Tags

Type your tag names separated by a space and hit enter

Who is at risk of emotional problems and how do you know? Screening of women going for IVF treatment.
Hum Reprod. 2010 May; 25(5):1234-40.HR

Abstract

BACKGROUND

Fertility problems are accompanied by a lot of emotional distress, resulting in a considerable proportion of female patients showing severe maladjustment after assisted reproductive technology. Although this interferes with their daily life, emotional distress has also shown to be related to dropout of treatment and deterioration of health behaviour. Early identification of women at risk enables the provision of timely psychosocial support and the focusing psychosocial resources on those who need it most. This study investigated the psychometric characteristics of a screening tool SCREENIVF to identify women at risk of emotional problems at an early stage of treatment.

METHODS

Risk factors for emotional maladjustment were identified in a previous study and incorporated in SCREENIVF which consists of 34 items on general and infertility specific psychological factors. A group of 279 women in their first IVF treatment cycle completed SCREENIVF at both pretreatment and 3-4 weeks after the pregnancy test. Linear Regression analyses were performed to investigate the predictive value of SCREENIVF, and sensitivity and specificity as well as likelihood ratios were described.

RESULTS

SCREENIVF successfully identified 75% of the patients as at risk or not at risk. The negative predictive value was high: 89%. The positive predictive value was low (48% in the total sample and 56% after unsuccessful treatment). Sensitivity was 69%, specificity was 77%.

CONCLUSIONS

For its use as a first screening for emotional problems, SCREENIVF is an acceptable instrument to identify women at risk. These women could be offered more detailed diagnostics e.g. an interview to further investigate to what extent they could benefit from psychological treatment. In addition, physicians can anticipate on this risk profile when communicating with these patients.

Authors+Show Affiliations

Department of Medical Psychology, Radboud University Medical Center, PO Box 9101, 6500 HB Nijmegen, The Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20228392

Citation

Verhaak, C M., et al. "Who Is at Risk of Emotional Problems and How Do You Know? Screening of Women Going for IVF Treatment." Human Reproduction (Oxford, England), vol. 25, no. 5, 2010, pp. 1234-40.
Verhaak CM, Lintsen AM, Evers AW, et al. Who is at risk of emotional problems and how do you know? Screening of women going for IVF treatment. Hum Reprod. 2010;25(5):1234-40.
Verhaak, C. M., Lintsen, A. M., Evers, A. W., & Braat, D. D. (2010). Who is at risk of emotional problems and how do you know? Screening of women going for IVF treatment. Human Reproduction (Oxford, England), 25(5), 1234-40. https://doi.org/10.1093/humrep/deq054
Verhaak CM, et al. Who Is at Risk of Emotional Problems and How Do You Know? Screening of Women Going for IVF Treatment. Hum Reprod. 2010;25(5):1234-40. PubMed PMID: 20228392.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Who is at risk of emotional problems and how do you know? Screening of women going for IVF treatment. AU - Verhaak,C M, AU - Lintsen,A M E, AU - Evers,A W M, AU - Braat,D D M, Y1 - 2010/03/13/ PY - 2010/3/16/entrez PY - 2010/3/17/pubmed PY - 2010/7/30/medline SP - 1234 EP - 40 JF - Human reproduction (Oxford, England) JO - Hum Reprod VL - 25 IS - 5 N2 - BACKGROUND: Fertility problems are accompanied by a lot of emotional distress, resulting in a considerable proportion of female patients showing severe maladjustment after assisted reproductive technology. Although this interferes with their daily life, emotional distress has also shown to be related to dropout of treatment and deterioration of health behaviour. Early identification of women at risk enables the provision of timely psychosocial support and the focusing psychosocial resources on those who need it most. This study investigated the psychometric characteristics of a screening tool SCREENIVF to identify women at risk of emotional problems at an early stage of treatment. METHODS: Risk factors for emotional maladjustment were identified in a previous study and incorporated in SCREENIVF which consists of 34 items on general and infertility specific psychological factors. A group of 279 women in their first IVF treatment cycle completed SCREENIVF at both pretreatment and 3-4 weeks after the pregnancy test. Linear Regression analyses were performed to investigate the predictive value of SCREENIVF, and sensitivity and specificity as well as likelihood ratios were described. RESULTS: SCREENIVF successfully identified 75% of the patients as at risk or not at risk. The negative predictive value was high: 89%. The positive predictive value was low (48% in the total sample and 56% after unsuccessful treatment). Sensitivity was 69%, specificity was 77%. CONCLUSIONS: For its use as a first screening for emotional problems, SCREENIVF is an acceptable instrument to identify women at risk. These women could be offered more detailed diagnostics e.g. an interview to further investigate to what extent they could benefit from psychological treatment. In addition, physicians can anticipate on this risk profile when communicating with these patients. SN - 1460-2350 UR - https://www.unboundmedicine.com/medline/citation/20228392/Who_is_at_risk_of_emotional_problems_and_how_do_you_know_Screening_of_women_going_for_IVF_treatment_ L2 - https://academic.oup.com/humrep/article-lookup/doi/10.1093/humrep/deq054 DB - PRIME DP - Unbound Medicine ER -