The Effect of Stress, Anxiety and Depression on In Vitro Fertilization Outcome in Kazakhstani Public Clinical Setting: A Cross-Sectional Study

Although it is clear that infertility leads to heightened stress for patients, the impact of depressed mood and anxiety on treatment outcome is inconsistently reported. The aim of this study was to evaluate the effect of stress, depression and anxiety on in vitro fertilization (IVF) outcomes in Kaza...

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Main Authors: Gauri Bapayeva, Gulzhanat Aimagambetova, Alpamys Issanov, Sanja Terzic, Talshyn Ukybassova, Aidana Aldiyarova, Gulnara Utepova, Zhanibek Daribay, Gulnara Bekbossinova, Askhat Balykov, Antonio Simone Laganà, Milan Terzic
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/5/937
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author Gauri Bapayeva
Gulzhanat Aimagambetova
Alpamys Issanov
Sanja Terzic
Talshyn Ukybassova
Aidana Aldiyarova
Gulnara Utepova
Zhanibek Daribay
Gulnara Bekbossinova
Askhat Balykov
Antonio Simone Laganà
Milan Terzic
author_facet Gauri Bapayeva
Gulzhanat Aimagambetova
Alpamys Issanov
Sanja Terzic
Talshyn Ukybassova
Aidana Aldiyarova
Gulnara Utepova
Zhanibek Daribay
Gulnara Bekbossinova
Askhat Balykov
Antonio Simone Laganà
Milan Terzic
author_sort Gauri Bapayeva
collection DOAJ
description Although it is clear that infertility leads to heightened stress for patients, the impact of depressed mood and anxiety on treatment outcome is inconsistently reported. The aim of this study was to evaluate the effect of stress, depression and anxiety on in vitro fertilization (IVF) outcomes in Kazakhstani public assisted reproductive technology (ART) clinics. The prospective cohort study was performed between June 2019 and September 2020 using questionnaires to assess psychological stress, depressed mood and anxiety in women referred to IVF clinics in two public clinical centers in Kazakhstan, Nur-Sultan and Aktobe. Our study sample comprised 142 women with the average age of 33.9 ± 4.9 years, and infertility duration 6.0 ± 3.5 years. More than half of respondents had Center for Epidemiological Studies Depression Scale (CES-D) scores higher than 16, indicating their risk of developing clinical depression. Ninety-one percent of women from Aktobe city were at risk for clinical depression (<i>p</i> < 0.001). Aktobe city respondents had higher stress subscale scores and anxiety scale scores (<i>p</i> < 0.001) than Nur-Sultan respondents. Statistical analysis showed that IVF outcome was not significantly associated with depression and stress, while the higher anxiety scale scores were negatively associated with clinical pregnancy after IVF.
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spelling doaj.art-f55e7d97b4384ee3a6ef68934d2abc8b2023-12-03T12:01:09ZengMDPI AGJournal of Clinical Medicine2077-03832021-03-0110593710.3390/jcm10050937The Effect of Stress, Anxiety and Depression on In Vitro Fertilization Outcome in Kazakhstani Public Clinical Setting: A Cross-Sectional StudyGauri Bapayeva0Gulzhanat Aimagambetova1Alpamys Issanov2Sanja Terzic3Talshyn Ukybassova4Aidana Aldiyarova5Gulnara Utepova6Zhanibek Daribay7Gulnara Bekbossinova8Askhat Balykov9Antonio Simone Laganà10Milan Terzic11Clinical Academic Department of Women’s Health, National Research Center of Mother and Child Health, University Medical Center, Nur-Sultan 010000, KazakhstanDepartment of Biomedical Sciences, Nazarbayev University School of Medicine, Nur-Sultan 010000, KazakhstanDepartment of Medicine, Nazarbayev University School of Medicine, Nur-Sultan 010000, KazakhstanDepartment of Medicine, Nazarbayev University School of Medicine, Nur-Sultan 010000, KazakhstanClinical Academic Department of Women’s Health, National Research Center of Mother and Child Health, University Medical Center, Nur-Sultan 