A study to screen infertile couples for psychological problems by using the perceived stress scale, brief COPE scale and hospital  anxiety and depression scale

Vikas Singh; Yogesh Rajesh Bhirud; Prasad Lele; Santosh Bhagasra

doi:10.18203/2320-6012.ijrms20210872

Authors

Vikas Singh Department of Obstetrics and Gynecology, INHS, Asvini Hospital, Colaba, Mumbai, Maharashtra, India
Yogesh Rajesh Bhirud Department of Obstetrics and Gynecology, INHS, Asvini Hospital, Colaba, Mumbai, Maharashtra, India
Prasad Lele Department of Obstetrics and Gynecology, INHS, Asvini Hospital, Colaba, Mumbai, Maharashtra, India
Santosh Bhagasra Department of Anesthesiology, Dr S. N. Medical College, Jodhpur, Rajasthan, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20210872

Keywords:

Perceived stress scale, Brief COPE scale, Hospital anxiety, Depression scale

Abstract

Background: Infertility refers to the biological inability of a couple to contribute towards conception, or the state of a woman, who is unable to carry a pregnancy to full term. Though infertility is not only a disease per se it embraces a wide spectrum, but its treatment also affects all aspects of people’s lives. Aim of the study was to screen infertile couples for psychological problems, and to identify various psychological problems and factors associated with these problems.

Methods: It was a cross-sectional study with total of 270 consecutive couples (patients) either of them diagnosed with infertility. All the patients who were found to have anxiety and depression score above seven were then interviewed by the psychiatrist for anxiety and depression.

Results: Mean age of the males and females was 32.2 years and 29.7 years, respectively. Duration of marriage was less than five years in 37% couples while it was more than ten years in 19.6% couples. The major cause of infertility was identified in about two-thirds of the cases (64.1%). Prevalence of anxiety was observed in 49.6% females and 45.6% of males. Prevalence of depression was significantly higher among females (41.9%) as compared to males (37%).

Conclusions: The present study has endeavored to draw attention to the interrelation of anxiety and depression among infertile couples. Apart from searching for the gynecological causes of infertility; psychological morbidity should be considered as a serious concern affecting these women.

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References

Lash MM, Yaghamee A, Strohsnitter W, Lalwani s. Association between secondary infertility and fallopian tube obstruction on hysterosalpingography. J Reprod Med. 2008;5:677-80.

Vayena E, Rowe PJ, Griffin PD. Current Practices and Controversies in Assisted Reproduction. Geneva: World Health Organization. 2002;15-21.

Singh P, Shukla U. Inability to conceive and treatment seeking behavior in Uttar Pradesh state in India. Canadian Studies Population. 2015;15:1-12.

Lechner L, Bolman C, van Dalen A. Definite involuntary childlessness: Associations between coping, social support and psychological distress. Hum Reprod. 2007;22:288-94.

Singh P, Shukla U. Inability to conceive and treatment seeking behavior in Uttar Pradesh state in India. Canadian Studies Population. 2015;15:1-12.

El Kissi Y, Amamou B, Hidar S, Idrissi A, Khairi H, Hadj Ali BB. Quality of life of infertile Tunisian Couples and difference According to Gender. Int J Gynaecol Obstetr. 2014;125(2);134-7.

Verhaak CO, Vaillant GE. Is the U-curve of marital satisfaction an illusion? A 40-year study of marriage. J Marriage Family. 2001;55:230-9.

Boivin J. A review of psychosocial interventions in infertility. Social Sci Med. 2003;57:2325-41.

Sujindra E, Bupathy A, Praveena R, Sivasankari T. Psychological evaluation of infertile couples: Results of a questionnaire survey. Fertility Sci Res. 2015;2(1):34.

Kumar N, Singh AK. Trends of male factor infertility, an important cause of infertility: A review of literature. J Human Reprod Sci. 2015;8(4):191-6.

Khalid K, Gupta JK, Mires G. Core clinical cases in obstetrics and gynaecology: a problem-solving approach. London: Hodder Arnold. 2005.

Grover S, Dutt A, Avasthi A. An overview of Indian research in depression Indian J Psychiatry. 2010;52(1):S178-88.

Fassino S, Piero A, Boggio S, Piccioni V, Garzaro L. Anxiety, depression and anger suppression in infertile couples: a controlled study. Human Reprod. 2002;17:2986-94.

Makar RS, Toth TL. The evaluation of infertility. Am J Clin Pathol. 2002;117(1):95-103.

Patel A, Sharma PS, Kumar P, Binu VS. Illness cognitions, anxiety, and depression in men and women undergoing fertility treatments: A dyadic approach. J Hum Reprod Sci. 2018;11:180-9.

Donkor ES, Sandall J. Coping strategies of women seeking infertility treatment in southern Ghana. Afr J Reprod Health. 2009;13(4):81-93.