Yeni Koronavirüs Salgını Kapanma Süreci Nedeniyle İnfertilite Tedavisi Ertelenen Hastaların Psikolojik Durumları

Yıl 2021, Cilt: 5 Sayı: 3, 289 - 293, 31.12.2021

Emre Günakan , Aytaç Tohma , Gamze Özçürümez , Göğşen Önalan Tayfun Cok , Hulusi Zeyneloglu

https://doi.org/10.30565/medalanya.896586

Öz

Amaç: Bu çalışmada infertilite tedavisi ertelenen hastaların psikolojik durumlarını online anket aracılığıyla incelemeyi planladık.

Yöntemler: İnfertilite nedeniyle takipte olan 60 hasta anket ile ilgili bilgilendirildi. Yaş, infertilite durumu, Beck depresyon envanteri (BDI) ve Hamilton anksiyete derecelendirme ölçeği (HAM-A) ile ilgili soruları içeren çevrimiçi anketin erişim linki gönderildi. Hastalar (i-) yaş, (ii-) fertilite tedavi durumu ve (iii-) yardımcı üreme teknolojisi (YÜT), tedavisi endikasyonlarına göre üç farklı gruplama sistemi kullanıldı.

Bulgular: Tüm grupta ortalama BDI ve HAM-A skorları sırasıyla 39.2 (25-67) ve 22.1 (11-45) idi. Fertilite tedavisi endikasyonlarına göre anket puanlarının değerlendirilmesinde BDI puanları 34,2-44,7 arasında idi ve gruplar arasında istatistiksel anlamlılık yoktu (p: 0,182). HAM-A skorları 18,7-38,0 arasında idi ve gruplar arasında istatistiksel anlamlılık yoktu (p: 0,185). Ayrıca, 2019-nCoV salgını ülkemizde başladığında hastaların YÜT tedavi durumuna göre BDI ve HAM-A için gruplar arasında istatistiksel olarak anlamlı bir fark yoktu (sırasıyla p: 0.962 ve 0.423).

Sonuç: İnfertil hastalar depresyon ve anksiyeteye daha yatkındır ve olası tedavi ertelemelerinin depresyon ve anksiyetelerini artırabileceği unutulmamalıdır.

Anahtar Kelimeler

Beck Depresyon Envanteri, Hamilton anksiyete derecelendirme ölçeği, infertilite tedavisi, Koronavirüs,

Destekleyen Kurum

Başkent Üniversitesi Tıp Fakültesi

Proje Numarası

KA20/174

Psychological conditions of patients whose infertility treatment was postponed due to the novel coronavirus pandemic lockdown

Öz

Aim: In this study, we planned to examine the psychological status of patients who were required to postpone their infertility treatment, by means of an online survey.

Methods: Sixty patients who were in the follow-up were informed and an access link of online survey, which included questions about age, infertility status, Beck’s depression inventory(BDI) and Hamilton’s anxiety rating scale (HAM-A), were sent to them. Three different grouping systems were used based on (i-) age, (ii-) fertility treatment status and (iii-) indications for assisted reproduction technology treatment.

Results: Mean scores of BDI and HAM-A in the whole group were 39.2(25-67) and 22.1(11-45), respectively. In the evaluation of survey scores according to indications of fertility treatment, BDI scores were between 34.2-44.7 and there was no statistical significance between the groups (p:0.182). HAM-A scores were between 18.7-38.0 and there was no statistical significance between the groups (p:0.185). In addition, there was no statistical significance between groups for BDI and HAM-A (p: 0.962 and 0.423, respectively) according to patients’ ART treatment status at the time the 2019-nCoV outbreak began in our country.

Conclusion: Infertile patients will be more prone to depression and anxiety, and it should be noted that potential treatment postponements may increase their depression and anxiety.

Anahtar Kelimeler

Beck’s depression inventory, Hamilton anxiety rating scale, Infertility Treatment, Coronovirus,

