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Comparison of multiple psychological distress measures between men and women preparing for in vitro fertilization
Christina L Wichman1, Shawna L Ehlers, Scott E Wichman
1Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA. cwichman@mcw.edu
Objective:
To compare multiple measures of psychological distress between men and women preparing for IVF.
Design:
Retrospective cohort study.
Setting:
Outpatient, academic infertility clinic.
Patient(S):
One hundred sixty-two consecutive couples presenting for infertility treatment with IVF.
Intervention(S):
Measures were completed as part of a routine, infertility-focused psychological evaluation, including the Beck Depression Inventory, State-Trait Anxiety Inventory, State-Trait Anger Inventory, and Impact of Events Scale.
Main Outcome Measure(S):
Scores of above psychological questionnaires.
Result(S):
Psychological distress scores were statistically significantly higher among women than men for symptoms of depression, state anxiety, infertility specific distress, and general perceived stress. However, aside from infertility-specific distress (d = .43), effect sizes for the paired differences between females and males ranged from d = .18 to .23.
Conclusion(S):
Women consistently scored higher on multiple measures of psychological distress than their male partners in the context of preparing for IVF. Comparison of infertility-specific distress scores yielded the largest statistically and clinically significant difference compared with traditional measures of general depression and anxiety symptoms.
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