Advanced Age Infertility Column
A survey of psychological statement in advanced age infertile patients before assisted reproductive technology
Lei Wang, Xiaohong Yan, Li Lin, Shaomin Huang, Youzhu Li
Published 2019-06-25
Cite as Chin J Reprod Contracep, 2019, 39(6): 448-452. DOI: 10.3760/cma.j.issn.2096-2916.2019.06.004
Abstract
ObjectiveTo investigate the social characteristics and psychological status of advanced age infertile women before entering assisted reproductive technology.
MethodsA total of 177 infertile women aged 35 years or older planning for assisted reproductive technology in Assisted Reproductive Center of the First Affiliated Hospital of Xiamen University from January 2017 to March 2018 were included in this study. Questionnaire including editing general condition questionnaire, Zung self-rating anxiety scale (SAS) and Zung self-rating depression scale (SDS), were collected to evaluate psychological state of these patients before entering assisted reproductive technology.
ResultsAdvanced age infertile women were with high rates of anxiety and depression detection. According to χ2 test, high income, educational background, stable work, remarriage and nullipara were more urgent requirements for children, the rates of depression and anxiety detection were significantly increased (P<0.05). The high risk factors that affect anxiety are age (OR=1.178, P=0.012), economic income (OR=6.706, P=0.003), occupation (OR=3.624, P=0.033), marital status (OR=16.065, P=0.003), and birth situation (OR=9.937, P<0.001) through binary logistic regression. The high risk factors that affect depression are age (OR=1.213, P=0.007), economic income (OR=6.436, P=0.007), occupation (OR=5.128, P=0.013), marital status (OR=15.408, P=0.005) and birth situation (OR=22.118, P<0.001) through binary logistic regression.
ConclusionInfertile women are less aware of the risks of childbirth at an advanced age, especially after pregnancy and during childbirth. Before assisted reproduction technology treatment, anxiety and depression symptoms are widespread, especially with the high risks of advanced age, stable work, low income, remarried and childless. More attention should be paid to the mental health status of the advanced age infertile women who are assisted reproductive therapy, and more education should be given to the knowledge of reproduction at the old age.
Key words:
Advanced age; Infertility; Assisted reproductive technology; Depression; Anxiety
Contributor Information
Lei Wang
Reproductive Medical Center, the First Affiliated Hospital of Xiamen University, Xiamen 361003, China
Xiaohong Yan
Li Lin
Shaomin Huang
Youzhu Li
