Predictors of nonresponse to treatment and low adherence to internet-based cognitive behavioral therapy in depressed/anxious women facing the couple’s fertility problems: a secondary analysis of a randomized control trial
Abstract Background The study aimed to examine the predictors of treatment nonresponse and low adherence to Internet-based cognitive behavioral therapy and face-to-face therapy for treating depression and anxiety in women facing the couple’s fertility problems. Methods This is a secondary analysis b...
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Psychiatry |
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| Online Access: | https://doi.org/10.1186/s12888-023-05484-3 |
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| author | Shiva Shafierizi Zahra Basirat Fatemeh Nasiri-Amiri Farzan Kheirkhah Zahra Geraili Hajar Pasha Mahbobeh Faramarzi |
| author_facet | Shiva Shafierizi Zahra Basirat Fatemeh Nasiri-Amiri Farzan Kheirkhah Zahra Geraili Hajar Pasha Mahbobeh Faramarzi |
| author_sort | Shiva Shafierizi |
| collection | DOAJ |
| description | Abstract Background The study aimed to examine the predictors of treatment nonresponse and low adherence to Internet-based cognitive behavioral therapy and face-to-face therapy for treating depression and anxiety in women facing the couple’s fertility problems. Methods This is a secondary analysis based on a previous randomized controlled trial including 152 depressed/anxious women facing the couple’s fertility problems. The study defines low adherence as receiving less than 4 sessions (out of 8 sessions). Nonresponse to treatment refers to a < 50% reduction in the anxiety and depression total scores. Results A high level of anxiety/depression score before psychotherapy increases the risk of nonresponse to both Internet-based and face-to-face psychotherapies by 1.4 to 2 times in women facing the couple’s fertility problems after the treatment and in the 6-month follow-up. However, 4 factors, including diagnosis of mixed anxiety and depression, low education level, long marriage duration, and infertility caused by mixed female/male factors, reduced the risk of nonresponse to psychotherapies. Conclusion Women facing the couple’s fertility problems with high depression and anxiety scores are at risk of poor prognosis in response to psychotherapy. Psychologists and healthcare providers of infertility centers should pay more attention to the timely identification and referral of depressed/anxious patients to psychologists. |
| first_indexed | 2024-03-08T14:13:52Z |
| format | Article |
| id | doaj.art-23801f9eb7c044f69c61fd4a46ada57b |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-03-08T14:13:52Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-23801f9eb7c044f69c61fd4a46ada57b2024-01-14T12:31:52ZengBMCBMC Psychiatry1471-244X2024-01-0124111210.1186/s12888-023-05484-3Predictors of nonresponse to treatment and low adherence to internet-based cognitive behavioral therapy in depressed/anxious women facing the couple’s fertility problems: a secondary analysis of a randomized control trialShiva Shafierizi0Zahra Basirat1Fatemeh Nasiri-Amiri2Farzan Kheirkhah3Zahra Geraili4Hajar Pasha5Mahbobeh Faramarzi6Student Research Committee, Babol University of Medical SciencesDepartment of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical SciencesDepartment of Midwifery, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical SciencesDepartment of Psychiatry, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical SciencesSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical SciencesDepartment of Midwifery, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical SciencesDepartment of General Courses, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical SciencesAbstract Background The study aimed to examine the predictors of treatment nonresponse and low adherence to Internet-based cognitive behavioral therapy and face-to-face therapy for treating depression and anxiety in women facing the couple’s fertility problems. Methods This is a secondary analysis based on a previous randomized controlled trial including 152 depressed/anxious women facing the couple’s fertility problems. The study defines low adherence as receiving less than 4 sessions (out of 8 sessions). Nonresponse to treatment refers to a < 50% reduction in the anxiety and depression total scores. Results A high level of anxiety/depression score before psychotherapy increases the risk of nonresponse to both Internet-based and face-to-face psychotherapies by 1.4 to 2 times in women facing the couple’s fertility problems after the treatment and in the 6-month follow-up. However, 4 factors, including diagnosis of mixed anxiety and depression, low education level, long marriage duration, and infertility caused by mixed female/male factors, reduced the risk of nonresponse to psychotherapies. Conclusion Women facing the couple’s fertility problems with high depression and anxiety scores are at risk of poor prognosis in response to psychotherapy. Psychologists and healthcare providers of infertility centers should pay more attention to the timely identification and referral of depressed/anxious patients to psychologists.https://doi.org/10.1186/s12888-023-05484-3NonresponseLow adherenceInternet-based cognitive behavioral therapyDepressionAnxietyInfertility |
| spellingShingle | Shiva Shafierizi Zahra Basirat Fatemeh Nasiri-Amiri Farzan Kheirkhah Zahra Geraili Hajar Pasha Mahbobeh Faramarzi Predictors of nonresponse to treatment and low adherence to internet-based cognitive behavioral therapy in depressed/anxious women facing the couple’s fertility problems: a secondary analysis of a randomized control trial BMC Psychiatry Nonresponse Low adherence Internet-based cognitive behavioral therapy Depression Anxiety Infertility |
| title | Predictors of nonresponse to treatment and low adherence to internet-based cognitive behavioral therapy in depressed/anxious women facing the couple’s fertility problems: a secondary analysis of a randomized control trial |
| title_full | Predictors of nonresponse to treatment and low adherence to internet-based cognitive behavioral therapy in depressed/anxious women facing the couple’s fertility problems: a secondary analysis of a randomized control trial |
| title_fullStr | Predictors of nonresponse to treatment and low adherence to internet-based cognitive behavioral therapy in depressed/anxious women facing the couple’s fertility problems: a secondary analysis of a randomized control trial |
| title_full_unstemmed | Predictors of nonresponse to treatment and low adherence to internet-based cognitive behavioral therapy in depressed/anxious women facing the couple’s fertility problems: a secondary analysis of a randomized control trial |
| title_short | Predictors of nonresponse to treatment and low adherence to internet-based cognitive behavioral therapy in depressed/anxious women facing the couple’s fertility problems: a secondary analysis of a randomized control trial |
| title_sort | predictors of nonresponse to treatment and low adherence to internet based cognitive behavioral therapy in depressed anxious women facing the couple s fertility problems a secondary analysis of a randomized control trial |
| topic | Nonresponse Low adherence Internet-based cognitive behavioral therapy Depression Anxiety Infertility |
| url | https://doi.org/10.1186/s12888-023-05484-3 |
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