The Status Quo And Cognitive-behavioral Intervention Of Depression In Infertile Women

Objectives:To investigate the prevalence of depression in infertile women and its possible risk factors. To explore the effect of cognitive-behavioral intervention on depression in infertile women.Methods:318infertile women from the Third Xiangya Hospital of Central South University between July and December2011were enrolled in our survey. The questionnaires contain demographic information sheet developed by the researcher, Self-rating Depression Scale (SDS), The self-Esteem Scale (SES), Medical Coping Modes Questionnaire (MCMQ), and Social Support Rating Scale (SSRS).77infertile women with depression whose SDS score>50received cognitive-behavioral intervention and the effect of the intervention on infertile women with depression were analyzed. All data were calculated by statistical analysis software package of SPSS(version13.0), statistical methods included descriptive analysis, T test, Chi-square test, logistic regression analysis, repeated measures analysis of variance and so on.Results:1. In318cases, there were162cases with non-depression,156 cases with depression which including98(30.8%)with mild depression,50(15.7%)with moderate depression and8(2.5%)with severe depression.2. The single factor analysis showed that there were significant differences in age, educational level, place of residence, economic level, childbearing attitudes, self-esteem, resignation, the total social support, subjective support, objective support, and support utilization(p<0.05) between the depression group and the non-depression group. Logistic regression analysis showed that the influencing factors of depression in infertile women were age, economic level, self-esteem, resignation and the total social support.3. The scales scores of two groups (the cognitive-behavioral intervention group and the control group) were analysed by paired T test. For the cognitive-behavioral intervention group, the scores of self-esteem, confrontation, the total social support, subjective support, support utilization after interventions were significantly higher than before(p<0.05) and the scores of resignation, SDS after interventions were significantly lower than before(p<0.05). The difference before and after the intervention between two groups was compared, the result showed that there were significant differences in the scores of self-esteem,confrontation, resignation,the total social support, subjective support, support utilization, and SDS (p<0.05).4. Repeated measures analysis of variance showed that apart from objective support, the main effect of intervention on the self-esteem, confrontation, avoidance, resignation, the total social support, subjective support, support utilization were significant(p<0.05). Apart from avoidance, subjective support and support utilization, the main effect of time of the other six observed indicators were significant(p<0.05); There were significant interactions (p<0.05) between time and intervention except avoidance, objective support. Interaction diagram indicated that the scores of the resignation, SDS decreased significantly, and self-esteem, confrontation, the total social support increased significantly in the cognitive-behavioral intervention group over the time.Conclusion:1. The prevalence of depression in infertile women was higher than the norms;2. Age, economic level, self-esteem, resignation and the total social support are predictors of depression in infertile women. Resignation is a risk factor and age, economic level, self-esteem, the total social support are protective factors.3. The cognitive-behavioral intervention can reduce the level of depression in infertile women effectively.