Original Articles

Study of psychiatric disorders among fertile and infertile women and some predisposing factors

Abstract

Objective: This study aimed to determine prevalence and predisposing factors of psychiatric disorders among infertile in comparison to fertile women.
Materials and Methods:  By a descriptive- analytic study in Vali-e-asr Reproductive Health Research Center, 300 women entered the research.   Symptom Checklist -90 -Revised (SCL-90-R) test and structured researcher questionnaires were applied for all patients. Demographic characteristics and predisposing psychological and personality factors were recorded and psychological symptoms were scaled. For data analysis, SPSS-11-5 software system, chi-square and T-test were used.  P-value <0.05 was considered significant.
Results: Results showed that 44% of infertile and 28.7% of fertile women had psychiatric disorders. Using SCL-90-R test, the highest mean scores among infertile women were found for paranoid ideation, depression and interpersonal sensitivity scales and the lowest scores were related to psychoticism and phobic anxiety scales. Interpersonal sensitivity, depression, phobic anxiety, paranoid ideas and psychoticism scales were significantly different between infertile and fertile women (p<0.05). Housewives were at a statistically significant higher risk for psychiatric disorders as compared to working women (p<0.001).
Conclusion: The significantly higher prevalence of psychiatric disorders among infertile women mandates a more serious attention from gynecologists, psychiatrists and psychologists regarding to diagnosis and treatment of these disorders.

- Freeman EW, Rickels K, Tausig J, Boxer A, Mastroianni L, Tureck RW. Emotional and psychosocial factors in follow-up of women after IVF-ET treatment. A pilot investigation. Acta Obstet Gynecol Scand 1987; 66: 517-521.

- Mahlstedt PP, Macduff S, Bernstein J. Emotional factors and the in vitro fertilization and embryo transfer process. J In Vitro Fert Embryo Transf 1987; 4: 232-236.

- Menning BE. The infertile couple: a plea for advocacy. Child Welfare 1975; 54: 454-460.

- Pfeffer N, Woollett A. The Experience of Infertility London, Virago, 1983, p. 68.

- Keye WR Jr .Psychosexual responses to infertility. Clin Obstet Gynecol 1984; 27: 760-766.

- Golombok S. Psychological functioning in infertility patients. Hum Reprod 1992; 7: 208-212.

- Merari D, Feldberg D, Elizur A, Goldman J, Modan B. Psychological and hormonal changes in the course of in vitro fertilization. J Assist Reprod Genet 1992; 9: 161-169.

- Domar AD, Broome A, Zuttermeister PC, Seibel M, Friedman R. The prevalence and predictability of depression in infertile women. Fertil Steril 1992; 58: 1158-1163.

- Slade P, Emery J, Lieberman BA. A prospective, longitudinal study of emotions and relationships in in-vitro fertilization treatment. Hum Reprod 1997; 12: 183-190.

- McMahon CA, Ungerer JA, Beaurepaire J, Tennant C, Saunders D. Anxiety during pregnancy and fetal attachment after in-vitro fertilization conception. Hum Reprod 1997; 12: 176-182.

- Seibel MM, Taymor ML. Emotional aspects of infertility. Fertil Steril 1982; 37: 137-145.

- Guerra D, Llobera A, Veiga A, Barri PN. Psychiatric morbidity in couples attending a fertility service. Hum Reprod 1998; 13: 1733-1736.

- Wright J, Duchesne C, Sabourin S, Bissonnette F, Benoit J, Girard Y. Psychosocial distress and infertility: men and women respond differently. Fertil Steril 1991; 55: 100-108.

- Andrews FM, Abbey A, Halman LJ. Is fertility-problem stress different? The dynamics of stress in fertile and infertile couples. Fertil Steril 1992; 57: 1247-1253.

- Tarlatzis I, Tarlatzis BC, Diakogiannis I, Bontis J, Lagos S, Gavriilidou D, Mantalenakis S. Psychosocial impacts of infertility on Greek couples.Hum Reprod 1993; 8: 396-401.

- Bagheri YS, Bolhari J, Shahmohammadi D. Epidemiology of psychiatric disorders in Yazd rural areas. Andisheh va Raftar, 1995; 1: 35-47.

- Noorbala AA, Kazem M, Bagheri YS. Epidemiology of psychiatric disorders in Tehran. Hakim. 1999; 2: 27-34.

- Oddens BJ, den Tonkelaar I, Nieuwenhuyse H. Psychosocial experiences in women facing fertility problems--a comparative survey. Hum Reprod 1999; 14: 255-261.

- Lu Y, Yang L, Lu G. Mental status and personality of infertile women. Zhonghua Fu Chan Ke Za Zhi 1995; 30: 34-37.

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SectionOriginal Articles
Keywords
Psychiatric disorders Infertility SCL-90-R

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How to Cite
1.
Noorbala AA, Ramezanzadeh F, Abedinia N, Bagheri Yazdi SA, Jafarabadi M. Study of psychiatric disorders among fertile and infertile women and some predisposing factors. J Family Reprod Health. 2007;1(1):6-11.