randomized controlled trial of psychosocial counselling for first-time IVF couples

ABSTRACT

Of this study was to evaluate pre-IVF counselling using self report questionnaire on couples. The acceptability of counselling, perception of help and effects on anxiety and depression were considered. The study included 423 consecutive childless Arabic couples preparing for their first IVF. Randomization was carried out through sealed envelopes attributing participants to counselled and non-counselled groups and was accepted by 300 couples. Another 42 couples refused randomization because they wanted counselling and 81 couples because they did not. Questionnaires including the State-Trait Anxiety Inventory, the Beck Depression Inventory and assessments of help were answered by couples before IVF and counselling, and after the IVF outcome result. Counselling was accepted by 81% [342/423] of couples. There was no significant effect of counselling on anxiety and depression scores which were within normal ranges at both times. Counselling provided help for 86% [225/261] of initially non-demanding subjects and 96% [81/84] of those initially requesting a session. Help was noted in areas of psychological assistance, technical explanations and discussing relationships. This model of routine counselling provides an acceptable form of psychological assistance for pre-IVF couples