Lo âu, trầm cảm, stress và các yếu tố liên quan ở các cặp vợ chồng điều trị vô sinh tại Bệnh viện Phụ sản Trung ương

Infertility poses a significant global health challenge, affecting millions of couples worldwide. Beyond its physiological complexities, infertility often carries a substantial psychological burden, leading to heightened levels of anxiety, depression, and stress among affected individuals, particularly women. These mental health challenges can profoundly impact patients' quality of life, adherence to treatment, and overall well-being. Understanding the intricate relationship between infertility and psychological distress is crucial for developing comprehensive and holistic care strategies. This study aims to investigate the prevalence and associated personal and familial factors contributing to anxiety, depression, and stress among women undergoing infertility treatment, thereby emphasizing the importance of integrated mental health support in reproductive healthcare settings.

Healthcare professionals, researchers, and policymakers in reproductive medicine and mental health.

This descriptive cross-sectional study investigated the prevalence and associated factors of psychological distress, including anxiety, depression, and stress, among 159 infertile women receiving treatment at the National Hospital of Obstetrics and Gynecology in Vietnam between May and November 2024. Utilizing the DASS-21 questionnaire, the research found that 24.5% of participants experienced symptoms of anxiety, 13.8% showed signs of depression, and 8.8% reported stress. Key findings indicated several significant risk factors: women of non-Kinh ethnicity were 3.2 times more likely to experience depression compared to Kinh women (95%CI: 1.0-9.5). Additionally, individuals who did not engage in physical exercise had a 2.3 times higher risk of anxiety (95%CI: 1.1-5.0). The duration of infertility also emerged as a critical factor, with anxious and depressed groups having significantly longer mean infertility durations (50.6 months for anxiety and 48.8 months for depression) compared to their non-affected counterparts. These results highlight the substantial psychological burden associated with infertility, suggesting a critical need for routine screening and integrated mental health interventions. The study's implications underscore the importance of tailored psychological support programs that consider ethnic background, lifestyle factors like physical activity, and the cumulative stress of prolonged infertility, thereby improving overall patient care in assisted reproductive technology settings.