Emotional states of couples undergoing in vitro fertilization
Keywords:
Anxiety, Self-concept, Depression, InfertilityAbstract
Infertility intrudes into the plans in one’s personal life and the life of a couple, and causes mental suffering. In vitro fertilization is a new technique in reproductive technology and offers fresh hope of having children, but at the same time, it is considered to be a stressful experience. The aim of this study is to compare the emotional state of men and women undergoing in vitro fertilization and identify a possible relationship between women’s emotional state and a successful outcome. Twenty couples in their first cycle of in vitro fertilization were included in this study. Men and women were submitted individually to psychological interviews and tests between 5 and 10 days after the transfer
of pre-embryos. Women presented higher levels of anxiety and depression than men. Their self-esteem proved to be lower. Those women (25%) that presented psycho-emotional symptoms, did not get pregnant, however this relationship was not significant. Based on these findings, we conclude that women presented greater anxiety and symptoms of depression than the men and had lower self-esteem. The group of women with psycho-emotional symptoms displayed a tendency not to get pregnant.
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Beaurepaire, J., Jones, M., Thiering, P., Saunders, D., & Tennant, C. (1994). Psychosocial adjustment to infertility and its treatment: male and female responses at different stages of IVF/treatment. Journal of Psychosomatic Research, 38 (3), 229-40.
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, G. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4 (1), 53-63.
Berg, B..J., Wilson, J..F. & Weingartner, P..J. (1991). Psychological sequelae of infertility treatment: the role of gender and sex-role identification. Social Science and Medicine, 33 (9),1071-1080.
Beutel, M., Kupfer, J., Kirchmeyer, P., Kehde, S., Köhn, F-M., Schroeder-Printzen, I., et al. (1999). Treatment: related stresses and depression in couples undergoing assisted reproductive treatment by IVF or ICSI. Andrologia, 31 (1), 27-35.
Boivin, J., & Takefman, J. E. (1995). Stress level across stages of in vitro fertilization in subsequently pregnant and non pregnant women. Fertility and Sterility, 64 (4), 802-810.
Boivin, J., Andersson, L., Skoog-Svanberg, A., Hjelmstedt, A., Collins, A., & Bergh T. (1998). Psychological reactions during in-vitro fertilization: similar response pattern in husbands and wives. Human Reproduction, 13 (11), 3262-7.
Collins, A., Freeman, E. W., Boxer, A. S., & Tureck, R. (1992). Perceptions of infertility and treatment stress in females as compared with males entering in vitro fertilization treatment. Fertility and Sterility, 57 (2), 350-356.
Del Porto, J. A. (1989). Aspectos gerais das escalas para avaliação de depressão. In Centro de pesquisa em psicobiologia clínica. Escalas de avaliação para monitorização de tratamento com psicofármacos São Paulo: Escola Paulista de Medicina.
Dini, G. M. (2000). Adaptação cultural, validade e reprodutibilidade da versão brasileira da escala de auto-estima de Rosenberg Dissertação de mestrado não-publicada, Universidade Federal de São Paulo.
Dratcu, L., Costa Ribeiro, L., & Calil, H. M. (1987). Depression assesment in Brazil. The first application of the Montgomery-Asberg depression rating scale. The British Journal of Psychiatry, 150, 797-800.
Edelmann, R. J., Connolly K. J., & Bartlett, H. (1994). Coping strategies and psychological adjustment of couples presenting for IVF. Journal of Psychosomatic Research, 38 (4), 355-364.
Goldberg, D. P. (1972). The detection of psychiatric illness by questionnaire Maudsley Monograph nº 21. London: Oxford University Press.
Gorenstein, C., & Andrade, L. (1996). Validation of a portuguese version of the Beck Depression Inventory and the State: Trait Anxiety Inventory in Brazilian subjects. Brazilian Journal of Medical and Biological Research, 29 (4), 453-7.
