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Reproductive implications of psychological distress for couples undergoing IVF
Objective To study implications of psychological distress on in vitro fertilization (IVF) outcome of an infertile couple. Methods Prospective study in an academic infertility practice setting. Couples undergoing embryo transfer (ET) following IVF were offered participation. Female patient ( n = 89)...
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| Published in: | Journal of assisted reproduction and genetics 2013-11, Vol.30 (11), p.1451-1458 |
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| Main Authors: | , , , , , |
| Format: | Article |
| Language: | English |
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| container_end_page | 1458 |
| container_issue | 11 |
| container_start_page | 1451 |
| container_title | Journal of assisted reproduction and genetics |
| container_volume | 30 |
| creator | Quant, Hayley S. Zapantis, Athena Nihsen, Michael Bevilacqua, Kris Jindal, Sangita Pal, Lubna |
| description | Objective
To study implications of psychological distress on in vitro
fertilization
(IVF) outcome of an infertile couple.
Methods
Prospective study in an academic infertility practice setting. Couples undergoing embryo transfer (ET) following IVF were offered participation. Female patient (
n
= 89) and partner (
n
= 77) completed questionnaires reflecting
dysphoria
(POMS) and
pessimism
(LOT) after undergoing ET. Relationship between
dysphoria
and
pessimism
and implications of individual and couple’s psychological distress on IVF cycle parameters and outcomes were assessed using multivariable analyses.
Results
Statistically significant correlations between
dysphoria
and
pessimism
were observed within the individual and between partners, (
p
|
| doi_str_mv | 10.1007/s10815-013-0098-7 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3879930</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1468382430</sourcerecordid><originalsourceid>FETCH-LOGICAL-c503t-a813ea87dbf66a739f23f8a465d7940378d19aaaf49b87e2b224ca9874d3885b3</originalsourceid><addsrcrecordid>eNqNkU1r3DAQhkVpyPcP6KUYeunFycgjW9KlUEK-YEkgJL0KWZYdBa_lSvbC_vtq2TRsA4WcJDTPvJLmIeQLhTMKwM8jBUHLHCjmAFLk_BM5pCXHnCPC57SHUuTAKnFAjmJ8gQ1U4D45KBgwRIGH5O7BjsE3s5ncymZuOfbO6Mn5IWa-zca4Ns--91067LPGxSnYGLPWh8z4eextzOahsaHzbuiy219XJ2Sv1X20p6_rMXm6uny8uMkX99e3Fz8XuSkBp1wLilYL3tRtVWmOsi2wFZpVZcMlA-SioVJr3TJZC26LuiiY0VJw1qAQZY3H5Mc2d5zrpW2MHaagezUGt9Rhrbx26t_K4J5V51cKBZcSIQV8fw0I_vds46SWLhrb93qwfo6KpqmhKNjHUIrIKS0T-u0d-uLnMKRJJKqUFTDOZKLoljLBxxhs-_ZuCmojVm3FqiRWbZwpnnq-7n74reOvyQQUWyCm0tDZsHP1f1P_AG9trpk</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1459604749</pqid></control><display><type>article</type><title>Reproductive implications of psychological distress for couples undergoing IVF</title><source>Springer Nature</source><source>PubMed Central</source><creator>Quant, Hayley S. ; Zapantis, Athena ; Nihsen, Michael ; Bevilacqua, Kris ; Jindal, Sangita ; Pal, Lubna</creator><creatorcontrib>Quant, Hayley S. ; Zapantis, Athena ; Nihsen, Michael ; Bevilacqua, Kris ; Jindal, Sangita ; Pal, Lubna</creatorcontrib><description>Objective
To study implications of psychological distress on in vitro
fertilization
(IVF) outcome of an infertile couple.
Methods
Prospective study in an academic infertility practice setting. Couples undergoing embryo transfer (ET) following IVF were offered participation. Female patient (
n
= 89) and partner (
n
= 77) completed questionnaires reflecting
dysphoria
(POMS) and
pessimism
(LOT) after undergoing ET. Relationship between
dysphoria
and
pessimism
and implications of individual and couple’s psychological distress on IVF cycle parameters and outcomes were assessed using multivariable analyses.
Results
Statistically significant correlations between
dysphoria
and
pessimism
were observed within the individual and between partners, (
p
< 0.01). Higher couple
pessimism
correlated with longer duration of controlled ovarian hyperstimulation (COH,
p
= 0.02); higher partner psychological distress related to lower fertilization rate (FR,
p
= 0.03). On adjusted analyses, partner’s depression score was an independent predictor of reduced likelihood of clinical pregnancy (
p
= 0.03).
