Abstract
Aim: Investigation holistic Stress in infertile women and relation to demographic Characteristics in women who referred to Yazd infertility center by cross sectional descrpitive study. Methods: This study was carried on 400 infertile women who referred to Yazd Infertility Center between 2013-2014. These participants were selected by purposive sampling method. Data were collected using demographic characteristics' questionnaire, Coudron Stress Test and Perceived Stress Test. Relation between demographic variables and stress obtained from Inferential statistics. Results: Mean score of perceived stress and all level of life, personality and health stress is higher than other causes, when the causes is related to common causes, but there are not any significant difference between them. There are significant difference in stress mean score from duration of infertility. (p 0.05). Conclusion: Results highlights infertility has a significant impact on the infertile women's mental health. It is important psychological approach consider as an important part of treatment inside other medical treatments.
Highlights
Infertility is a major life crisis that leads to serious psychological problems and stressful experiences for infertile people(Sadock et al, 2003).According to the World Health Organization(WHO), fertility rates vary in different parts of the world, but its average is 20 percent (Ramezanzadehet al., 2004a).Wichman et al Studies show that infertility is such a complex experience in terms of psychology that can increase depression in some women(Wichmanet al., 2011)
The results showed that most people aged less than 20 years and they have married for less than5yearsso they have less than a 5-yearhistory of infertility(Table 1 cite here)
The results of another research indicate that the level of stress varies in accordance with infertility duration, and this fact shows that there is a significant difference in positive perceptions of stress on the basis of infertility duration.(Table[3] cite here)
Summary
Infertility is a major life crisis that leads to serious psychological problems and stressful experiences for infertile people(Sadock et al, 2003).According to the World Health Organization(WHO), fertility rates vary in different parts of the world, but its average is 20 percent (Ramezanzadehet al., 2004a).Wichman et al Studies show that infertility is such a complex experience in terms of psychology that can increase depression in some women(Wichmanet al., 2011). Mollaiy Nezhad et al in their study found that all infertile couples suffered from infertility stress to varying degrees and about 46 percent of them didn’t have marital compatibility (Mollaiy Nezhadet al., 2000).Studies have shown that8 6percent of infertile women are involved with infertility stress in their lives(Ramezanzadehet al., 2004).Newton et al in their study showed that infertile couples in particular experience the stress of infertility indifferent aspects including the stress related to the need for being a parent(Newtonet al., 1999).Other researchers showed that due to the low success rate of IVF treatment, involvement in infertile women with infertility stress is understandable(Seible, 1997).Litzinger & Gordonstated that 80% of infertile patientssuffer fromapsychologicaldisorder,includingmarital dissatisfaction, disturbance in relationships especially between the couples, the rageand negative emotional effects(Litzinger, Gordon, 2005).Several mechanisms have been proposed for the effects of stress on fertility including impairing secretion of gonadotropins, anxiety leads to infertility intensification by an increase in cortisol, prolactin(Cooperet al.,2007; Karlidere et al, 2008).Women in infertile couples reported greater psychological symptoms (anxiety & depression) and more decreased marital adjustment than men in infertile couples; but the couples did not show any significant difference with those in control groups regarding these common parameters(Burns, Covington, 2000).Due to the relatively high incidence of infertility and relation between psychosocial symptom and cultural basis in infertile people, we were to examine the complete stress of infertile women (in the dimensions of life, personality and health stress) and to determine its relationship with demographic factors such as duration of infertility, duration of marriage ,cause of infertility, age, occupation and education
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