Factors that influence in vitro fertilization treatment outcomes of Chinese men: A cross-sectional study

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• 作者：Dan Chen^a ; ^b ; Jing Ping Zhang^a ; ^{jpzhang1965@163.com" class="auth_mail" title="E-mail the corresponding author} ; Ling Jiang^b ; Huayan Liu^b ; Ling Shu^b ; Qiong Zhang^b ; LiPing Jiang^b
• 关键词：Depression ; Anxiety ; Marital quality ; In vitro fertilization ; Outcome
• 刊名：Applied Nursing Research
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：32
• 期：Complete
• 页码：222-226
• 全文大小：248 K

文摘

The thought of producing offspring has rooted in Chinese culture after thousands of years of feudal society. Infertility in men would bear significant psychological distress in this social environment.

Purpose

In this study, we explored the association between the outcomes of IVF treatment and anxiety, depression, marital satisfaction, communication, sexual relationship and social support.

Methods

A cross-sectional study was conducted. A total of 202 Chinese men who received IVF treatment for the first time were investigated using socio-demographic questionnaire, Self-Rating Anxiety Scale, Self-Rating Depression Scale, ENRICH Marital Inventory and Social Support Rating Scale on the first day of IVF treatment.

Results

The overall prevalence of depression and anxiety was 49.1% and 27.2%, respectively. Subjects with IVF failure had higher levels of depression and anxiety, lower levels of “Marital satisfaction”, “communication” and “Sexual relationship” and social support. Logistic regression analysis indicated that depression, anxiety, marital satisfaction and sexual relationship were independent predictors of IVF failure.

Conclusion

The prevalence of depression and anxiety in Chinese men undergoing IVF was higher than that in other countries. These findings suggest that anxiety, depression, marital satisfaction, and sexual relationship are important factors leading to IVF failure. Therefore, it is important to provide psychological aid to male patients undergoing IVF treatment.