Mediating role of social support between sleep quality, anxiety and depressive symptoms in Chinese women undergoing in vitro fertilization treatment.

Ying Cui,Danian Li,Borong Zhou,Yingchun Zeng,Yanshan Lin

doi:10.1177/2050312120930163

Abstract

Introduction:Infertility is a significant health problem, and the prevalence of infertility among women is increasing in developing countries. This study aims to explore whether social support plays a mediating role in the links between exogenous variables, sleep quality, anxiety, and depressive symptoms in Chinese women undergoing in vitro fertilization.Methods:This is a cross-sectional study comprising a sample of Chinese women undergoing in vitro fertilization treatment at a tertiary reproductive medicine center located in South China.Results:The final testing model showed good fit, with normed χ2 = 39.317, p = 0.055, comparative fit index = 0.948, Tucker–Lewis index = 0.902, incremental fit index = 0.951, normed fit index = 0.906, root mean square error of approximation = 0.046). The final path model supported the proposed model: partner relationship, a woman’s age, financial strain, duration of infertility, and cycles of in vitro fertilization were exogenous variables for depressive symptoms, while social support was a significant mediator between sleep quality, anxiety, and depressive symptoms.Conclusion:The empirical support from this study could facilitate the development of appropriate interventions to reduce depressive symptoms, and to promote the mental health of Chinese women undergoing in vitro fertilization treatment.

Highlights

Infertility is a significant health problem, and the prevalence of infertility among women is increasing in developing countries
While many women who experience infertility can become pregnant through assisted reproductive technologies (ARTs) such as in vitro fertilization (IVF), comprising more than 99% of ARTs,[3,4] IVF treatment can result in various psychological-emotional consequences, including stress, anxiety, depression, and hopelessness.[2,5]
This path model yielded a good fit for exogenous variables, mediators of sleep quality, anxiety and depressive symptoms in Chinese women undergoing IVF treatment (χ2 = 39.317, p = 0.055, CFI = 0.948, TLI = 0.902, IFI = 0.951, NFI = 0.906, RMSEA = 0.046)

Summary

Introduction

Infertility is a significant health problem, and the prevalence of infertility among women is increasing in developing countries. This study aims to explore whether social support plays a mediating role in the links between exogenous variables, sleep quality, anxiety, and depressive symptoms in Chinese women undergoing in vitro fertilization. Infertility is a significant health problem, and the prevalence of infertility is increasing in developing countries such as China.[1,2] The World Health Organization estimates that 8%– 10% of married women experience difficulties in becoming pregnant.[2] While many women who experience infertility can become pregnant through assisted reproductive technologies (ARTs) such as in vitro fertilization (IVF), comprising more than 99% of ARTs,[3,4] IVF treatment can result in various psychological-emotional consequences, including stress, anxiety, depression, and hopelessness.[2,5]. Women may experience anxiety and uncertainty, with concerns about whether the IVF treatment

Objectives

Results

Discussion

Conclusion