Depression: an emotional obstacle to seeking medical advice for infertility  

Oleh:

Herbert, Danielle L. ; Lucke, Jayne C. ; Dobson, Annette J.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 94 no. 05 (Oct. 2010), page 1817-1821.
Topik: Infertility; medical advice; depression; anxiety disorder; mental health; women; obesity; chronic disease

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2010.05 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Objective To investigate the mental and general health of infertile women who had not sought medical advice for their recognized infertility and were therefore not represented in clinical populations. Design Longitudinal cohort study. Setting Population based. Patient(s) Participants in the Australian Longitudinal Study on Women's Health aged 28–33 years in 2006 who had ever tried to conceive or had been pregnant (n = 5,936). Intervention(s) None. Main Outcome Measure(s) Infertility, not seeking medical advice. Result(s) Compared with fertile women (n = 4,905), infertile women (n = 1,031) had higher odds of self-reported depression (odds ratio [OR] 1.20, 95% confidence interval [CI] 1.01–1.43), endometriosis (5.43, 4.01–7.36), polycystic ovary syndrome (9.52, 7.30–12.41), irregular periods (1.99, 1.68–2.36), type II diabetes (4.70, 1.79–12.37), or gestational diabetes (1.66, 1.12–2.46). Compared with infertile women who sought medical advice (n = 728), those who had not sought medical advice (n = 303) had higher odds of self-reported depression (1.67, 1.18–2.37), other mental health problems (3.14, 1.14–8.64), urinary tract infections (1.67, 1.12–2.49), heavy periods (1.63, 1.16–2.29), or a cancer diagnosis (11.33, 2.57–49.89). Infertile women who had or had not sought medical advice had similar odds of reporting an anxiety disorder or anxiety-related symptoms. Conclusion(s) Women with self-reported depression were unlikely to have sought medical advice for infertility. Depression and depressive symptoms may be barriers to seeking medical advice for infertility.

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