Survey frequency of the depression and anxiety levels of infertile women in western Iran

Shoboo Rahmati; Ali Delpisheh; Ashraf Direkvand Moghadam; Kourosh Sayehmiri; Fathola Mohamadian

doi:10.13181/mji.v28i1.2940

Authors

Shoboo Rahmati Student Research Committee, Ilam University of Medical Sciences, Ilam
Ali Delpisheh Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam
Ashraf Direkvand Moghadam Department of Midwifery, Faculty of Nursing and Midwifery, Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam
Kourosh Sayehmiri Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam
Fathola Mohamadian Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam

DOI:

https://doi.org/10.13181/mji.v28i1.2940

Keywords:

anxiety, depression, fertility, infertility, Iran

Abstract

BACKGROUND Infertility among couples is a painful emotional problem, which results in the feeling of grief in the form of psychological problems such as depression and anxiety. The present study was aimed to survey the frequency of depression and anxiety levels of infertile women in western Iran in 2017.

METHODS This cross-sectional study used a simple random sampling method for selecting the sample. The study population consisted of all infertile women who went to Farhangian health center in Ilam. The Beck’s Depression Inventory, Beck’s Anxiety Inventory, and demographic characteristics questionnaire were used for collecting the data. The questionnaires were distributed among midwife experts and patients. The collected data were analyzed by the chi-square test and variance analysis using SPSS version 20.

RESULTS Among 200 infertile women, 53.5%, 32%, 11%, and 3.5% suffered from severe, moderate, mild, and no anxiety, respectively. However, 96.5% suffered from various degrees of anxiety with 85.5% from clinical anxiety. In addition, 42%, 19.5%, 14.5%, and 24% suffered from severe, moderate, mild, and no depression, respectively. However, 76% suffered from various degrees of depression with 61.5% from clinical depression. There is a significant relationship between the education level of husbands, education level of women, and type of infertility (p<0.05). Women who had a lower than diploma education level and primary infertility suffered from higher anxiety levels.

CONCLUSIONS There was a high level of anxiety and depression in infertile women; therefore, it is necessary to pay attention to these disorders in the process of treatment of infertile women.

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References

Abbasi-Shavazi MJ, Inhorn MC, Razeghi-Nasrabad HB, Toloo G. The "Iranian ART Revolution" infertility, assisted reproductive technology, and third-party donation in the Islamic Republic of Iran. J Middle E Womens ST. 2008;4(2):1-28. https://doi.org/10.2979/MEW.2008.4.2.1

Su TJ, Chen YC. Transforming hope: the lived experience of infertile women who terminated treatment after in vitro fertilization failure. J Nurs Res. 2006;14(1):46-54. https://doi.org/10.1097/01.JNR.0000387561.03823.8e

Joelsson LS, Berglund A, Wanggren K, Tyden T. Symptoms of anxiety and depression among infertile women, women pregnant after infertility treatment and spontaneously pregnant women. Fertil Steril. 2016;106(3):e335. https://doi.org/10.1016/j.fertnstert.2016.07.949

Mohammadi MR, Farahani FKA. Emotional and psychological problems of infertility and strategies to overcome them. J Reprod Infertil. 2001;2(4):33-9.

Sadock B, Sadock V. Psychiatry and reproductive medicine. Kaplan and Sadock's Synopsis of Psychiatry. 2007. p. 255-9.

Sargolzaee MR, Moharreri F, Arshadi HR, Javadi K, Karimi S, Fayyazi-bordbar MR. Psychosexual and depression disorders in infertile female referring to Mashhad Infertility Treatment Center. J Reprod Infertil. 2001;2(4):46-51.

George C, Herman KC, Ostrander R. The family environment and developmental psychopathology: the unique and interactive effects of depression, attention, and conduct problems. Child Psychiatry Hum Dev. 2006;37(2):163-77. https://doi.org/10.1007/s10578-006-0026-5

Hammond DC. Effects of using a nursing crisis intervention program on psychosocial responses and coping strategies of infertile women during in vitro fertilization. American Journal of Clinical Hypnosis. 2004;46(4):373.

