The Risk of Psychiatric Morbidity and Course of Distress in Males Undergoing Infertility Evaluation Is Affected by Their Factor of Infertility
| Autor: | Katarzyna Warchoł-Biedermann |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Infertility
Adult Male medicine.medical_specialty Health (social science) media_common.quotation_subject involuntary childlessness lcsh:Medicine Fertility 03 medical and health sciences stress 0302 clinical medicine Medicine Humans Psychological testing 030212 general & internal medicine Psychiatry Involuntary childlessness Infertility Male media_common Psychiatric Status Rating Scales 030219 obstetrics & reproductive medicine Male factor fertility treatment business.industry male psychology lcsh:R Public Health Environmental and Occupational Health Middle Aged medicine.disease Health Surveys Distress Reference values surveys and questionnaires Original Article General health Poland business Stress Psychological |
| Zdroj: | American Journal of Men's Health, Vol 13 (2019) American Journal of Men's Health |
| ISSN: | 1557-9891 |
| Popis: | This panel study aimed to explore the effects of male, female, mixed or idiopathic factor of infertility on the course of clinical distress and possible psychiatric morbidity in involuntarily childless males undergoing fertility evaluation for the first time. A sample of 255 males completed the General Health Questionnaire-28 (GHQ-28) (a) at the baseline, before their initial fertility evaluation (T1); (b) before their second andrological appointment 2–3 months after diagnostic disclosure (T2); and (c) before subsequent treatment-related/follow-up appointments (T3, T4) to be screened for clinically significant distress and risk for psychiatric morbidity. Then they were dichotomized as non-cases and cases. The timing of psychological testing was strictly related to andrological appointments and medical procedures. The research demonstrated that the baseline prevalence of clinical distress and psychiatric morbidity in all the subgroups was similar to reference values, but then significantly surged after the diagnostic disclosure, particularly in male and mixed factor respondents. However, the percentage of clinically distressed mixed or idiopathic factor of infertility respondents remained stable after diagnostic disclosure and during the entire follow-up. The prevalence of clinically significant distress and risk for psychiatric morbidity in the male factor of infertility, female factor of infertility, and mixed factor subgroups decreased during the follow-up but remained higher than at the baseline. The study identifies that the course of distress and risk of psychiatric morbidity of males is significantly affected by their factor of infertility and changes across the pathway of treatment-related/follow-up appointments. |
| Databáze: | OpenAIRE |
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