تاثیر افسردگی و اضطراب بر پیامد درمان کمک باروری

نوع مقاله : اصیل پژوهشی

نویسندگان

1 استادیار گروه زنان و ناباروری، دانشگاه علوم پزشکی مشهد

2 استادیار روانپزشکی، دانشگاه علوم پزشکی مشهد

چکیده

مقدمه: موفقیت درمان کمک باروری می تواند وابسته به عوامـل متغیـری مثـل سـطح اضـطراب زن در زمـان درمان باشد. این مطالعه برای ارزیابی تاثیر افسردگی و اضطراب زنان بارور بر پیامد درمـان کمـک بـاروری طراحی شده است. روش کار : این مطالعه موردی شاهدی بر 300 زن نابارور داوطلب روش کمـک بـاروری در مرکـز نابـاروری منتصریه دانشگاه علوم پزشکی مشهد انجام شد. بیماران با آگاهی و رضایت در مطالعه شرکت نمودند. پـیش از استفاده از آنالوگهای هورمونهای آزاد کننده گنادوتروپین، از بیماران خواسته شد که پرسشنامه بررسـی، اضطراب سرشتی و حالتی و نیز پرسشنامه بررسی افسردگی و نیز پرسشنامه مربوط به خصوصیات فـردی آزمونهای حاملگی پانزده روز بعد از انجام IUI و IVF انجالم شد. نتایج: هیچگونه ارتباط آماری قابل توجهی بین سطوح متفـاوت افـسردگی و پیامـد درمـان نابـاروری وجـود نداشت (P=0/19). این ارتباط بین سطوح متفاوت اضـطراب و درمـان نابـاروری چـشمگیر بـود (P=0/016 و P=0/19). با افزایش اضطراب سرشتی و حالتی نتایج مثبت آزمون حاملگی کمتر محتمل بود. نتیجه گیری : ارزیابی دقیق زنان بـا اسـتفاده از یـک گـروه متخصـصین شـامل یـک روانپزشـک بـالینی، یـک روانشناس و یک متخصص زنان و زایمان برای کاهش اضطراب و حصول پیامد بهتر مورد نیاز می باشد.

کلیدواژه‌ها

عنوان مقاله [English]

The Effect of Depression and Anxiety on the Outcome of Assisted Reproductive Technology (ART)

نویسندگان [English]

  • Nezhat moosavifar 1
  • Fatemeh Behdani 2
  • Atefeh Soltanifar 2
  • Paria Hebrani 2
1 Assistant Professor of Gynecology Infertility, Mashhad University of Medical Sciences
2 Assistant Professor of Psychiatry, Mashhad University of Medical Sciences
چکیده [English]

Introduction: Success of assisted reproductive treatment may be dependent a
variable factors such as the woman’s distress level at the term of the treatment. This
study was designed to evaluate the effect of anxiety and depression of infertile
women on the outcome of ART.
Material and Methods: This case-control study was performed on 300 infertile
women who volunteered to undergo ART in Montasariya Infertility Center of
Mashhad University of Medical Sciences. They consecutively invited and agreed to
participate. Before down-regulation by means of gonadotrophin-releasing hormone
(GnRH) analogues patients were asked to complete the State and Trait Anxiety
Inventory to measure anxiety, and the Beck Depression Inventory (BDI) to measure
depression and individual specifications’ questionnaires. Pregnancy tests were done
15 days after performing IUI and IVF.
Results: There were no significant statistical relation between different levels of
depression and the infertility treatment outcome (p = 0.19). This relationship was
significant between different levels of state and trait anxiety and treatment outcome
(p = 0.019 & p = 0.016). With the increase of anxiety the positive result of
pregnancy test was less probable.
Conclusion: An accurate assessment of the infertile women by a team of specialists
consisting of a clinical psychologist, a psychiatrist, and a gynecologist is needed so
that their anxiety would be reduced and better outcome achieved. 

کلیدواژه‌ها [English]

  • Assisted Reproductive Technology (ART)
  • Anxiety
  • Depression
  • Infertility

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مجله زنان، مامایی و نازایی ایران
دوره 10، شماره 2 - شماره پیاپی 2
پاییز و زمستان 1386
مهر 1386
صفحه 119-126

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