title: Psychological adjustment, knowledge and unmet information needs in women undergoing PGD.
abstract: BACKGROUND
  Women often enter preimplantation genetic diagnosis (PGD) treatment following traumatic reproductive and genetic histories, the detrimental psychological effects of which are known to be long lasting in some cases. In addition, attempting IVF with PGD requires an in-depth understanding of the aspects of the technology. The level of information that is required and retained by women entering treatment is important for clinicians to understand. To date, neither of these issues has been explored empirically. To address this, we assessed mood and information-seeking behavior in a sample of women entering PGD.
  
  
  METHODS
  Fifty women entering PGD treatment completed self-administered questionnaires that assessed anxiety, depression, knowledge of technical aspects of PGD, expectancy of establishing a pregnancy and unmet information needs.
  
  
  RESULTS
  Anxiety and depression rates were similar to normal population data. State anxiety was associated with degree of financial worry [beta = 0.36, t = 2.60, P = 0.01, 95% confidence interval (CI): 0.03-0.23], and living in an inner metropolitan area (beta = 0.30, P = 0.03, 95% CI: 0.32-10.81). Unmet information needs were positively associated with women's education (beta = 0.97, P = 0.01, 95% CI: 0.22-1.73). Lastly, expectancy of establishing a pregnancy was above that of what clinicians provide as realistic PGD pregnancy chances and, unexpectedly, was also associated with degree of financial worry (beta = 0.36, P = 0.01, 95% CI: 0.07-0.56).
  
  
  CONCLUSIONS
  Women entering PGD are emotionally well adjusted although the financial costs associated with PGD are associated with increases in anxiety. The study is limited by its small sample size and the fact that partners were not assessed.
authors.affiliation: Sydney Medical School, University of Sydney, Sydney, NSW 2065, Australia. jkaratas@med.usyd.edu.au
authors.forename: J C
authors.initials: JC
authors.lastname: Karatas
authors.forename: K
authors.initials: K
authors.lastname: Barlow-Stewart
authors.forename: B
authors.initials: B
authors.lastname: Meiser
authors.forename: C
authors.initials: C
authors.lastname: McMahon
authors.forename: K A
authors.initials: KA
authors.lastname: Strong
authors.forename: W
authors.initials: W
authors.lastname: Hill
authors.forename: C
authors.initials: C
authors.lastname: Roberts
authors.forename: P
authors.initials: P
authors.lastname: Kelly
mesh_terms: D000223:Adaptation, Psychological; D000339:Affect; D001007:Anxiety / Q000523:psychology; D003863:Depression / Q000523:psychology; D005260:Female; D005817:Genetic Counseling; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D007247:Infertility, Female / Q000523:psychology; D057226:Information Seeking Behavior; D016014:Linear Models; D011247:Pregnancy; D019836:Preimplantation Diagnosis / Q000523:psychology*; D011296:Prenatal Diagnosis / Q000523:psychology; D012944:Social Support; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000523:psychology; D011795:Surveys and Questionnaires