Cousineau TM, Domar AD. Psychological impact of infertility. Best Pract Res Clin Obstet Gynaecol. 2007;21(2):293-308. https://doi.org/10.1016/j.bpobgyn.2006.12.003

Nilforooshan P, Ahmadi SA, Abedi MR, Ahmadi SM. Attitude towards infertility and its relation to depression and anxiety in infertile couples. J Reprod Infertil. 2006;6(5):546-52.

Bakhtiyari M, Ehrampoush E, Enayati N, Joodi G, Sadr S, Delpisheh A, et al. Anxiety as a consequence of modern dietary pattern in adults in Tehran-Iran. Eat Behav. 2013;14(2):107-12. https://doi.org/10.1016/j.eatbeh.2012.12.007

Seif D, Alborzi S, Alborzi S. Effect of some affective and demographic variables on life satisfaction of infertile women. J Reprod Infertil. 2001;2(4):66-74.

Loewenthal K, Lewis CA. An introduction to psychological tests and scales: Psychology Press; 2018: 47-56.

Hossein Kaviani H, Mousavi AS. Psychometric properties of the Persian version of beck anxiety inventory (BAI). Tehran Univ Med J. 2008;66(2):136-40.

Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988;56(6):893-7. https://doi.org/10.1037/0022-006X.56.6.893

Li CH, Huang LN, Zhang MC, He M. Forensic psychiatric assessment for organic personality disorders after craniocerebral trauma. Fa Yi Xue Za Zhi. 2017;33(2):158-61. https://doi.org/10.3969/j.issn.1004-5619.2017.02.010

Ardeshiri F. Assessment of Group cognitive behavioral counseling effectiveness on decreasing infertile women's depression in Shahriar city. Azad U J. 2004;1(1):50-4.

Farzadi L, Ghasemzadeh A. Two main independent predictors of depression among infertile women: an Asian experience. Taiwan J Obstet Gynecol. 2008;47(2):163-7.

https://doi.org/10.1016/S1028-4559(08)60074-1

Meller WH, Zander KM, Crosby RD, Tagatz GE. Luteinizing hormone pulse characteristics in depressed women. Am J Psychiatry. 1997;154(10):1454-5. https://doi.org/10.1176/ajp.154.10.1454

Haririan H MpY, Aghajanlo A. Prevalence of depression in infertile women referred to the clinic Urmia Kosar infertility. Archive of SID. 2010;13(2):45–9.

Kalkhoran LF, Bahrami H, Farrokhi NA, Zeraati H, Tarahomi M. Comparing anxiety, depression and sexual life satisfaction in two groups of fertile and infertile women in Tehran. J Reprod Infertil. 2011;12(2):157-62.

Shahordy J AM, Sadegi KH, Bakhteari M, Rezaei M, Vaisi F, KHamushi F. Comparison of Mental Health, happiness, feelings of inferiority, sexual satisfaction and conflicts Marital fertile and infertile women Kermanshah. Journal of Clinical Research and Medical Science. 2015;4(3):277-85.

Pour RE, Banihasheiman K. Comparison of sex disorders and couple abuse among fertile and infertile women. J Birjand Univ Med Sci. 2010;18(1):10-7.

Ramezanzadeh F, Aghssa MM, Abedinia N, Zayeri F, Khanafshar N, Shariat M, et al. A survey of relationship between anxiety, depression and duration of infertility. BMC Womens Health. 2004;4(1):9. https://doi.org/10.1186/1472-6874-4-9

Guz H, Ozkan A, Sarisoy G, Yanik F, Yanik A. Psychiatric symptoms in Turkish infertile women. J Psychosom Obstet Gynaecol. 2003;24(4):267-71. https://doi.org/10.3109/01674820309074691