在接受生育调查的男性中,与焦虑和抑郁相关的因素:一个横截面研究
Rim Kooli1, Amira Sallem2,3, Dhekra Chebil4
1Laboratory of Cytogenetics and Reproductive Biology, Maternity and Neonatology Center, Fattouma Bourguiba University Teaching Hospital, Monastir, Tunisia.
BMC psychology
|September 30, 2023
概括
这项研究发现,伴随性疾病,单身和低精子症与接受不孕症调查的男性的焦虑增加有关. 有史以来的不孕症和某些精液异常显著增加了抑郁症的风险.
科学领域:
- 生殖医学 生殖医学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 不孕症给个人和夫妇带来了重大的医疗,社会文化,财务和心理挑战.
- 心理困扰,包括焦虑和抑郁,是不孕症调查的常见后果.
- 了解与男性心理健康问题相关的因素对于有效管理至关重要.
研究的目的:
- 评估正在接受不孕症调查的男性的焦虑和抑郁水平.
- 在这个人群中确定与焦虑和抑郁相关的特定因素.
- 为患有不孕症的男性提供有针对性的心理支持策略.
主要方法:
- 在一所大学医院的生殖生物学实验室,对282名男性进行了横截面研究.
- 使用医院焦虑和抑郁度量 (HAD) 测量了焦虑和抑郁.
- 精液参数根据世界卫生组织 (WHO) 2021年指导方针进行分析.
主要成果:
- 更高的焦虑与多种并发症 (OR=4.71),单一状态 (OR=3.85) 和低精子症 (OR=2.33) 相关.
- 不孕期持续时间 (≥1年,OR=9.85) 和多个精液异常 (OR=2.48-2.76) 的情况下,抑郁症的风险显著增加.
- 在焦虑得分和患者年龄之间观察到负相关性.
结论:
- 一些因素,包括医疗并发症,关系状况和精液质量,与接受生育评估的男性的焦虑和抑郁有关.
- 早期识别有风险的个体可以促进及时的心理干预.
- 通过综合心理护理,可以更好地管理不孕问题.
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