Author/Authors :
Kazandi، Mert نويسنده Department of Obstetrics and Gynecology, Ege University, ?zmir, Turkey , , Gunday، Ozlem نويسنده Department of Obstetrics and Gynecology, Ege University, ?zmir, Turkey , , Kurtulus Mermer، Timucin نويسنده , , Erturk، Nuray نويسنده Department of Obstetrics and Gynecology, Ege University, ?zmir, Turkey , , Ozk?nay، Erdinc نويسنده Department of Obstetrics and Gynecology, Ege University, ?zmir, Turkey. ,
Abstract :
مقدمه: ناباروري نه تنها يك مشكل پزشكي بلكه يك بحران روانپزشكي نيز مي باشد. عوامل پيش بيني كننده عوارض رواني اجتماعي ناباروري ممكن است در مرد و زن و همچنين در جوامع مختلف متفاوت باشد.
هدف: هدف اوليه اين مطالعه، بررسي اين مسيله بود كه آيا زوجهاي نابارور در تركيه داراي ميزان بالاتري از افسردگي و اضطراب نسبت به زوجهاي بارور مي باشند يا خير؟ هدف ثانويه نيز بررسي ارتباط بين مشخصات بيماران با ميزان افسردگي و اضطراب بود.
مواد و روش ها: اين بررسي به صورت يك مطالعه توصيفي مقطعي بر روي 248 زن نابارور و 96 مرد نابارور و همچنين 51 زن و 40 مرد بارور داراي فرزند كه هيچگونه عامل مختل كننده رواني ديگري نداشتند، انجام گرديد. يك متخصص زنان و زايمان بيماران را از نظر خصوصيات كلي معاينه مي كرد و سپس پرسشنامه Beck Depression Inventory و State-Trait Anxiety Inventory براي بيماران توسط يك روانشناس پر گرديد. جهت مطالعات آماري از Chi-square و Mann–Whitney استفاده شد و 05/0 > p از نظر آماري معني دار در نظر گرفته شد.
نتايج: تفاوت هاي معني دار بين زوج هاي نابارور و زوج هاي بارور از نظر اضطراب مشاهده شد در حاليكه اين تفاوت در افسردگي در بين هر دو گروه چه زن و مرد مشاهده نگرديد. همچنين اضطراب و افسردگي وابستگي به جنس افراد نداشت (213/0p=).
نتيجه گيري: ما بر اين باوريم كه رسيدگي رواني به زوجهاي نابارور بايد متناسب با فرهنگ، مذهب و سطح اجتماعي آنها باشد.
Abstract :
Abstract
Background: Infertility is a major psychosocial crisis as well as being a medical problem. The factors that predict psychosocial consequences of infertility may vary in different gender and different infertile populations.
Objective: The primary purpose of this study was to investigate whether Turkish infertile couples had higher levels of depression and anxiety when compared to non-infertile couples. Our secondary aim was to evaluate the relationship between sociodemographic characteristics and levels of depression and anxiety in Turkish infertile couples.
Materials and Methods: We designed a descriptive cross sectional study of 248 infertile women and 96 infertile men with no psychiatric disturbance and 51 women and 40 men who have children to evaluate the depression and anxiety levels between infertile couples and fertile couples. A gynecologist evaluated participants for demographic data and then they were visited by a psychologist to perform questionnaire scales which were The Beck Depression Inventory and the State-Trait Anxiety Inventory for the evaluation of the degree of psychopathology. The data were statistically analyzed, with p < 0.05 as the level of statistical significance.
Results: We observed significant differences between the infertile couples and fertile couples with respect to state and trait anxiety (p < 0.0001) while no difference was regarding with depression, both of women and men. Anxiety and depression were observed as independent from gender when infertile women and men were compared (p=0.213).
Conclusion: We believed that the psychological management at infertile couples must be individualized with cultural, religious, and class related aspects
