospital, 30, 49-57
Referans3. Asai, K., Wakashima, K., Toda, S., Koiwa, K. (2021). Fear of novel coronavirus disease (COVID-19) among pregnant and infertile women in Japan J Affect Disord Rep., 4, 100-4. doi: 10.1016/j.jadr.2021.100104
Referans4. American Psychiatric Association (APA) New poll: COVID-19 impacting mental wellbeing. https://www.psychiatry.org/newsroom/news-releases/new-poll-covid-19-impacting-mental-well- being-americans-feeling-anxiousespecially-for-loved-ones-olderadults-are-lessanxious Date: 2020 Date accessed: April 1, 2020
Referans5. Barra, F., Lucia, La Rosa V., Vitale, G.S., Commodari, E., Altieri, M. et al. (2022) Psychological status of infertile patients who had in vitro fertilization treatment interrupted or postponed due to COVID-19 pandemic: a crosssectional study. Journal of Psychosomatic Obstetrics & Gynecology,42(1):145-152 http://dx.doi.org/10.1080/ 0167482X.2020.1863651
Referans6. Beji, N.K. (2016). İnfertilite. Hemşire ve Ebelere Yönelik Kadın Sağlığı ve Hastalıkları Nobel Tıp Kitapevleri İstanbul: İletişim.
Referans7. Cooper, T.G., Noonan, E., Eckardstein, S. (2010). Hum. Reprod., 16, 3, 231–45.
Referans8.Cook, R.D., Weisburg, S. (2009). Applied Regression Including Computing and Graphics. John Wiley and Soons; Inc.
Referans9. Deka, P.K., Sarma, S. (2010). Psychological aspects of infertility. British Journal of Medical Practitioners, 3(3), 336-8.
Referans10. El, Kissi, Y., Romdhane, A.B., Hidar, S., Bannour, S., Khadjia, A. et al. (2013). General psychopathology, anxiety, depression and self-esteem in couples undergoing infertility treatment: a comparative study between men and women. Eur. J. Obs. Gynecol. Reprod. Biol., 167, 185–9. doi:10.1016/j.ejogrb.2012.12.014.
Referans11. European Society for Human Reproduction and Embriology. Coronavirus Covid-19: ESHRE statement on pregnancy and conception. 2020. Available at: https://www.eshre.eu/Press-Room/ESHRE-News (Accessed: 19 March 2020).
Referans12. Esposito, V., Rania, E., Lico, D., Pedri, S., Fiorenza, A. et al. (2020). Influence of COVID-19 pandemic on the psychological status of infertile couples. Eur J Obstet Gynecol Reprod Biol. Oct; 253,148-53.
Referans13. Gordon, L.J., Balsom, A.A. (2020). The psychological impact of fertility treatment suspensions during the COVID-19 pandemic. PLoS ONE, 15, 9, 239-53. https://doi.org/10.1371/journal.pone.0239253
Referans14. Haham, L.M., Youngster, M., Shani, A.K. Yee, S., Ben-Kimhy, R. et al. (2021). Suspension of fertility treatment during the COVID-19 pandemic: views, emotional reactions and psychological distress among women undergoing fertility treatment. Reprod Biomed Online.,42(4): 849–858. doi: 10.1016/j.rbmo.2021.01.007
Referans15. Ladi̇kli̇, N., Bahadır, E., Yumuşak, F., Akkuzu, H., Karaman, G. et al. (2020). Covid-19 Korkusu Ölçeği’nin Türkçe güvenirlik ve geçerlik çalışması. International Journal of Social Science, 3, 2, 71-80
Referans16. Lawson, A.K., McQueen, D.B., Swanson, A.C., Confinol, R., Feinberg, E.C. et al. (2021). Psychological distress and postponed fertility care during the COVID-19 pandemic Journal of Assisted Reproduction and Genetics, 38, 333–341
Referans17. Mascarenhas, M.N., Flaxman, S.R., Boerma, T., Vanderpoal, S., Stevens, A.G. (2012). National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys. PLoS Med, 9, 12 doi: 10.1371/journal.pmed.1001356
Referans18. Ostle, B., Malone, L.C. (1988). Statistics in Research. Low a State Unıversity Press., Ames, Lowa Republic of Turkey Ministry of Health, 2022 Covid 19 Bilgilendirme Formu https://covid19.saglik.gov.tr/ Erişim Tarihi: 24.11.2022
Referans19. Rutstein, S.O., Shah, I.H. (2004). Infecundity infertility and childlessness in developing countries. Geneva: World Health Organization
Referans20. Şahin, B., Şahin, B., Karlı, P., Sel, G., Hatırnaz, Ş. et al. (2021). Level of depression and hopelessness among women with infertility during the outbreak of COVID-19: a cross-sectional investigation Clin. Exp. Obstet. Gynecol., 48, 3, 594-600 doi:10.31083/j.ceog.2021.03.2435
Referans21. Taşkın, L. (2016). Doğum ve Kadın Sağlığı Hemşireliği, Akademisyen Tıp Kitabevi. 71-80.
Turkish Statistical İnstitute (TUİK) infertility Rate, 2020
Referans22. Zar, J.H. (1984). Biostatisticalanalysis. Second Edition. Prentice-Hall. Englewood Cliffs, New Jersey. World Health Organization (WHO) Coronavirus (COVID-19) dashboard. https://covid19.who.int/?adgroupsurvey={adgroupsurvey}&gclid=CjwKCAjwv_iEBhASEiwARoemv CAkqxEj_7Guq73FQLj8aD7gVGm2cP0FGWKQOrwoROTGRFvRIqmklhoCQKIQAvD_BwE Date: 2020 Date accessed: November 14, 2022
Referans23. World Health Organization (WHO) Director-General's remarks at the media briefing on 2019-nCoV on 11 February 2020. https://www.who.int/dg/speeches/detail/who-director-general-s-remarks-at-the-media-briefing-on-2019-ncov-on-11-february-2020 Date: 2020 Date accessed: April 19, 2022
Güner Emül, T., Dönmez, Ç., & Yaman, S. (2023). Determination of Infertile Couples; Fear of COVID-19 and their Continuation with Treatment. Muş Alparslan Üniversitesi Sağlık Bilimleri Dergisi, 3(3), 22-29.