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Effect of IVF failure on quality of life and emotional status in infertile couples.
Eur J Obstet Gynecol Reprod Biol. 2016 Nov; 206:158-163.EJ

Abstract

OBJECTIVE

To investigate the effect of a previous IVF failure on the quality of life and emotional distress, in couples undergoing IVF treatment. Experiencing IVF failure might cause differences on the anxiety-depression and quality of life scores of the couples, compared to the ones who were undergoing IVF treatment for the first time.

STUDY DESIGN

This study included 64 couples who had previously experienced at least one IVF failure (Group 1) and 56 couples without history of IVF failure (Group 2) in a private Assisted Reproductive Center, Istanbul, Turkey. A sociodemographic data form, the FertiQoL International and Hospital Anxiety (HAD-A) and Depression scale (HAD-D) for evaluating the status of distress, were administered for the study.

RESULT(S)

FertiQoL scores were compared between the groups, the environment scale of the quality of life in treatment section was found to be significantly higher in Group 1 compared with Group 2 (p=0.009). The HAD-A and HAD-D scores did not differ significantly between the groups. Group-variables were investigated using multilevel analysis, the infertility duration and income level were found to have an effect on the subscales of quality of life (p=0.009 and p=0.001 respectively) in Group 2. Depression scores were higher in couples with infertility duration of below five years in Group 1 and Group 2 compared to couples with infertility duration of five years or above (MANOVA analysis). The level of education was found to affect the scores of HAD-D in Group 2, but not in Group 1 (p=0.011). The score of HAD-D was significantly affected by the family type only in Group 2 (p=0.009); the depression score of the couples living with a nuclear family was found to be higher compared with the couples living in a traditional family (p=0.021).

CONCLUSION(S)

Fertility-specific quality of life scores reveals better results regarding the orientation to the treatment environment in the couples with a previous IVF failure, compared to first IVF cycle couples. Treatment failure does not elevate the level of anxiety, while the effect on depression scores changes according to duration of infertility.

Authors+Show Affiliations

Bezmialem Vakif University, School of Medicine, Department of Obstetric and Gynecology, Istanbul, Turkey. Electronic address: karacanilay@hotmail.com.Pamukkale University, School of Medicine, Department of Obstetric and Gynecology, Denizli, Turkey.Pamukkale University, Denizli Health Services Vocational College, Denizli, Turkey.Medipol University, School of Medicine, Department of Obstetric and Gynecology, Istanbul, Turkey.Haseki Training Research Hospital, Istanbul, Turkey.Bezmialem Vakif University, School of Medicine, Department of Obstetric and Gynecology, Istanbul, Turkey.Bezmialem Vakif University, School of Medicine, Department of Obstetric and Gynecology, Istanbul, Turkey.Bezmialem Vakif University, School of Medicine, Department of Obstetric and Gynecology, Istanbul, Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27693938

Citation

Karaca, Nilay, et al. "Effect of IVF Failure On Quality of Life and Emotional Status in Infertile Couples." European Journal of Obstetrics, Gynecology, and Reproductive Biology, vol. 206, 2016, pp. 158-163.
Karaca N, Karabulut A, Ozkan S, et al. Effect of IVF failure on quality of life and emotional status in infertile couples. Eur J Obstet Gynecol Reprod Biol. 2016;206:158-163.
Karaca, N., Karabulut, A., Ozkan, S., Aktun, H., Orengul, F., Yilmaz, R., Ates, S., & Batmaz, G. (2016). Effect of IVF failure on quality of life and emotional status in infertile couples. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 206, 158-163. https://doi.org/10.1016/j.ejogrb.2016.09.017
Karaca N, et al. Effect of IVF Failure On Quality of Life and Emotional Status in Infertile Couples. Eur J Obstet Gynecol Reprod Biol. 2016;206:158-163. PubMed PMID: 27693938.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of IVF failure on quality of life and emotional status in infertile couples. AU - Karaca,Nilay, AU - Karabulut,Aysun, AU - Ozkan,Sevgi, AU - Aktun,Hale, AU - Orengul,Fatma, AU - Yilmaz,Rabiye, AU - Ates,Seda, AU - Batmaz,Gonca, Y1 - 2016/09/20/ PY - 2016/03/16/received PY - 2016/09/09/revised PY - 2016/09/13/accepted PY - 2016/10/4/pubmed PY - 2017/4/21/medline PY - 2016/10/4/entrez KW - Anxiety KW - Depression KW - FertiQoL KW - Unsuccesful IVF treatment SP - 158 EP - 163 JF - European journal of obstetrics, gynecology, and reproductive biology JO - Eur J Obstet Gynecol Reprod Biol VL - 206 N2 - OBJECTIVE: To investigate the effect of a previous IVF failure on the quality of life and emotional distress, in couples undergoing IVF treatment. Experiencing IVF failure might cause differences on the anxiety-depression and quality of life scores of the couples, compared to the ones who were undergoing IVF treatment for the first time. STUDY DESIGN: This study included 64 couples who had previously experienced at least one IVF failure (Group 1) and 56 couples without history of IVF failure (Group 2) in a private Assisted Reproductive Center, Istanbul, Turkey. A sociodemographic data form, the FertiQoL International and Hospital Anxiety (HAD-A) and Depression scale (HAD-D) for evaluating the status of distress, were administered for the study. RESULT(S): FertiQoL scores were compared between the groups, the environment scale of the quality of life in treatment section was found to be significantly higher in Group 1 compared with Group 2 (p=0.009). The HAD-A and HAD-D scores did not differ significantly between the groups. Group-variables were investigated using multilevel analysis, the infertility duration and income level were found to have an effect on the subscales of quality of life (p=0.009 and p=0.001 respectively) in Group 2. Depression scores were higher in couples with infertility duration of below five years in Group 1 and Group 2 compared to couples with infertility duration of five years or above (MANOVA analysis). The level of education was found to affect the scores of HAD-D in Group 2, but not in Group 1 (p=0.011). The score of HAD-D was significantly affected by the family type only in Group 2 (p=0.009); the depression score of the couples living with a nuclear family was found to be higher compared with the couples living in a traditional family (p=0.021). CONCLUSION(S): Fertility-specific quality of life scores reveals better results regarding the orientation to the treatment environment in the couples with a previous IVF failure, compared to first IVF cycle couples. Treatment failure does not elevate the level of anxiety, while the effect on depression scores changes according to duration of infertility. SN - 1872-7654 UR - https://www.unboundmedicine.com/medline/citation/27693938/Effect_of_IVF_failure_on_quality_of_life_and_emotional_status_in_infertile_couples_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0301-2115(16)30934-4 DB - PRIME DP - Unbound Medicine ER -