Conclusions
Our data validate the concept of a “stressed couple”. Adverse implications of a couple’s psychological distress for gamete biology (longer duration of COH and lower FR with increasing distress) are suggested. Partner’s depressive scores negatively correlated with IVF success. These findings suggest the importance of including partner’s evaluation in studies that focus on effects of psychological stress on IVF outcome; future studies should examine whether interventions aimed at reducing psychological stress for the infertile couple may improve IVF cycle success.</description><identifier>ISSN: 1058-0468</identifier><identifier>EISSN: 1573-7330</identifier><identifier>DOI: 10.1007/s10815-013-0098-7</identifier><identifier>PMID: 24043383</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Acupuncture ; Adult ; Assisted Reproduction Technologies ; Couples ; Data processing ; Drug dosages ; Embryos ; Female ; Fertility ; Fertilization in Vitro - psychology ; Gynecology ; Human Genetics ; Humans ; In vitro fertilization ; Infertility ; Infertility, Female - psychology ; Medicine ; Medicine & Public Health ; Ovaries ; Pessimism ; Pregnancy ; Pregnancy Outcome ; Questionnaires ; Reproduction ; Reproductive Medicine ; Stress, Psychological - psychology ; Success</subject><ispartof>Journal of assisted reproduction and genetics, 2013-11, Vol.30 (11), p.1451-1458</ispartof><rights>Springer Science+Business Media New York 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c503t-a813ea87dbf66a739f23f8a465d7940378d19aaaf49b87e2b224ca9874d3885b3</citedby><cites>FETCH-LOGICAL-c503t-a813ea87dbf66a739f23f8a465d7940378d19aaaf49b87e2b224ca9874d3885b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3879930/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3879930/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24043383$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Quant, Hayley S.</creatorcontrib><creatorcontrib>Zapantis, Athena</creatorcontrib><creatorcontrib>Nihsen, Michael</creatorcontrib><creatorcontrib>Bevilacqua, Kris</creatorcontrib><creatorcontrib>Jindal, Sangita</creatorcontrib><creatorcontrib>Pal, Lubna</creatorcontrib><title>Reproductive implications of psychological distress for couples undergoing IVF</title><title>Journal of assisted reproduction and genetics</title><addtitle>J Assist Reprod Genet</addtitle><addtitle>J Assist Reprod Genet</addtitle><description>Objective
To study implications of psychological distress on in vitro
fertilization
(IVF) outcome of an infertile couple.
Methods
Prospective study in an academic infertility practice setting. Couples undergoing embryo transfer (ET) following IVF were offered participation. Female patient (
n
= 89) and partner (
n
= 77) completed questionnaires reflecting
dysphoria
(POMS) and
pessimism
(LOT) after undergoing ET. Relationship between
dysphoria
and
pessimism
and implications of individual and couple’s psychological distress on IVF cycle parameters and outcomes were assessed using multivariable analyses.
Results
Statistically significant correlations between
dysphoria
and
pessimism
were observed within the individual and between partners, (
p
< 0.01). Higher couple
pessimism
correlated with longer duration of controlled ovarian hyperstimulation (COH,
p
= 0.02); higher partner psychological distress related to lower fertilization rate (FR,
p
= 0.03). On adjusted analyses, partner’s depression score was an independent predictor of reduced likelihood of clinical pregnancy (
p
= 0.03).
Conclusions
Our data validate the concept of a “stressed couple”. Adverse implications of a couple’s psychological distress for gamete biology (longer duration of COH and lower FR with increasing distress) are suggested. Partner’s depressive scores negatively correlated with IVF success. These findings suggest the importance of including partner’s evaluation in studies that focus on effects of psychological stress on IVF outcome; future studies should examine whether interventions aimed at reducing psychological stress for the infertile couple may improve IVF cycle success.</description><subject>Acupuncture</subject><subject>Adult</subject><subject>Assisted Reproduction Technologies</subject><subject>Couples</subject><subject>Data processing</subject><subject>Drug dosages</subject><subject>Embryos</subject><subject>Female</subject><subject>Fertility</subject><subject>Fertilization in Vitro - psychology</subject><subject>Gynecology</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>In vitro fertilization</subject><subject>Infertility</subject><subject>Infertility, Female - psychology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ovaries</subject><subject>Pessimism</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Questionnaires</subject><subject>Reproduction</subject><subject>Reproductive Medicine</subject><subject>Stress, Psychological - psychology</subject><subject>Success</subject><issn>1058-0468</issn><issn>1573-7330</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNqNkU1r3DAQhkVpyPcP6KUYeunFycgjW9KlUEK-YEkgJL0KWZYdBa_lSvbC_vtq2TRsA4WcJDTPvJLmIeQLhTMKwM8jBUHLHCjmAFLk_BM5pCXHnCPC57SHUuTAKnFAjmJ8gQ1U4D45KBgwRIGH5O7BjsE3s5ncymZuOfbO6Mn5IWa-zca4Ns--91067LPGxSnYGLPWh8z4eextzOahsaHzbuiy219XJ2Sv1X20p6_rMXm6uny8uMkX99e3Fz8XuSkBp1wLilYL3tRtVWmOsi2wFZpVZcMlA-SioVJr3TJZC26LuiiY0VJw1qAQZY3H5Mc2d5zrpW2MHaagezUGt9Rhrbx26t_K4J5V51cKBZcSIQV8fw0I_vds46SWLhrb93qwfo6KpqmhKNjHUIrIKS0T-u0d-uLnMKRJJKqUFTDOZKLoljLBxxhs-_ZuCmojVm3FqiRWbZwpnnq-7n74reOvyQQUWyCm0tDZsHP1f1P_AG9trpk</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>Quant, Hayley S.