Comparison of multiple psychological distress measures between men and women preparing for in vitro fertilization

• Published in: Fertility and sterility Vol. 95; no. 2; pp. 717 - 721
• Main Authors: Wichman, Christina L., D.O, Ehlers, Shawna L., Ph.D, Wichman, Scott E., D.O, Weaver, Amy L., M.S, Coddington, Charles, M.D
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.02.2011; Elsevier
• Subjects: Adult; Adult and adolescent clinical studies; Aged; anxiety; Biological and medical sciences; Birth control; Cohort Studies; Depression; distress; Family Characteristics; Female; Fertilization in Vitro - psychology; gender differences; Gynecology. Andrology. Obstetrics; Humans; in vitro fertilization; Infertility; Infertility - complications; Infertility - psychology; Infertility - therapy; Internal Medicine; Male; Medical sciences; men; mental depression; Middle Aged; Miscellaneous; Mood disorders; Obstetrics and Gynecology; patients; psychological distress; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; questionnaires; Research Design; Retrospective Studies; Severity of Illness Index; Sex Characteristics; Sterility. Assisted procreation; stress; Stress, Psychological - diagnosis; Stress, Psychological - etiology; women; Young Adult; in vitro fertilization; anxiety; stress; depression; psychological distress; Infertility; Mood disorder; Human; Multiple; Depressions; Gynecology; Assisted procreation; Depression; Male; Obstetrics; Sterility; Stress; In vitro fertilization embryo transfer; Psychological distress; Female; Anxiety; Woman; Comparative study
• ISSN: 0015-0282; 1556-5653
• DOI: 10.1016/j.fertnstert.2010.09.043

Objective To compare multiple measures of psychological distress between men and women preparing for IVF. Design Retrospective cohort study. Setting Outpatient, academic infertility clinic. Patient(s) One hundred sixty-two consecutive couples presenting for infertility treatment with IVF. Intervention(s) Measures were completed as part of a routine, infertility-focused psychological evaluation, including the Beck Depression Inventory, State-Trait Anxiety Inventory, State-Trait Anger Inventory, and Impact of Events Scale. Main Outcome Measure(s) Scores of above psychological questionnaires. Result(s) Psychological distress scores were statistically significantly higher among women than men for symptoms of depression, state anxiety, infertility specific distress, and general perceived stress. However, aside from infertility-specific distress (d = .43), effect sizes for the paired differences between females and males ranged from d = .18 to .23. Conclusion(s) Women consistently scored higher on multiple measures of psychological distress than their male partners in the context of preparing for IVF. Comparison of infertility-specific distress scores yielded the largest statistically and clinically significant difference compared with traditional measures of general depression and anxiety symptoms.