title: Factors that influence in vitro fertilization treatment outcomes of Chinese men: A cross-sectional study.
abstract: The thought of producing offspring has rooted in Chinese culture after thousands of years of feudal society. Infertility in men would bear significant psychological distress in this social environment.
  
  
  
  In this study, we explored the association between the outcomes of IVF treatment and anxiety, depression, marital satisfaction, communication, sexual relationship and social support.
  
  
  
  A cross-sectional study was conducted. A total of 202 Chinese men who received IVF treatment for the first time were investigated using socio-demographic questionnaire, Self-Rating Anxiety Scale, Self-Rating Depression Scale, ENRICH Marital Inventory and Social Support Rating Scale on the first day of IVF treatment.
  
  
  
  The overall prevalence of depression and anxiety was 49.1% and 27.2%, respectively. Subjects with IVF failure had higher levels of depression and anxiety, lower levels of "Marital satisfaction", "communication" and "Sexual relationship" and social support. Logistic regression analysis indicated that depression, anxiety, marital satisfaction and sexual relationship were independent predictors of IVF failure.
  
  
  
  The prevalence of depression and anxiety in Chinese men undergoing IVF was higher than that in other countries. These findings suggest that anxiety, depression, marital satisfaction, and sexual relationship are important factors leading to IVF failure. Therefore, it is important to provide psychological aid to male patients undergoing IVF treatment.
authors.affiliation: Nursing psychology research center, Xiang Ya School of Nursing, Central South University, Changsha, China; Medical College, Hunan Normal University, Changsha, China.
authors.forename: Dan
authors.initials: D
authors.lastname: Chen
authors.affiliation: Nursing psychology research center, Xiang Ya School of Nursing, Central South University, Changsha, China. Electronic address: jpzhang1965@163.com.
authors.forename: Jing Ping
authors.initials: JP
authors.lastname: Zhang
authors.affiliation: Medical College, Hunan Normal University, Changsha, China.
authors.forename: Ling
authors.initials: L
authors.lastname: Jiang
authors.affiliation: Medical College, Hunan Normal University, Changsha, China.
authors.forename: Huayan
authors.initials: H
authors.lastname: Liu
authors.affiliation: Medical College, Hunan Normal University, Changsha, China.
authors.forename: Ling
authors.initials: L
authors.lastname: Shu
authors.affiliation: Medical College, Hunan Normal University, Changsha, China.
authors.forename: Qiong
authors.initials: Q
authors.lastname: Zhang
authors.affiliation: Medical College, Hunan Normal University, Changsha, China.
authors.forename: LiPing
authors.initials: L
authors.lastname: Jiang
mesh_terms: D001007:Anxiety; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003863:Depression; D005307:Fertilization in Vitro; D006801:Humans; D007248:Infertility, Male / Q000453:epidemiology* / Q000523:psychology; D008297:Male; D012944:Social Support
keywords: Anxiety; Depression; In vitro fertilization; Marital quality; Outcome