Anxiety, depression, and stress: a comparative study between couples with male and female infertility

Abstract Background and aim Although infertility as a significant cause of marital crises is prevalent almost equally in men and women, infertile women are under more pressure and distress than infertile men. Therefore, this study was conducted aiming to compare anxiety, depression, and stress betwe...

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Main Authors: Zahra Bostani Khalesi, Fatemeh Jafarzadeh Kenarsari
Format: Article
Language:English
Published: BMC 2024-04-01
Series:BMC Women's Health
Subjects:
Online Access:https://doi.org/10.1186/s12905-024-03072-5
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author Zahra Bostani Khalesi
Fatemeh Jafarzadeh Kenarsari
author_facet Zahra Bostani Khalesi
Fatemeh Jafarzadeh Kenarsari
author_sort Zahra Bostani Khalesi
collection DOAJ
description Abstract Background and aim Although infertility as a significant cause of marital crises is prevalent almost equally in men and women, infertile women are under more pressure and distress than infertile men. Therefore, this study was conducted aiming to compare anxiety, depression, and stress between couples with male and female infertility. Methods In this descriptive-analytical cross-sectional study, 40 couples (n = 80) with male infertility and 40 couples (n = 80) with female infertility were referred to the infertility clinic of Al-Zahra Educational and Medical Center, Rasht, Iran. Eligible infertile couples were selected by convenience sampling method. The data collection tool was a two-part questionnaire consisting of a demographic information form and a short form of the standard Depression Anxiety Stress Scale-21 (DASS-21). Data analysis was carried out using descriptive and inferential statistical tests at a significant level of p < 0.05. Results The severity of depression, anxiety, and stress also had a statistically significant difference between men and women. The severity of depression was mild in 57.5% of infertile women and moderate in 40% of infertile men. The severity of anxiety was moderate in 42.5% of infertile women and mild in 57.5% of infertile men. The severity of stress was Severe in 37.5% of infertile women and mild in 40% of infertile men. There was a statistically significant difference between infertile women and men in terms of depression (t=-4.213, df = 1619, p < 0.001), anxiety (t=-7.261, df = 2274, p < 0.001), and stress (t=-9.046, df = 2308, p < 0.001) subscales, and the total scores (t=-7.709, df = 2315, p < 0.001). The depression, stress and anxiety levels were higher in infertile women than in healthy women with infertile spouses. This difference was statistically significant (p < 0.01). The depression, anxiety, and stress levels were significantly different between infertile men and healthy men with infertile wives (p < 0.001). Conclusion The results of this study indicated that depression, anxiety, and stress were more prevalent in infertile women than in infertile men. The severity levels of depression, anxiety, and stress in the wives of infertile men were higher than those in the spouses of infertile women.
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spelling doaj.art-3bcaf5c49467452fa511d4eabd9d7c3c2025-02-16T12:46:36ZengBMCBMC Women's Health1472-68742024-04-012411710.1186/s12905-024-03072-5Anxiety, depression, and stress: a comparative study between couples with male and female infertilityZahra Bostani Khalesi0Fatemeh Jafarzadeh Kenarsari1Department of Midwifery, School of Nursing and Midwifery, Guilan University of Medical SciencesDepartment of Midwifery, School of Nursing and Midwifery, Guilan University of Medical SciencesAbstract Background and aim Although infertility as a significant cause of marital crises is prevalent almost equally in men and women, infertile women are under more pressure and distress than infertile men. Therefore, this study was conducted aiming to compare anxiety, depression, and stress between couples with male and female infertility. Methods In this descriptive-analytical cross-sectional study, 40 couples (n = 80) with male infertility and 40 couples (n = 80) with female infertility were referred to the infertility clinic of Al-Zahra Educational and Medical Center, Rasht, Iran. Eligible infertile couples were selected by convenience sampling method. The data collection tool was a two-part questionnaire consisting of a demographic information form and a short form of the standard Depression Anxiety Stress Scale-21 (DASS-21). Data analysis was carried out using descriptive and inferential statistical tests at a significant level of p < 0.05. Results The severity of depression, anxiety, and stress also had a statistically significant difference between men and women. The severity of depression was mild in 57.5% of infertile women and moderate in 40% of infertile men. The severity of anxiety was moderate in 42.5% of infertile women and mild in 57.5% of infertile men. The severity of stress was Severe in 37.5% of infertile women and mild in 40% of infertile men. There was a statistically significant difference between infertile women and men in terms of depression (t=-4.213, df = 1619, p < 0.001), anxiety (t=-7.261, df = 2274, p < 0.001), and stress (t=-9.046, df = 2308, p < 0.001) subscales, and the total scores (t=-7.709, df = 2315, p < 0.001). The depression, stress and anxiety levels were higher in infertile women than in healthy women with infertile spouses. This difference was statistically significant (p < 0.01). The depression, anxiety, and stress levels were significantly different between infertile men and healthy men with infertile wives (p < 0.001). Conclusion The results of this study indicated that depression, anxiety, and stress were more prevalent in infertile women than in infertile men. The severity levels of depression, anxiety, and stress in the wives of infertile men were higher than those in the spouses of infertile women.https://doi.org/10.1186/s12905-024-03072-5WomenMenAnxietyDepressionStress infertility
spellingShingle Zahra Bostani Khalesi
Fatemeh Jafarzadeh Kenarsari
Anxiety, depression, and stress: a comparative study between couples with male and female infertility
BMC Women's Health
Women
Men
Anxiety
Depression
Stress infertility
title Anxiety, depression, and stress: a comparative study between couples with male and female infertility
title_full Anxiety, depression, and stress: a comparative study between couples with male and female infertility
title_fullStr Anxiety, depression, and stress: a comparative study between couples with male and female infertility
title_full_unstemmed Anxiety, depression, and stress: a comparative study between couples with male and female infertility
title_short Anxiety, depression, and stress: a comparative study between couples with male and female infertility
title_sort anxiety depression and stress a comparative study between couples with male and female infertility
topic Women
Men
Anxiety
Depression
Stress infertility
url https://doi.org/10.1186/s12905-024-03072-5
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