Comparing depression and sexual satisfaction in fertile and infertile couples

Bahrami, Nasim; Sattarzadeh, Niloofar; Ranjbar Koochaksariie, Fatemeh; Ghojazadeh, Morteza

Comparing depression and sexual satisfaction in fertile and infertile couples

Vol. 8, Issue 1, / April-June 2007
(Original Article, pages 52-59)

Nasim Bahrami: - Department of Midwifery, Faculty of Nursing & Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
Niloofar Sattarzadeh: - Department of Midwifery, Faculty of Nursing & Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
Fatemeh Ranjbar Koochaksariie: - Department of Psychiatry, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Morteza Ghojazadeh: - Department of Medical Physiology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

Received: 4/1/2007 Accepted: 4/1/2007 - Publisher : Avicenna Research Institute

Other Format

Abstract

Introduction: Some studies demonstrate that depression, stress, low self-esteem and sexual dissatisfaction may be psychological outcomes of infertility. Depression and sexual satisfaction may play a significant role in the life of infertile couples, their infertility treatment follow-ups and their hopefulness for the future. This study was done to determine and compare rates of depression and sexual satisfaction among infertile and fertile couples referring to Al-Zahra medical educational center in Tabriz during 2006. Materials & Methods: This was a comparative-descriptive study in which depression and sexual satisfaction rates were studied and compared in 150 randomly selected infertile versus 150 fertile couples. Data gathering was done by using a questionnaire with 3 parts 1) Demog-raphic characteristics, 2) Beck Depression Inventory (BDI) and 3) Larson′s standard question-naire for determining sexual satisfaction. The data gathered from this study were analyzed by SPSS software (Version 14) through calculations of descriptive statistical methods (Frequency, mean and standard deviation), tests of association (χ² and correlation coefficient) and the mean difference tests (T-test for independent and paired groups plus one-way ANOVA). P<0.05 was considered significant. Results: The mean differences for depression between infertile and fertile men and women were significant, but for sexual satisfaction, they were not statistically significant. The mean difference for depression in infertile women was higher than that of their husbands′ but sexual satisfaction scores in men and women were not much different. Also, there was a negative correlation between sexual satisfaction and depression. Conclusion: Infertile couples need rigorous care and treatment for their psychological prob-lems. Active participation of infertile couples during treatment process and presence of psy-chiatrists and psychologists in the treatment of emotional and psychological problems of the couples are of great importance.

Keywords: Fertility, Infertility, Infertile couple, Psychology, Depression, Sexual satisfaction

To cite this article:

Bahrami N, Sattarzadeh N, Ranjbar Koochaksariie F, Ghojazadeh M. Comparing depression and sexual satisfaction in fertile and infertile couples. J Reprod Infertil. 2007;8(1):52-59.

