Abstract
Purpose
This study evaluated the changes in psychological stress during in vitro fertilization and embryo transfer (IVF–ET) and the relationship of such stress to the patients’ background and gender.
Methods
Sixty couples undergoing IVF–ET were administered the State–Trait Anxiety Inventory-JYZ (STAI) test at six different points during IVF–ET procedures. Anxiety scores at each time point were recorded and analyzed according to gender, fertility status, and duration of treatment.
Results
The median state anxiety score for women increased following induction until oocyte collection, after which it temporarily declined and then increased again until the pregnancy test. No such changes were noted in men. Scores for women who had undergone a shorter period of IVF treatments were higher while state and trait anxiety in men increased with a prolonged treatment period. Unsuccessful treatment increased the state and trait anxiety of women.
Conclusions
Psychological stress changed periodically depending on the duration of the patients’ treatment and fertility status also influenced anxiety levels. These findings will prove helpful in guiding psychological therapy and counseling for couples attempting to conceive by in vitro fertilization.
Similar content being viewed by others
References
Boivin J, Griffiths E, Venetis CA. Emotional distress in infertile women and failure of assisted reproductive technologies: meta-analysis of prospective psychosocial studies. BMJ. 2011;342:d223.
Boivin J, Schmidt L. Infertility-related stress in men and women predicts treatment outcome 1 year later. Fertil Steril. 2005;83:1745–52.
Greil AL, Slauson-Blevins K, McQuillan J. The experience of infertility: a review of recent literature. Sociol Health Illn. 2010;32:140–62.
Henning K, Strauss B. Psychological and psychosomatic aspects of involuntary childlessness: state of research at the end of the 1990s. Ashland: Hogrefe and Huber; 2002.
Peterson BD, Pirritano M, Christensen U, Schmidt L. The impact of partner coping in couples experiencing infertility. Hum Reprod. 2008;23:1128–37.
White L, McQuillan J. No longer intending: the relationship between relinquished fertility intentions and distress. J Marriage Fam. 2006;68:478–90.
Fechner AJ, McGovern PG. The state of the art of in vitro fertilization. Front Biosci (Elite Ed). 2011;3:264–78.
Gnoth C, Maxrath B, Skonieczny T, Friol K, Godehardt E, Tigges J. Final art success rates: a 10 years survey. Hum Reprod. 2011;26:2239–46.
Beaurepaire J, Jones M, Thiering P, Saunders D, Tennant C. Psychosocial adjustment to infertility and its treatment: Male and female responses at different stages of IVF/ET treatment. J Psychosom Res. 1994;38:229–40.
Bloch M, Azem F, Aharonov I, Ben Avi I, Yagil Y, Schreiber S, Amit A, Weizman A. GnRH-agonist induced depressive and anxiety symptoms during in vitro fertilization–embryo transfer cycles. Fertil Steril. 2011;95:307–9.
Kee BS, Jung BJ, Lee SH. A study on psychological strain in IVF patients. J Assist Reprod Genet. 2000;17:445–8.
Olivius C, Friden B, Borg G, Bergh C. Why do couples discontinue in vitro fertilization treatment? A cohort study. Fertil Steril. 2004;81:258–61.
Domar AD, Rooney KL, Wiegand B, Orav EJ, Alper MM, Berger BM, Nikolovski J. Impact of a group mind/body intervention on pregnancy rates in IVF patients. Fertil Steril. 2011;95:2269–73.
Edelmann RJ, Connolly KJ. Psychological aspects of infertility. Br J Med Psychol. 1986;59(Pt 3):209–19.
Harlow CR, Fahy UM, Talbot WM, Wardle PG, Hull MG. Stress and stress-related hormones during in vitro fertilization treatment. Hum Reprod. 1996;11:274–9.
Hidano T, Fukuhara M, Iwawaki S, Soga S, Spielberger CD. Manual STAI-JYZ (Japanese version of STAI-Y). Tokyo: Jitsumu Kyoiku Shuppan; 2002.
Spielberger CD. The State–Trait Anxiety Inventory (STAI) In: Hersen M, Bellack AS, editors. Dictionary of behavioral assessment techniques. New York: Pergamon Press; 1988. p. 448–50.
Iwase A, Ando H, Toda S, Ishimatsu S, Harata T, Kurotsuchi S, Shimomura Y, Goto M, Kikkawa F. Oral progestogen versus intramuscular progesterone for luteal support after assisted reproductive technology treatment: a prospective randomized study. Arch Gynecol Obstet. 2008;277:319–24.
Iwase A, Ando H, Kuno K, Mizutani S. Use of follicle-stimulating hormone test to predict poor response in in vitro fertilization. Obstet Gynecol. 2005;105:645–52.
Nakahara T, Iwase A, Goto M, Harata T, Suzuki M, Ienaga M, Kobayashi H, Takikawa S, Manabe S, Kikkawa F, Ando H. Evaluation of the safety of time-lapse observations for human embryos. J Assist Reprod Genet. 2010;27:93–6.
Takikawa S, Iwase A, Goto M, Harata T, Umezu T, Nakahara T, Kobayashi H, Suzuki K, Manabe S, Kikkawa F. Assessment of the predictive value of follicular fluid insulin, leptin and adiponectin in assisted reproductive cycles. Gynecol Endocrinol. 2010;26:494–9.
Knight RG, Waal-Manning HJ, Spears GF. Some norms and reliability data for the state–trait anxiety inventory and the zung self-rating depression scale. Br J Clin Psychol. 1983;22(Pt 4):245–9.
Schommer NC, Hellhammer DH, Kirschbaum C. Dissociation between reactivity of the hypothalamus–pituitary–adrenal axis and the sympathetic-adrenal–medullary system to repeated psychosocial stress. Psychosom Med. 2003;65:450–60.
Slade P, Emery J, Lieberman BA. A prospective, longitudinal study of emotions and relationships in in vitro fertilization treatment. Hum Reprod. 1997;12:183–90.
Eugster A, Vingerhoets AJ. Psychological aspects of in vitro fertilization: a review. Soc Sci Med. 1999;48:575–89.
Visser AP, Haan G, Zalmstra H, Wouters I. Psychosocial aspects of in vitro fertilization. J Psychosom Obstet Gynaecol. 1994;15:35–43.
Yong P, Martin C, Thong J. A comparison of psychological functioning in women at different stages of in vitro fertilization treatment using the mean affect adjective check list. J Assist Reprod Genet. 2000;17:553–6.
Ramazanzadeh F, Noorbala AA, Abedinia N, Mohammad Naghizadeh MM. Emotional adjustment in infertile couples. Iran J Reprod Med. 2009;7:97–103.
Martins MV, Peterson BD, Almeida VM, Costa ME. Direct and indirect effects of perceived social support on women’s infertility-related stress. Hum Reprod. 2011;26:2113–21.
Sexton MB, Byrd MR, O’Donohue WT, Jacobs NN. Web-based treatment for infertility-related psychological distress. Arch Womens Ment Health. 2010;13:347–58.
Acknowledgments
We are grateful to Ms. Ayano Yamamoto for her valuable technical assistance.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Harata, T., Goto, M., Iwase, A. et al. Psychological stress during in vitro fertilization and embryo transfer is influenced by the patients’ background and gender. Reprod Med Biol 11, 143–148 (2012). https://doi.org/10.1007/s12522-012-0124-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12522-012-0124-y