title: A comparison of psychological functioning in women at different stages of in vitro fertilization treatment using the mean affect adjective check list.
abstract: OBJECTIVE
  The objectives were to identify the stage/s of IVF treatment where a woman is most vulnerable to psychological stress, and to assess the Mean Affect Adjective Check List (MAACL) as a measure of psychological functioning during IVF treatment, which has hitherto not been reported.
  
  
  METHODS
  Thirty-seven women undergoing IVF treatment according to the long protocol of controlled ovarian stimulation completed the MAACL questionnaire at the following stages: (a) before treatment (visit 1), (b) before embryo transfer (visit 2), and (c) before pregnancy test (visit 3).
  
  
  RESULTS
  Apart from anxiety scores for visit 2, the hostility, depression, and state anxiety scores for visit 3 were higher than the corresponding scores for visits 1 and 2 (P < 0.001). Anxiety scores for visits 2 and 3 were similar.
  
  
  CONCLUSIONS
  Psychological counseling should be targeted at women after embryo transfer and leading up to the pregnancy test. The MAACL is a useful method for measuring psychological stress in women during IVF treatment.
authors.affiliation: Assisted Conception Unit, Simpson Memorial Maternity Pavilion, Royal Infirmary of Edinburgh, Edinburgh EH3 9EF, United Kingdom.
authors.forename: P
authors.initials: P
authors.lastname: Yong
authors.forename: C
authors.initials: C
authors.lastname: Martin
authors.forename: J
authors.initials: J
authors.lastname: Thong
mesh_terms: D000367:Age Factors; D001007:Anxiety / Q000523:psychology; D003863:Depression / Q000523:psychology; D004624:Embryo Transfer / Q000523:psychology; D005260:Female; D005307:Fertilization in Vitro / Q000523:psychology*; D006791:Hostility; D006801:Humans; D007247:Infertility, Female / Q000523:psychology / Q000628:therapy*; D011594:Psychometrics; D018709:Statistics, Nonparametric; D013315:Stress, Psychological / Q000523:psychology; D011795:Surveys and Questionnaires