References

Monga MO, Alexanderescu BO, Ekatz SE, Stein MU, Ganiats TH. Impact of Infertility on Quality of Life, Marital Adjustment, and Sexual Function. Urology. 2004;63:126-130. [PubMed]
محمدي، فريبا. بررسي عوامل تنش¬زا و راهبردهاي مقابله¬اي زنان نابارور مراجعه کننده به مرکز آموزشي درماني الزهراء تبريز1376. پايان نامه کارشناسي ارشد، دانشگاه علوم پزشکي تبريز،1376. صفحات: 7-1.
Gharekhani P, Sadatian A. manifestation & mangement of diseases. 1st ed. Tehran: Noore Danesh. 2002.p 7.
Baharvand H. A guide book of infertility treatmcnt for infertile couples. 1st ed. Tehran: Teymourzadeh. 1999. p 7.
Anderson KM, Sharpe M, Irvine DS. Distress and concerns in couples referred to a specialist infertility clinic. J Psychosomat Res. 2003;54:353-5. [PubMed]
Lee TY, Sun GH, Chao SC. The effect of an infertility diagnosis on the distress, marital and sexual satisfac-tion between husbands and wives in Taiwan. Hum Reprod. 2001;16(8):1762-67. [PubMed]
خويي مرقاتي عفت. بررسي و مقايسة مشخصات فردي و خانوادگي زنان شاغل راضي و ناراضي از روابط جنسي. پايان¬نامة کارشناسي ارشد، دانشگاه علوم پزشکي ايران، تهران،1376، صفحات: 25-5.
Mechanick Braverman An. Psychological aspects of infertility: sexual dysfunction .International Congress Series. 2004;1266:270-274.
Juddith C, Daniluk. Keeping your Sexlife alive while Coping with Infertility: J Sex Marital Ther. 2002;71(6): 1241-3. [PubMed]
Pasch LA, Dunkel- Schetter CH, Christensen AN. Differences between husbands and wives approach to infertility affect marital communication and adjust-ment. Fertil Steril. 2002;71(6):1241-43.
کارن جي. کارلسون، استفاني ا. ايزنستات. ترازيپورين: بهداشت رواني زنان. ترجمه خديجه ابوالمعالي، هايده صابري، ژينوس لطيفي، مهدي محي الدين بناب. نشر ساوالان، تهران،1379، صفحات: 70-24.
جهانفر شايسته، مولايي نژاد ميترا. درسنامه اختلالات جنسي. چاپ اول. نشر بيژه، تهران،1380، صفحات: 37-11.
Larson JH, Anderson SM, Holman TB, Niemann BK. A longitudinal study of the effects of premarital communication, relationship stability and self esteem on sexual satisfaction in the first year of marriage. J Sex Marital Ther. 1998;24(3):195-206. [PubMed]
شمس مفرحه زهرا. بررسي تأثير مشاوره زناشويي بر رضايت جنسي زوجين مراجعه كننده به مراكز درماني شهر شيراز سال 1380. پايان نامه كارشناسي ارشد مامايي، دانشگاه علوم پزشكي ايران، ص 79.
Domar AD, Broome A, Zuttermeister PC, Seibel M, Friedman R. The Prevalence and predictability of dep-ression in infertile women. Fertil Steril.1992;58:1158-63. [PubMed]
Berg BJ, Wilson JF. Psychiatric morbidity in infertile population: a reconceptualization. Fertil Steril.1990;53: 654-61. [PubMed]
Ashkani H, Akbari A, Heydari ST. Epidemiology of depression among infertile and fertile couples in Shiraz, Southern Iran. Indian J Med Sci. 2004;60(10): 399-406. [PubMed]
Alvani J, Niknam SH. A survey in the psychological complications from infertility among women. Shiraz University Med Sci. MD Thesis. 2000;125.
Ramezanzadeh F, Aghsa MM, Abedinia N, Zayeri F, Khanafshar N, Shariat M & et al. A Survey of relation-ship between anxiety, depression and duration of infer-tility. BMC Women’Health. 2004;4(9):1-7.
Glover L, Hunter M, Richards JM. Development of the fertility adjustment Scale. Fertil Steril. 1999;74: 623-8. [PubMed]
Beutel M, Kupfer J, Kirchmeyer P. Treatment- related stresses and depression in couples undergoing assisted reproductive treatment by IVF or ICSI. Andrologia. 1999;31:27-35. [PubMed]
Demyttenaere K, Bonte L, Gheldof M. Coping style and depression level influence outcome in In Vitro fer-tilization. Fertil Steril. 1998;69:1026-33. [PubMed]
Inhorn MC. Infertility and patriarchy: the cultural politics of gender and family life in Egypt. University of Pennsylvania Press, Philadelphia. 1996;pp:171-80.
Abbey A, Andrews FM, Halman LJ. Provision and receipt of social support and disregard: What is their impact on the marital life quality of infertile and fertile couples?. J Personal Soc Psychol. 1995;68:455-69. [PubMed]
Nicolosi A, Moreira ED, Villa M, Glasser DB. A population study of the association between sexual function, sexual satisfaction and depressive symptoms in Men. J Affect Disord. 2004;82(2):235-43. [PubMed]
Howell J, Reynolds CH, Thase M, Frank E, Jennings JR, Houck P. Assessment of sexual function, interest and activity in depressed men. J Affect Disord. 1987; 13(1):61-6. [PubMed]