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

정부 난임부부 지원사업 참여 대상자의 우울에 영향을 미치는 요인

  • Hwang, Nami (Korea Institute for Health and Social Affairs) ;
  • Jang, Insun (Department of Nursing, Korea Bible University)
  • Received : 2015.02.03
  • Accepted : 2015.09.09
  • Published : 2015.09.30

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, ${\chi}^2$ 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).

Keywords

References

  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-Welfare Policy Forum. 2003;82:88-97.
  4. Lee SH, Yoon TK, Choi YM, Kim KC, Lee YD, Hwang NM, et al. 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 December. Report No.: 11-1352000-000833-10.
  5. Boivin J, Griffiths E, Venetis CA. Emotional distress in infertile women and failure of assisted reproductive technologies: meta-analysis of prospective psychosocial studies. The British Medical Journal. 2011;342:d223. http://dx.doi.org/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. http://dx.doi.org/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. Biopsychosocial Medicine. 2011;5(1):15. http://dx.doi.org/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 p.
  9. Chang EY. Women's experiences of pregnancy after infertility [master's thesis]. [Seoul]: Ewha Womans University; 1998. 86 p.
  10. Lee YJ. An Ethnography on infertile women's grief in Korea [dissertation]. [Seoul]: Kyung Hee University; 2008. 123 p.
  11. Domar AD, Zuttermeister PC, Friedman R. The psychological impact of infertility: A comparison with patients with other medical conditions. Journal of Psychosomatic Obstetrics & Gynecology. 1993;14:45-52.
  12. Hwang NM. Analysis on factors influencing depression of infertile women. Health and Social Welfare Review. 2013;33(3):161-187. https://doi.org/10.15709/hswr.2013.33.3.161
  13. Kim MO. Stress, depression, and fetal attachment in pregnant women having infertility treatments. Korean Journal of Women Health Nursing. 2014;20(2):163-172. https://doi.org/10.4069/kjwhn.2014.20.2.163
  14. Min SW, Kim YH, Cho YR. Stress, depression and factors influencing on quality of life of infertile women. Journal of the Korean Society of Maternal and Child health. 2008;12(1):19-32. https://doi.org/10.21896/jksmch.2008.12.1.19
  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. Journal of Human Reproductive Sciences. 2011;4(2):80-85. http://dx.doi.org/10.4103/0974-1208.86088
  16. Kim JH, Shin HS. A structural model for quality of life of infertile women. Journal of Korean Academy of Nursing. 2013;43(3):312-320. https://doi.org/10.4040/jkan.2013.43.3.312
  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). Archives of Internal Medicine. 1999;159(15):1701-1704. http://dx.doi.org/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. Human Reproduction. 2008;23(9):2050-2055. http://dx.doi.org/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. Fertility and Sterility. 2011;95(7):2269-2273. http://dx.doi.org/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 p.
  21. Bae KJ, Ro SO, Kim JA. The study of loneliness in infertile women. Journal of Korean Academy of Nursing. 1999;29(6):1379-1391. https://doi.org/10.4040/jkan.1999.29.6.1379
  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 Science Journal. 2012;6(1):69-81.
  23. Verhaak CM, Smeenk JMJ, Minnen A van, Kremer JAM, Kraaimaat FW. A longitudinal, prospective study on emotional adjustment before, during and after consecutive fertility treatment cycles. Human Reproduction. 2005;20(8):2253-2260. http://dx.doi.org/ 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. Social Science & Medicine. 2003;56(10):2165-2180. https://doi.org/10.1016/S0277-9536(02)00221-6

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