Korean J Women Health Nurs.  2019 Sep;25(3):273-284. 10.4069/kjwhn.2019.25.3.273.

The Relationship between Fatigue, Health-Promoting Behavior, and Depression among Infertile Women

• Kim M
• Hong JE
• Lee EY

• KMID: 2459170
• DOI: http://doi.org/10.4069/kjwhn.2019.25.3.273

Abstract

PURPOSE
As the number of infertile couples has grown, many infertile women have experienced depression during the diagnosis and treatment of their infertility. This study aimed to identify the factors related to depression in infertile women who underwent reproductive treatments.
METHODS
The study subjects were 149 infertile women who underwent reproductive treatments. The data were collected by self-administered questionnaires from August 1 to December 24, 2018. The questionnaire consisted of questions about fatigue, health-promoting behavior, and depression. Analyses of the descriptive statistics, t-tests, one-way analysis of variance, correlation, and multiple regression were conducted using the SPSS 25.0 Windows program.
RESULTS
Thirty-six of the women in the study (24.2%) were in the probably depressed group and 113 (75.8%) were in the definitely depressed group and 100% of the subjects experienced symptoms of depression. Depression was positively correlated with fatigue and negatively correlated with health-promoting behavior. Multiple regression analysis revealed that fatigue and interpersonal relationships were factors significantly related to depression in the model (p<.001), with an explanatory power of 42.6%.
CONCLUSION
The results confirmed that fatigue and interpersonal relationships, which is a subfactor of health-promoting behavior, were factors related to depression. To alleviate depression in infertile women, efforts should be made to identify and reduce psychological and physical fatigue. In addition, minimizing relational difficulties that they experience during an infertility diagnosis and treatment and strengthening positive interpersonal relationships can be positive strategies to alleviate depression.

Keyword

Infertility; Depression; Health promotion; Fatigue

MeSH Terms

Depression*
Diagnosis
Family Characteristics
Fatigue*
Female
Health Promotion
Humans
Infertility

Figure

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  Figure 2 Reviewing authors' judgements about each risk of bias item presented as percentages across all included studies. (A) Risk of bias graph and (B) risk of bias summary.

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  Figure 3 Forest plot of the effects of breast care for breast pain and breast engorgement level. Effects of breast care for (A) breast pain and (B) breast engorgement level. M=mean; SD=standard deviation; CI=confidence interval; df=degrees of freedom; MD=mean difference; SMD=standardized mean difference.

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