010000, KazakhstanClinical Academic Department of Women’s Health, National Research Center of Mother and Child Health, University Medical Center, Nur-Sultan 010000, KazakhstanClinical Academic Department of Women’s Health, National Research Center of Mother and Child Health, University Medical Center, Nur-Sultan 010000, KazakhstanDepartment of Obstetrics and Gynecology #2, Marat Ospanov West Kazakhstan State Medical University, Aktobe 030000, KazakhstanRegional Perinatal Center, Aktobe 030000, KazakhstanRegional Perinatal Center, Aktobe 030000, KazakhstanDepartment of Obstetrics and Gynecology, “Filippo Del Ponte” Hospital, University of Insubria, 21100 Varese, ItalyClinical Academic Department of Women’s Health, National Research Center of Mother and Child Health, University Medical Center, Nur-Sultan 010000, KazakhstanAlthough it is clear that infertility leads to heightened stress for patients, the impact of depressed mood and anxiety on treatment outcome is inconsistently reported. The aim of this study was to evaluate the effect of stress, depression and anxiety on in vitro fertilization (IVF) outcomes in Kazakhstani public assisted reproductive technology (ART) clinics. The prospective cohort study was performed between June 2019 and September 2020 using questionnaires to assess psychological stress, depressed mood and anxiety in women referred to IVF clinics in two public clinical centers in Kazakhstan, Nur-Sultan and Aktobe. Our study sample comprised 142 women with the average age of 33.9 ± 4.9 years, and infertility duration 6.0 ± 3.5 years. More than half of respondents had Center for Epidemiological Studies Depression Scale (CES-D) scores higher than 16, indicating their risk of developing clinical depression. Ninety-one percent of women from Aktobe city were at risk for clinical depression (<i>p</i> < 0.001). Aktobe city respondents had higher stress subscale scores and anxiety scale scores (<i>p</i> < 0.001) than Nur-Sultan respondents. Statistical analysis showed that IVF outcome was not significantly associated with depression and stress, while the higher anxiety scale scores were negatively associated with clinical pregnancy after IVF.https://www.mdpi.com/2077-0383/10/5/937infertilityin vitro fertilizationstressdepressionanxietyKazakhstan
spellingShingle Gauri Bapayeva
Gulzhanat Aimagambetova
Alpamys Issanov
Sanja Terzic
Talshyn Ukybassova
Aidana Aldiyarova
Gulnara Utepova
Zhanibek Daribay
Gulnara Bekbossinova
Askhat Balykov
Antonio Simone Laganà
Milan Terzic
The Effect of Stress, Anxiety and Depression on In Vitro Fertilization Outcome in Kazakhstani Public Clinical Setting: A Cross-Sectional Study
Journal of Clinical Medicine
infertility
in vitro fertilization
stress
depression
anxiety
Kazakhstan
title The Effect of Stress, Anxiety and Depression on In Vitro Fertilization Outcome in Kazakhstani Public Clinical Setting: A Cross-Sectional Study
title_full The Effect of Stress, Anxiety and Depression on In Vitro Fertilization Outcome in Kazakhstani Public Clinical Setting: A Cross-Sectional Study
title_fullStr The Effect of Stress, Anxiety and Depression on In Vitro Fertilization Outcome in Kazakhstani Public Clinical Setting: A Cross-Sectional Study
title_full_unstemmed The Effect of Stress, Anxiety and Depression on In Vitro Fertilization Outcome in Kazakhstani Public Clinical Setting: A Cross-Sectional Study
title_short The Effect of Stress, Anxiety and Depression on In Vitro Fertilization Outcome in Kazakhstani Public Clinical Setting: A Cross-Sectional Study
title_sort effect of stress anxiety and depression on in vitro fertilization outcome in kazakhstani public clinical setting a cross sectional study
topic infertility
in vitro fertilization
stress
depression
anxiety
Kazakhstan
url https://www.mdpi.com/2077-0383/10/5/937
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