Emotional Impact of Reduced Access to Assisted Reproductive Care.
| Autor: | Tatpati LL, Hudson SB, Ehlers SL, Coddington CC 3rd |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of reproductive medicine [J Reprod Med] 2015 Sep-Oct; Vol. 60 (9-10), pp. 404-8. |
| Abstrakt: | Objective: To evaluate the impact of cessation of fertility services on patients with infertility. Study Design: A cross-sectional, anonymous mail survey was conducted in a university hospital setting. A total of 281 female infertility patients treated from 2003-2006 were mailed surveys. The main outcome measures of the study were the Perceived Stress Scale 10 (PSS-10) and the Impact of Events Scale (IES). Results: Of the 281 patients, 175 (62.3%) responded to the questionnaire. Of those, 51 (29.1%) reported being affected by the closure. The majority (58.9%) reported a somewhat or very negative impact on their perceived quality of life. Affected patients were more likely than unaffected patients to have an elevated PSS-10 result (odds ratio [OR] 2.1, 95% confidence interval [CI] 1.04-4.3). No significant difference was seen in IES results, with 90.2% of affected and 81.5% of unaffected patients scoring in the high distress range (OR 2.1, 95% CI 0.77-5.65). Self-reported average stress levels were reduced following news of resumption of services (3.3, scale 1-10) as compared to both prior to (5.1) and during (7.4) the closure. Conclusion: When fertility services are discontinued, there may be significant emotional distress among the population affected. Health care providers should be aware of the impact infertility has on stress-coping and quality of life and be prepared to offer psychological services. |
| Databáze: | MEDLINE |
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