贝克抑郁库存 (BDI) 是预测试管婴儿成功的有用工具吗?
Dragiša Šljivancanin1,2, Snežana Vidaković1,2, Darija Kisić Tepavčević2,3
1Clinic for Obstetrics and Gynecology, 11000 Belgrade, Serbia.
Medicina (Kaunas, Lithuania)
|January 25, 2025
概括
抑郁症会对体外受精 (IVF) 的成功产生负面影响. 建议所有试管婴儿患者使用贝克抑郁 inventory (BDI) 进行抑郁症查,以改善结果.
科学领域:
- 生殖医学 生殖医学
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 不孕症影响着全球人口的很大一部分.
- 抑郁症和不孕不育之间存在双向关系.
- 抑郁症可能会对像试管婴儿这样的辅助生殖技术的结果产生不利影响.
研究的目的:
- 评估在接受试管婴儿治疗的患者中抑郁症的患病率和动态.
- 为了确定成功的试管婴儿结果的预测因素.
- 在试管婴儿患者中评估贝克抑郁库存 (BDI) 的实用性.
主要方法:
- 一项前性队列研究,涉及86对接受试管婴儿的夫妇.
- 贝克抑郁库存 (BDI) 在三个关键时间点进行:卵巢前刺激,卵细胞前吸收和胚胎后转移.
- 使用后勤回归分析来确定试管婴儿成功的预测因素.
主要成果:
- 在研究队列中,试管婴儿的整体疗效为18.6%.
- 后勤回归模型解释了IVF成功率变化的47.6%.
- 试管婴儿成功的显著负面预测因素包括患者年龄的增加,抑郁症 (BDI>16) 的存在,以及试管婴儿周期失败的病史.
结论:
- 与一般人群相比,在接受试管婴儿的人群中,抑郁症更为普遍.
- 抑郁症与试管婴儿失败的可能性增加有关.
- 在试管婴儿过程中,建议使用BDI进行例行抑郁查,以潜在地提高成功率.
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