Proje Numarası

KA20/174

Kaynakça

• 1. Keşkek Ş. , Erdoğan H. COVID-19: A Current Brief Review. Acta Medica Alanya. 2020; 4(2): 197-202. doi: 10.30565/medalanya.747238
• 2. Dashraath P, Wong JLJ, Lim MXK, Lim LM, Li S, Biswas A et al. Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. Am J Obstet Gynecol. 2020;222(6):521-31. doi: 10.1016/j.ajog.2020.03.021.
• 3. Rasmussen SA, Smulian JC, Lednicky JA, Wen TS, Jamieson DJ. Coronavirus Disease 2019 (COVID-19) and pregnancy: what obstetricians need to know. Am J Obstet Gynecol. 2020;222(5):415-26. doi: 10.1016/j.ajog.2020.02.017.
• 4. Schwartz DA. An Analysis of 38 Pregnant Women with COVID-19, Their Newborn Infants, and Maternal-Fetal Transmission of SARS-CoV-2: Maternal Coronavirus Infections and Pregnancy Outcomes. Arch Pathol Lab Med. 2020;144(7):799-805. doi: 10.5858/arpa.2020-0901-SA.
• 5. Schwartz DA, Graham AL. Potential Maternal and Infant Outcomes from (Wuhan) Coronavirus 2019-nCoV Infecting Pregnant Women: Lessons from SARS, MERS, and Other Human Coronavirus Infections. Viruses. 2020;12(2):194. doi: 10.3390/v12020194.
• 6. Yu N, Li W, Kang Q, Xiong Z, Wang S, Lin X, et al. Clinical features and obstetric and neonatal outcomes of pregnant patients with COVID-19 in Wuhan, China: a retrospective, single-centre, descriptive study. Lancet Infect Dis. 2020;20(5):559-64. doi: 10.1016/S1473-3099(20)30176-6.
• 7. Edwards MJ, Saunders RD, Shiota K. Effects of heat on embryos and foetuses. Int J Hyperthermia. 2003;19(3):295-324. doi: 10.1080/0265673021000039628.
• 8. Delen D, Eryarsoy E, Davazdahemami B. No Place Like Home: Cross-National Data Analysis of the Efficacy of Social Distancing During the COVID-19 Pandemic. JMIR Public Health Surveill. 2020;6(2):e19862. doi: 10.2196/19862.
• 9. Kazandi M, Gunday O, Mermer TK, Erturk N, Ozkınay E. The status of depression and anxiety in infertile Turkish couples. Iran J Reprod Med. 2011;9(2):99-104. PMID: 25587255.
• 10. Pinar G, Zeyneloglu HB. Quality of life, anxiety and depression in Turkish women prior to receiving assisted reproductive techniques. Int J Fertil Steril. 2012;6(1):1-12. PMID: 25505505.
• 11. Ozturk S, Sut HK, Kucuk L. Examination of sexual functions and depressive symptoms among infertile and fertile women. Pak J Med Sci. 2019;35(5):1355-60. doi: 10.12669/pjms.35.5.615.
• 12. Domar AD, Zuttermeister PC, Friedman R. The psychological impact of infertility: a comparison with patients with other medical conditions. J Psychosom Obstet Gynaecol. 1993;14 Suppl:45-52. PMID: 8142988.
• 13. Khademi A, Alleyassin A, Aghahosseini M, Ramezanzadeh F, Abhari AA. Pretreatment Beck Depression Inventory score is an important predictor for post-treatment score in infertile patients: a before-after study. BMC Psychiatry. 2005;5:25. doi: 10.1186/1471-244X-5-25.
• 14. Domar AD, Broome A, Zuttermeister PC, Seibel M, Friedman R. The prevalence and predictability of depression in infertile women. Fertil Steril. 1992;58(6):1158-63. PMID: 1459266
• 15. Wischmann T, Stammer H, Scherg H, Gerhard I, Verres R. Psychosocial characteristics of infertile couples: a study by the 'Heidelberg Fertility Consultation Service'. Hum Reprod. 2001;16(8):1753-61. doi: 10.1093/humrep/16.8.1753.
• 16. Beutel M, Kupfer J, Kirchmeyer P, Kehde S, Köhn FM, Schroeder-Printzen I, et al. Treatment-related stresses and depression in couples undergoing assisted reproductive treatment by IVF or ICSI. Andrologia. 1999;31(1):27-35. PMID: 9949886.
• 17. Kee BS, Jung BJ, Lee SH. A study on psychological strain in IVF patients. J Assist Reprod Genet. 2000;17(8):445-8. doi: 10.1023/a:1009417302758.
• 18. Sarıkan İ, Savaş HB, Çimşir MT. The Effects Of Hırudotherapy As A Complementary In The Treatment Of A Patıent Wıth Polycystıc Ovary Syndrome: A Rare Case Report. Uluslararası Hakemli Akademik Spor Sağlık ve Tıp Bilimleri Dergisi, doi:10.17363/SSTP.2020.35.4