</creator><creator>Zapantis, Athena</creator><creator>Nihsen, Michael</creator><creator>Bevilacqua, Kris</creator><creator>Jindal, Sangita</creator><creator>Pal, Lubna</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20131101</creationdate><title>Reproductive implications of psychological distress for couples undergoing IVF</title><author>Quant, Hayley S. ; Zapantis, Athena ; Nihsen, Michael ; Bevilacqua, Kris ; Jindal, Sangita ; Pal, Lubna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c503t-a813ea87dbf66a739f23f8a465d7940378d19aaaf49b87e2b224ca9874d3885b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Acupuncture</topic><topic>Adult</topic><topic>Assisted Reproduction Technologies</topic><topic>Couples</topic><topic>Data processing</topic><topic>Drug dosages</topic><topic>Embryos</topic><topic>Female</topic><topic>Fertility</topic><topic>Fertilization in Vitro - psychology</topic><topic>Gynecology</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>In vitro fertilization</topic><topic>Infertility</topic><topic>Infertility, Female - psychology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ovaries</topic><topic>Pessimism</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Questionnaires</topic><topic>Reproduction</topic><topic>Reproductive Medicine</topic><topic>Stress, Psychological - psychology</topic><topic>Success</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Quant, Hayley S.</creatorcontrib><creatorcontrib>Zapantis, Athena</creatorcontrib><creatorcontrib>Nihsen, Michael</creatorcontrib><creatorcontrib>Bevilacqua, Kris</creatorcontrib><creatorcontrib>Jindal, Sangita</creatorcontrib><creatorcontrib>Pal, Lubna</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biological Sciences</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of assisted reproduction and genetics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Quant, Hayley S.</au><au>Zapantis, Athena</au><au>Nihsen, Michael</au><au>Bevilacqua, Kris</au><au>Jindal, Sangita</au><au>Pal, Lubna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reproductive implications of psychological distress for couples undergoing IVF</atitle><jtitle>Journal of assisted reproduction and genetics</jtitle><stitle>J Assist Reprod Genet</stitle><addtitle>J Assist Reprod Genet</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>30</volume><issue>11</issue><spage>1451</spage><epage>1458</epage><pages>1451-1458</pages><issn>1058-0468</issn><eissn>1573-7330</eissn><abstract>Objective
To study implications of psychological distress on in vitro
fertilization
(IVF) outcome of an infertile couple.
Methods
Prospective study in an academic infertility practice setting. Couples undergoing embryo transfer (ET) following IVF were offered participation. Female patient (
n
= 89) and partner (
n
= 77) completed questionnaires reflecting
dysphoria
(POMS) and
pessimism
(LOT) after undergoing ET. Relationship between
dysphoria
and
pessimism
and implications of individual and couple’s psychological distress on IVF cycle parameters and outcomes were assessed using multivariable analyses.
Results
Statistically significant correlations between
dysphoria
and
pessimism
were observed within the individual and between partners, (
p
< 0.01). Higher couple
pessimism
correlated with longer duration of controlled ovarian hyperstimulation (COH,
p
= 0.02); higher partner psychological distress related to lower fertilization rate (FR,
p
= 0.03). On adjusted analyses, partner’s depression score was an independent predictor of reduced likelihood of clinical pregnancy (
p
= 0.03).
Conclusions
Our data validate the concept of a “stressed couple”. Adverse implications of a couple’s psychological distress for gamete biology (longer duration of COH and lower FR with increasing distress) are suggested. Partner’s depressive scores negatively correlated with IVF success. These findings suggest the importance of including partner’s evaluation in studies that focus on effects of psychological stress on IVF outcome; future studies should examine whether interventions aimed at reducing psychological stress for the infertile couple may improve IVF cycle success.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>24043383</pmid><doi>10.1007/s10815-013-0098-7</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1058-0468 |
| ispartof | Journal of assisted reproduction and genetics, 2013-11, Vol.30 (11), p.1451-1458 |
| issn | 1058-0468 1573-7330 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3879930 |
| source | Springer Nature; PubMed Central |
| subjects | Acupuncture Adult Assisted Reproduction Technologies Couples Data processing Drug dosages Embryos Female Fertility Fertilization in Vitro - psychology Gynecology Human Genetics Humans In vitro fertilization Infertility Infertility, Female - psychology Medicine Medicine & Public Health Ovaries Pessimism Pregnancy Pregnancy Outcome Questionnaires Reproduction Reproductive Medicine Stress, Psychological - psychology Success |
| title | Reproductive implications of psychological distress for couples undergoing IVF |
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