Mental health in women 20-23â
years after IVF treatment: a Swedish cross-sectional study.
BMJ Open
; 5(10): e009426, 2015 Oct 28.
Article
en En
| MEDLINE
| ID: mdl-26510732
ABSTRACT
OBJECTIVE:
To assess self-perceived mental health in women treated with in vitro fertilisation (IVF) 20-23â years previously, while comparing them to a reference group, and to determine any differences in mental health between those who had given birth, those who had adopted a child, those who had given birth and adopted a child and those who remained childless.DESIGN:
A cross-sectional study.SETTING:
A Center of Reproductive Medicine (RMC) at a Swedish University hospital.PARTICIPANTS:
520 women who had undergone at least one IVF cycle at the University Hospital in Linköping between 1986 and 1989. 504 of 520 women (97%) were eligible for follow-up. While 34 women declined, 93 per cent (n=470) of the women agreed to participate. The reference group consisted of 150 women of the Swedish population included in a study that was used to validate the Symptom CheckList (SCL)-90.INTERVENTIONS:
Follow-up was conducted in 2008-2009. The SCL-90 was used to measure the women's self-perceived mental health and a questionnaire specific for this study was used to retain demographic information. OUTCOMEMEASURES:
The SCL-90 assesses 9 primary dimensions; somatisation, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation and psychoticism. There is also a global index of distress.RESULTS:
Women who had previously undergone IVF treatment were at increased risk of symptoms of depression (p=0.017), obsessive-compulsion (p=0.02) and somatisation (p≤0.001) when compared to a reference group. In addition, the women who have remained childless are at increased risk of symptoms of depression (p=0.009) and phobic anxiety (p=0.017).CONCLUSIONS:
The majority of the women who have been treated with IVF 20-23â years previously appear to be in good mental health. However, women who remain childless and/or without partner after unsuccessful infertility treatment constitute a vulnerable group even later on in life.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Ansiedad
/
Fertilización In Vitro
/
Salud Mental
/
Conducta Reproductiva
/
Depresión
/
Infertilidad Femenina
/
Trastornos Mentales
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Qualitative_research
/
Risk_factors_studies
País/Región como asunto:
Europa
Idioma:
En
Revista:
BMJ Open
Año:
2015
Tipo del documento:
Article