title: Family-related opinions and stressful situations associated with psychological distress in women undergoing infertility treatment.
abstract: The purpose of this study is to investigate how family-related opinions and stressful situations are related to psychological distress in women undergoing infertility treatment. The subjects in this cross-sectional study were recruited from female patients undergoing infertility treatment (n = 2540) at 70 infertility treatment institutions in Japan. Because of non-participation or missing data, the number of subjects included in the analysis was 635 (response rate, 25.0%). The family-related opinions and stressful situations were evaluated using the original questions. Psychological distress was assessed using a self-report measure, the Kessler Six-question Psychological Distress Scale (K6). The K6 scores of the following participants were significantly (p < 0.05) and independently high: those with more frequent miscarriage/stillbirth/abortions, those with repeated miscarriages as the cause of infertility, those with infertility of unknown causes, those living with no child, those having a low joint income with their partner, those with the opinion that "women should devote themselves to their household duties" those who had considered stopping treatment, those without the opinion that "married life without children is favorable" and those who had experienced stressful situations such as inadequate explanation by doctors, frustration of multiple failed attempts, differences of opinion with the partner, and lack of knowledge regarding when to stop treatment. Family-related opinions and stressful situations associated with psychological distress in women undergoing infertility treatment are outlined. The results of this study may contribute to the prevention of and care for psychological distress in female patients undergoing infertility treatment.
authors.affiliation: Department of Public Health and Occupational Medicine, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan. jirosinryounaika-tky@umin.ac.jp.
authors.forename: Jiro
authors.initials: J
authors.lastname: Takaki
authors.affiliation: Department of Environmental and Preventive Medicine, Graduate School of Medical Science, Kanazawa University, Kakumamachi, Kanazawa, Ishikawa 920-1192, Japan. hibino@staff.kanazawa-u.ac.jp.
authors.forename: Yuri
authors.initials: Y
authors.lastname: Hibino
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005191:Family Characteristics; D005195:Family Relations; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000523:psychology* / Q000628:therapy; D007564:Japan / Q000453:epidemiology; D008875:Middle Aged; D012944:Social Support; D013315:Stress, Psychological / Q000453:epidemiology* / Q000209:etiology