J Korean Acad Community Health Nurs.  2015 Sep;26(3):179-189. 10.12799/jkachn.2015.26.3.179.

Factors Influencing the Depression Level of Couples Participating in the National Supporting Program for Infertile Couples

• Hwang N
• Jang I

• KMID: 2173815
• DOI: http://doi.org/10.12799/jkachn.2015.26.3.179

Abstract

PURPOSE
The purpose of this study was to identify factors influencing depression of participants in the National Supporting Program for Infertile Couples (NSPI) who received a treatment of IVF (in vitro fertilization) or IUI (intra-uterine insemination).
METHODS
Using the 2013 NSPI Satisfaction On-line Survey data, secondary data analyses were conducted on 830 cases of IVF and 706 cases of IUI. Descriptive statistics, independent t-test, chi2 test, and logistic regression were performed using SPSS/WIN 21.0.
RESULTS
Logistic regression analysis showed that non-pregnancy status (OR=3.05), unexplained infertility (OR=4.29), relationship trouble with spouse (OR=3.57), and relationship trouble with the in-law family (OR=2.78) were significant factors predicting the depression level in the IUI treatment group. Non-pregnancy status (OR=5.28), childlessness (OR=1.92), financial support helpful hardly or not at all (OR=2.63), relationship trouble with spouse (OR=3.28), relationship trouble with the in-law family (OR=2.83), and unemployment (OR=1.60) were significant factors in the IVF treatment group.
CONCLUSION
To reduce infertile women's depression, adequate attention and care need to be paid to these psychological symptoms. It is suggested to develop counseling and couple-therapy along with methods to enhance social support (including that from the in-law's family).

Keyword

Infertility; Depression; Insemination; In vitro fertilization

MeSH Terms

Counseling
Depression*
Family Characteristics*
Fertilization in Vitro
Financial Support
Humans
Infertility
Insemination
Logistic Models
Spouses
Statistics as Topic
Unemployment

Reference

1. Statistics Korea. 2013 birth statistics [Internet]. Seoul: Statistics Korea;2014. cited 2015 January 20. Available from: http://www.kostat.go.kr/portal/korea/kor_nw/3/index.board?bmode=read&aSeq=329406&pageNo=4&rowNum=10&amSeq=&sTarget=&sTxt=.

2. Centers for Disease Control and Prevention. Infertility FAQ's [Internet]. Atlanta: Centers for Disease Control and Prevention;2013. cited 2013 June 20. Available from: http://www.cdc.gov/reproductivehealth/Infertility/index.htm#1.

3. Hwang NM. The status of infertility and policy direction in Korea. Health Welf Policy Forum. 2003; 82:88–97.

4. Lee SH, Yoon TK, Choi YM, Kim KC, Lee YD, Hwang NM, et al. Report No.: 11-1352000-000833-10. Analysis and evaluation of the results of national supporting program for infertile couples in 2011. NSPI(National Supporting Program for Infertile couples) Evaluation Report. Seoul: Ministry of Health & Welfare, Chung-Ang University Hospital;2012. 12.

5. Boivin J, Griffiths E, Venetis CA. Emotional distress in infertile women and failure of assisted reproductive technologies: meta-analysis of prospective psychosocial studies. BMJ. 2011; 342:d223. DOI: 10.1136/bmj.d223.

6. 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. DOI: 10.1186/1472-6874-4-9.

7. Ogawa M, Takamatsu K, Horiguchi F. Evaluation of factors associated with the anxiety and depression of female infertility patients. Biopsychosoc Med. 2011; 5(1):15. DOI: 10.1186/1751-0759-5-15.

8. Lee JH. An analytical study on psychosocial predictors of depression and the effective psychosocial intervention program for reducing depression of infertile women being in infertility treatment [dissertation]. [Seoul]: Korea University;2013. 131.

9. Chang EY. Women's experiences of pregnancy after infertility [master's thesis]. [Seoul]: Ewha Womans University;1998. 86.

10. Lee YJ. An Ethnography on infertile women's grief in Korea [dissertation]. [Seoul]: Kyung Hee University;2008. 123.

11. Domar AD, Zuttermeister PC, Friedman R. The psychological impact of infertility: A comparison with patients with other medical conditions. J Psychosom Obstet Gynaecol. 1993; 14:45–52.

12. Hwang NM. Analysis on factors influencing depression of infertile women. Health Soc Welf Rev. 2013; 33(3):161–187.

13. Kim M. Stress, depression, and fetal attachment in pregnant women having infertility treatments. Korean J Women Health Nurs. 2014; 20(2):163–172.

14. Min SW, Kim YH, Cho YR. Stress, depression and factors influencing on quality of life of infertile women. J Korean Soc Matern Child Health. 2008; 12(1):19–32.

15. Valsangkar S, Bodhare T, Bele S, Sai S. An evaluation of the effect of infertility on marital, sexual satisfaction indices and health-related quality of life in women. J Hum Reprod Sci. 2011; 4(2):80–85. DOI: 10.4103/0974-1208.86088.

16. Kim JH, Shin HS. A structural model for quality of life of infertile women. J Korean Acad Nurs. 2013; 43(3):312–320.

17. Irwin M, Artin KH, Oxman MN. Screening for depression in the older adult: criterion validity of the 10-item center for epidemiological studies depression scale (CES-D). Arch Intern Med. 1999; 159(15):1701–1704. DOI: 10.1001/archinte.159.15.1701.

18. Verberg MF, Eijkemans MJ, Heijnen EM, Broekmans FJ, de Klerk C, Fauser BC, et al. Why do couples drop-out from IVF treatment? A prospective cohort study. Hum Reprod. 2008; 23(9):2050–2055. DOI: 10.1093/humrep/den219.

19. Domar AD, Rooney KL, Wiegand B, Orav EJ, Alper MM, Berger BM, et al. Impact of a group mind/body intervention on pregnancy rates in IVF patients. Fertil Steril. 2011; 95(7):2269–2273. DOI: 10.1016/j.fertnstert.2011.03.046.

20. Kim MO. The effect of a mind-body therapeutic program for infertile women repeating IVF treatment on uncertainty, anxiety, and implantation rate [dissertation]. [Seoul]: Yonsei University;2009. 93.

21. Bae KJ, Ro SO, Kim JA. The study of loneliness in infertile women. J Korean Acad Nurs. 1999; 29(6):1379–1391.

22. Gourounti K, Lykeridou K, Vaslamatzis G. Increased anxiety and depression in greek infertile women results from feelings of marital stress and poor marital communication. Health Sci J. 2012; 6(1):69–81.

23. Verhaak CM, Smeenk JMJ, van Minnen A, Kremer JAM, Kraaimaat FW. A longitudinal, prospective study on emotional adjustment before, during and after consecutive fertility treatment cycles. Hum Reprod. 2005; 20(8):2253–2260. DOI: 10.1093/humrep/dei015.

24. Mindes E, Ingram K, Kliewer W, James C. Longitudinal analyses of the relationship between unsupportive social interactions and psychological adjustment among women with fertility problems. Soc Sci Med. 2003; 56(10):2165–2180.