The Role of Psychological Factors in the Outcome of In Vitro Fertilization in Women with Primary Infertility.

Autor: Ražić Pavičić A; Department of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb, Kispatićeva 12, Zagreb, Croatia, anrazic@gmail.com., Jakšić N, Jakovina T, Skočić Hanžek M, Miškulin I, Gregurek R
Jazyk: angličtina
Zdroj: Psychiatria Danubina [Psychiatr Danub] 2022 Dec; Vol. 34 (Suppl 10), pp. 104-114.
Abstrakt: Introduction: Infertility is a multidimensional developmental crisis of the individual, couple, family and the population as a whole. This study concentrates on the psychological aspects of infertility treatment by in vitro fertilization (IVF). The aim of this study was to examine a connection between certain psychological factors - anxiety, depression, motivation for parenthood, styles of coping with stress - and the outcome of IVF.
Subjects and Methods: The study included 100 primarily infertile women aged 23-38 years, who underwent IVF procedure for the first time, at the Department of Gynaecology and Obstetrics of University Hospital Centre Zagreb. Regarding the outcome of IVF, they were divided into two groups, those with positive outcome (N=50), and those with negative outcome of IVF (N=50). We have applied: general data questionnaire, Parenthood motivation scale, COPE Inventory, and Depression, Anxiety, Stress Scales - 21.
Results: The dimension of motivation for parenthood Relationship and the styles of coping with stress Seeking emotional support, Planning and Active coping proved to be statistically significant predictors of IVF outcome. By increasing the results on the relationship, seeking emotional support and planning subscales, the likelihood of negative outcome was increased. By increasing the results on the active coping subscale, the likelihood of positive outcome was increased. Anxiety and depression symptoms did not prove to be statistically significant predictors of the IVF outcome.
Conclusion: The role of psychological factors is important for understanding the diagnosis and treatment of infertility. They also provide the basis for creating guidelines for specific preventive and educational programs and for special forms of psychological counselling for individuals facing infertility.
Databáze: MEDLINE