Analysis of Relationship between Social Position of Strong Network and Depression Status in Women Undergoing IVF/ICSI Treatment

doi:10.12280/gjszjk.20210341

Abstract

Abstract:

Objective: To investigate the social capital and depression status in women undergoing in vitro fertilization/intracytoplasmic sperm injection-embryo transfer (IVF/ICSI-ET), and to analyze their relationship. Methods: 104 female patients were selected from the Reproductive Medicine Center of the First Affiliated Hospital of Anhui Medical University, who are planned the IVF/ICSI-ET treatment from December 2020 to February 2021. After the patients were trained in answering, the patients should answer the questions by themselves. The PHQ-9 scale was used to assess depression, and the "position generation method" was used to measure the social capital of patients′ strong social network. Use multiple linear regression to analyze the relationship between the social capital and depression status. Results: The median of treatment duration was 2 years in those women undergoing IVF/ICSI-ET treatment. The median of PHQ-9 score was 16.00, P₂₅ and P₇₅ scores were 15.00 and 18.00, and the self-reported depression symptoms rate was 52.9% (55/104). Our study defined strong social networks as spouse and relatives. The occupational value of the spouse (Median, 73.5 points) and the occupational accessibility of relatives (Median, 79 points) were associated with the increased depression level of those women undergoing IVF/ICSI treatment. Conclusions: The high social position of the strong social network of women undergoing assisted reproductive treatment is a risk factor of depression for these women. The targeted psychological interventions should be carried out to improve the quality of both fertility and life of these women and their families.

Key words: Fertilization in vitro, Embryo transfer, Sperm injections, intracytoplasmic, Social capital, Depression

WANG Dan-ni, CHEN Ren, XU Qian-hua, WANG Jie-yu. Analysis of Relationship between Social Position of Strong Network and Depression Status in Women Undergoing IVF/ICSI Treatment[J]. Journal of International Reproductive Health/Family Planning, 2021, 40(6): 452-455.

Figures/Tables 5

References 16

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因素	M	P₂₅	P₇₅	最小值	最大值
年龄（岁）	30.00	27.50	33.50	22.00	45.00
治疗时间（年）	2.00	1.00	5.00	0.00	10.00
配偶职业声望值（分）	73.50	63.00	79.00	35.00	88.00
亲属职业声望上攀值（分）	79.00	68.00	81.00	29.00	88.00
PHQ-9得分（分）	16.00	15.00	18.00	9.00	30.00

因素	M	P₂₅	P₇₅	最小值	最大值
年龄（岁）	30.00	27.50	33.50	22.00	45.00
治疗时间（年）	2.00	1.00	5.00	0.00	10.00
配偶职业声望值（分）	73.50	63.00	79.00	35.00	88.00
亲属职业声望上攀值（分）	79.00	68.00	81.00	29.00	88.00
PHQ-9得分（分）	16.00	15.00	18.00	9.00	30.00

组别		n	百分比（%）
PHQ-9分组	非显著抑郁（0~15分）	49	47.1
	显著抑郁（≥15分）	55	52.9
受教育水平	本科以下	21	20.2
	本科及以上	83	79.8
不孕类型	原发性不孕	89	85.6
	继发性不孕	15	14.4

组别		n	百分比（%）
PHQ-9分组	非显著抑郁（0~15分）	49	47.1
	显著抑郁（≥15分）	55	52.9
受教育水平	本科以下	21	20.2
	本科及以上	83	79.8
不孕类型	原发性不孕	89	85.6
	继发性不孕	15	14.4

职业（职业声望值）	来源[例（%）]
职业（职业声望值）	配偶	亲属
医生（88）	1（1.0）	10（9.6）
法律工作者（82）	3（2.9）	7（6.7）
政府机关（81）	3（2.9）	12（11.5）
科研工作（79）	8（7.7）	7（6.7）
大学教师（78）	1（1.0）	12（11.5）
中小学教师（69）	3（2.9）	9（8.7）
商务人士（68）	4（3.8）	13（12.5）
企事业管理人员（58）	2（1.9）	15（14.4）
私企老板（57）	1（1.0）	6（5.8）
工程技术人员（53）	0	15（14.4）
行政办事人员（49）	5（4.8）	15（14.4）
护士（49）	0	8（7.7）
警察（48）	0	3（2.9）
个体户（47）	0	8（7.7）
司机（37）	1（1.0）	8（7.7）
营销人员（35）	2（1.9）	5（4.8）
餐饮服务（32）	0	8（7.7）
厨师（29）	0	5（4.8）
工人（25）	0	9（8.7）
家政服务（24）	0	6（5.8）