Gorenstein, C., Andrade, L., Vieira Filho, A. H. G., Tung, T. C., & Artes, R. (1999). Psychometric properties of the Portuguese version of the Beck Depression Inventory on Brazilian college students. Journal of Clinical Psychology, 55 (5), 553-62.
Gorenstein, C., Pompéia, S., & Andrade, L. (1995). Scores of Brazilian university students on the Beck depression inventory and the state-trait anxiety inventory. Psychological Reports, 77, 635-641.
Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery & Psychiatry, 23, 56-62.
Hearn, M. T., Yuzpe, A. A., Brown, S. E., & Casper, R. F. (1987). Psychological characteristics of in vitro fertilization participants. American Journal of Obstetrics and Gynecology, 156 (2), 269-74.
Hennelly, B., Harrison, R. F., Kelly, J., Jacob, S., & Barrett, T. (2000). Spontaneous conceptin after a successful attempt at in vitro fertilization/intracytoplasmic sperm injection. Fertility and Sterility, 73, 774-78.
Kendall, P. C., Hollon, S. D., Beck, A. T., Hammen, C. I., & Ingram, R. E. (1987). Issues and recommendations regarding use of the Beck Depression Inventory. Cognitive Therapy and Research, 11 (3), 289-99.
Mahlstedt, P. P. (1985). The psychological component of infertility. Fertility and Sterility, 43 (3), 335-45.
Mari, J. J., & Williams, P. (1985). A comparison of the validity of two psychiatric screening questionnaires (GHQ-12 and SRQ-20) in Brazil, using Relative Operating Characteristic (ROC) analysis. Psychological Medicine, 15, 651-9.
Moreno, R. A., & Moreno, D.H. (1998). Escalas de depressão de Montgomery & Asberg (MADRS) e de Hamilton (HAM-D). Revista de Psiquiatria Clínica, 25 (5, edição especial), 262-272.
Newton, C. R., Hearn, M. T., & Yuzpe, A. A. (1990). Psychological assessment and follow-up after in vitro fertilization: assessing the impact of failure. Fertility and Sterility, 54 (5), 879-86.
Remington, R. D., & Schork, M. A. (1970). Statistics with applications to biological and health sciences. Englewood Cliffs, New Jersey: Prentice-Hall.
Rosenberg, M. (1965). Society and the adolescent self image Princeton: Princeton University Press.
Siegel, S., & Castellan, J. R. (1988). Nonparametric statistics. 2nd ed. New York: McGraw-Hill.
Slade, P., Emery, J., & Lieberman, B. A. (1997). A prospective, longitudinal study of emotions and relationships in in-vitro fertilization treatment. Human Reproduction, 12 (1), 183-90.
Thiering, P., Beaurepaire, J., Jones, M., Saunders, D., & Tennant C. (1993). Mood state as a predictor of treatment outcome after in vitro fertilization/embryo transfer technology (IVF/ET). Journal of Psychosomatic Research, 37 (5), 481-91.
Verhaak, C. M., Smeenk, J. M. J., Eugster, A., van Minnen, A., Kremer, J. A. M., & Kraaimaat, F. W. (2001). Stress and marital satisfaction among women before and after their first cycle of in vitro fertilization and intracytoplasmic sperm injection. Fertility and Sterility, 76 (3), 525-31.
Williams, J. B. W. (1988). A structured interview guide for the Hamilton depression rating scale. Archives of General Psychiatry, 45 (8), 742-7.
Wright, J., Duchesne, C., Sabourin, S., Bissonnette, F., Benoit, J., & Girard, Y. (1991). Psychosocial distress and infertility: men and women respond differently. Fertility and Sterility, 55 (1), 100-8.
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Copyright (c) 2022 Helena Maria Loureiro MONTAGNINI, Sérgio Luís BLAY, Neil Ferreira NOVO, Vilmon de FREITAS, Agnaldo Pereira CEDENHO
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