- Jalal Shakeri
- - Psychiatry Department, Faculty of Medicine, kermanshah Medical Sciences University, Kermanshah, Iran
- Monir Hossieni
- - Psychology Ward,Farabi Hospital ,Kermanshah University of Medical Sciences , Kermanshah, Iran
- Senobar Golshani
- - Psychology Ward,Farabi Hospital ,Kermanshah University of Medical Sciences , Kermanshah, Iran
- Kheirollah Sadeghi
- 1- Psychology Department, Faculty of Medicine, kermanshah Medical Sciences University, Kermanshah, Iran
- 2- Psychology Department , Tehran Psychiatric Institute, Kermanshah, Iran
- Vahid Fizollahy
- - Psychology Ward,Farabi Hospital ,Kermanshah University of Medical Sciences , Kermanshah, Iran
Received: 10/1/2006 Accepted: 10/1/2006 - Publisher : Avicenna Research Institute |
|
Related Articles |
|
Other Format |
|
|
|
Abstract
Introduction: Nowadays, infertility has turned to a social distress and it is accompanied by numerous psychological and social problems. This phenomenon is known as an agonizing and disappointing stressor for couples, especially for women. Infertility stress can affect personal, social and marital relationships, may cause mental instability and lead to divorce. Likewise, studies have shown IVF may be accompanied by numerous and severe psychological disor-ders. Considering psychosocial and cultural importance of fertility, especially in women, and the high birth rate in Iran, a closer look at this phenomenon with an emphasis on its psycho-social aspects is of importance. Therefore this descriptive study was undertaken to determine mental well-being, marital satisfaction and stress coping in infertile women.Materials & Methods: 150 infertile women attending the forth Shahid of Mehrab Hospital in Kermanshah were randomly selected during 2003. The data were gathered by the researchers, based on CRI-Coping Responses, Index of Marital Satisfaction (IMS) and the General Health Questionnaire (GHQ-28). For the statistical evaluation of the findings, chi-squared and t-test were calculated. P-values smaller than 0.05 were considered significant. Results: The results showed that 44% of the subjects had psychological disorders based on GHQ. Based on the findings from this questionnaire, the cases were divided into two healthy and unhealthy groups. Anxiety rates among the unhealthy group and the functional disorders in the healthy ones revealed to be significantly high (p<0.01 ). 34% of the infertile women, most of whom had been identified to have psychological disorders by ghq, had excitement based reactions and 93% of the ones on the healthy group had problem-based confrontational responses. the findings also revealed that infertility had not had any unpleasant effects on the marital satisfaction of the healthy cases, whereas 35% of the unhealthy ones showed the opposite.conclusion: regarding the results of this study, infertility may have numerous psychological impacts on the infertile and act as a predisposing factor for psychological disorders and matri-monial problems. therefore, a team of psychiatrists accompanying infertility treatment experts is effective in the treatment process and prevention of psychiatric problems in these patients.< pan>0.01>
Keywords:
General health, Marital satisfaction, Coping strategies, Infertility, IVF To cite this article:References
- Yao MWM, Schust DJ. Infertility, Novak’s gyneco-logy. 2002;13th Edition.pp: 973-975
- آخوندي محمدمهدي. آشنايي مقدماتي با ناباروري. فصلنامه بهداشت باروري، سال اول، شماره اول، 1382، صفحات: 31-29
- محمدي محمدرضا، خلجآبادي فراهاني فريده. مشكلات عاطفي و رواني ناشي از ناباروري و راهكارهاي مقـابله بـا آنها، فصلنامه باروري و ناباروري، سال دوم. شماره هشتم، پاييز1380، صفحات: 39-33
- Hirxsch AM, Hirxsch SM. The longer psychosocial effects of infertility. J Obstet Gynecol Neonatal Nurs. 1995;24 (6):517-521
- كرمينوري رضا. ناباروري و جنبههاي رواني- اجتماعي، فصلنامه پزشكي باروري و ناباروري سال دوم، شماره 2 (1379)، صفحات: 68-57
- ربارسولزكي چاهنگ. ناباروري، ارزيابي و درمان، ترجمه محمدعلي كريمزاده، انتشارات يزد،1375، صفحات: 32-28
- Domar AD, Clapp D, Slasby E. The impact of group psychological intervention on pregnancy ractes in infertile woman. Fertil Steril. 2000;73(7):805-811
- Beutel M, Kupfer J, Kirchmeyer P, Kehde S, Kohn FM, Schroeder-Printzen I, et al. Treatment-related stre-sses and depression in couples undergoing assisted reproductive treatment by IVF or ICSI. Andrologia. 1999;31(1):27-35
- Caruso K, Dorothy A, Greenfeld M. Psychological status of in vitro fertilization. Patients during pregnan-cy. Fertil Steril. 2000;73(6):1159-1164
- Boivin J, Takefman JE, Stress level across stages of in vitro fertilization in subsequently pregnant and non-pregnant woman. Fertil Steril. 1995;64(4):802-881
- Rajvir D, Ceinwen E, Cumming DC. Psychological well- being and coping patterns in fertile men. Fertil Steril. 2000;74(5):702-706
- Mcnaughton- C, Bostwick M. Development of brief stress managment support groups for couples undergo-ing in vitro fertilization treatment. Fertil Steril. 2000;74 (81):87-93
- Strauss B, Hepp U, Staeding G. Psychological charac-teristics of infertilie couples:can they predict pregnancy and treatment persistence?. J comm Apple Soc Psychol. 1998;(8):289-301
- حسيني منير. بررسي هويت فردي و افسردگي واكنشي مربوط به آن در دانشجويان فني مهندسي و پزشكي دانشگاههاي شهر كرمانشاه در سال 1375. پاياننامه كارشناسي ارشد روانشناسي تربيتي، دانشگاه الزهرا، 1375
- پالاهنگ حسن، نصر اصفهاني مهدي، براهني محمدنقي، شاه محمدي داوود. همهگير شناسي اختلالات رواني در شهر كاشان. فصلنامه انديشه و رفتار. پاييز 1375، صفحات: 27-19
- جواد قدمگاهي. كيفيت روابط اجتماعي، ميزان استرس و راهبردهاي مقابله با آن در بيماران كرونري قلب. پاياننامه كارشناسي ارشد، تهران، انستيتو روانپزشكي تهران، 1376
- پورشهباز عباس. رابطه بين ارزيابي ميزان استرس رويدادهاي زندگي و تيپ شخصيتي در بيماران مبتلا به سرطان خون، پاياننامه كارشناسي ارشد، انستيتو روانپزشكي تهران، 1372
- خسروي زهره. عوامل پيشبيني كننده سلامت روان در زوجهاي نابارور، فصلنامه باروري و ناباروري، زمستان 1380، صفحات: 64-56
- Hoodsan W, Guidance of walmir scales scoring. Tempe (Editor). Az walmir Publication. 1992
- ابراهيمي امراله، بوالهري جعفر، ذوالفقاري فضليه. بررسي رابطه شيوههاي مقابله با استرس و حمايت اجتماعي با ميزان افسردگي جانباران قطع نخاعي. فصلنامه انديشه و رفتار (1381)، صفحات: 41-40