title: [Impact of depressive symptomatology in Hungarian infertile couples].
abstract: BACKGROUND
  Involuntary childnessness is a paranormative crisis for couples who react with depressive and anxious symptoms to infertility. Depressive symptoms correlate with infertility-related distress and fertility specific quality of life. At the same time, depression effects not only the personal, but also the partner's psychological adjustment. In our study, we investigate the incidence rate of depressive symptomatology and correlations between severity of depression and infertility-related distress in Hungarian couples.
  
  
  METHODS
  We recruited 126 couples attending the first infertility consultation who filled in Fertility Problem Inventory (FPI), shortened version of Beck Depression Inventory (BDI) and answered sociodemographic questions. In statistical analyses, logistic regression analysis and multivariate analysis of variance were performed.
  
  
  RESULTS
  Mild depressive symptoms were more frequent in the infertile sample compared to general population (OR=0.43, 95% CI: 0.20-0.92, p<0.05). In women, there were more mild (OR: 1.97, 95% CI 1.07-3.60, p<0.05) and severe depressive symptoms (OR: 2.46, 95% CI 1.21-5.00, p<0.05), than in men. In women, only severe depression made a difference in fertility specific distress; in men both mild and severe depressive symptoms correlated with more concerns (all ps<0.001). Being depressed correlated with partner's depression (all ps<0.05). If the partner had more severe depressive symptoms, it increased one's infertility-related relational concerns (all ps<0.01). Men reported more sexual concerns when female partner had mild level of depression (F(2)=3.29, p<0.05).
  
  
  CONCLUSIONS
  Our results provide important information for reproductive medical staff. Our findings emphasize that women and men could have depressive symptoms already at the beginning of assisted reproductive treatments and that depression effects on infertility-related distress on personal and partner levels.
authors: Debreceni Egyetem Nepegeszsegugyi Kar, Magatartastudomanyi Intezet, Debrecen, Hungary, E-mail: cserepes.reka@sph.unideb.hu.
authors: Réka Eszter
authors: RE
authors: Cserepes
authors: Antal
authors: A
authors: Bugán
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D001007:Anxiety / Q000453:epidemiology / Q000209:etiology; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology*; D005191:Family Characteristics; D005260:Female; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D015994:Incidence; D007246:Infertility / Q000453:epidemiology / Q000523:psychology*; D016015:Logistic Models; D008297:Male; D016017:Odds Ratio; D011788:Quality of Life; D012720:Severity of Illness Index; D013315:Stress, Psychological / Q000453:epidemiology / Q000209:etiology*; D011795:Surveys and Questionnaires; D013997:Time Factors