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Influence of COVID-19 pandemic on the psychological status of infertile couples.
Esposito, Veronica; Rania, Erika; Lico, Daniela; Pedri, Sara; Fiorenza, Alessia; Strati, Marina Francesca; Conforti, Alessandro; Marrone, Vinenzo; Carosso, Andrea; Revelli, Alberto; Zullo, Fulvio; Di Carlo, Costantino; Venturella, Roberta.
  • Esposito V; Department of Experimental and Clinical Medicine, Chair of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, ART Public Centre, Pugliese Ciaccio Hospital, viale Pio X, 88100 Catanzaro, Italy.
  • Rania E; Department of Experimental and Clinical Medicine, Chair of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, ART Public Centre, Pugliese Ciaccio Hospital, viale Pio X, 88100 Catanzaro, Italy. Electronic address: rania.erika@gmail.com.
  • Lico D; Department of Experimental and Clinical Medicine, Chair of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, ART Public Centre, Pugliese Ciaccio Hospital, viale Pio X, 88100 Catanzaro, Italy.
  • Pedri S; Department of Experimental and Clinical Medicine, Chair of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, ART Public Centre, Pugliese Ciaccio Hospital, viale Pio X, 88100 Catanzaro, Italy.
  • Fiorenza A; Department of Experimental and Clinical Medicine, Chair of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, ART Public Centre, Pugliese Ciaccio Hospital, viale Pio X, 88100 Catanzaro, Italy.
  • Strati MF; Department of Experimental and Clinical Medicine, Chair of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, ART Public Centre, Pugliese Ciaccio Hospital, viale Pio X, 88100 Catanzaro, Italy.
  • Conforti A; Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples, Federico II Via Pansini 5, 80131 Naples, Italy.
  • Marrone V; Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples, Federico II Via Pansini 5, 80131 Naples, Italy.
  • Carosso A; Gynecology and Obstetrics 1, Physiopathology of Reproduction and IVF Unit, Department of Surgical Sciences, S. Anna Hospital, University of Torino, Via Ventimiglia 3, 10126, Turin, Italy.
  • Revelli A; Gynecology and Obstetrics 1, Physiopathology of Reproduction and IVF Unit, Department of Surgical Sciences, S. Anna Hospital, University of Torino, Via Ventimiglia 3, 10126, Turin, Italy.
  • Zullo F; Department of Experimental and Clinical Medicine, Chair of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, ART Public Centre, Pugliese Ciaccio Hospital, viale Pio X, 88100 Catanzaro, Italy; Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, Univers
  • Di Carlo C; Department of Experimental and Clinical Medicine, Chair of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, ART Public Centre, Pugliese Ciaccio Hospital, viale Pio X, 88100 Catanzaro, Italy.
  • Venturella R; Department of Experimental and Clinical Medicine, Chair of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, ART Public Centre, Pugliese Ciaccio Hospital, viale Pio X, 88100 Catanzaro, Italy.
Eur J Obstet Gynecol Reprod Biol ; 253: 148-153, 2020 Oct.
Article in English | MEDLINE | ID: covidwho-726508
Semantic information from SemMedBD (by NLM)
1. Infertility PROCESS_OF Patients
Subject
Infertility
Predicate
PROCESS_OF
Object
Patients
2. Anxiety AFFECTS Male population group
Subject
Anxiety
Predicate
AFFECTS
Object
Male population group
3. COVID-19 AFFECTS Respondents
Subject
COVID-19
Predicate
AFFECTS
Object
Respondents
4. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
5. Infertility PROCESS_OF Patients
Subject
Infertility
Predicate
PROCESS_OF
Object
Patients
6. Anxiety AFFECTS Male population group
Subject
Anxiety
Predicate
AFFECTS
Object
Male population group
7. COVID-19 AFFECTS Respondents
Subject
COVID-19
Predicate
AFFECTS
Object
Respondents
8. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
ABSTRACT
OBJECTIVE(S) to evaluate the impact of the COVID-19 pandemic on infertile couples' emotions, anxiety and future plans. STUDY

DESIGN:

An observational study was perfomed by Italian ART centers and online forums. In this study, infertile couples candidate to ART and whose treatment was blocked due to the COVID-19 lockdown were enrolled through an online survey. The psychological impact of COVID-19 was measured by Impact of Event Scale-Revised (IES-R) and by a short form of the Spielberger State-Trait Anxiety Inventory (STAI); Self-perceived anxiety related either to pregnancy safety and to economic crisis measured by VAS scale.

RESULTS:

627 patients completed the survey. The COVID-19 lock-down had a moderate/severe psychological impact on infertile patients (mean IES-R score 36.4 ± 16.6). The mean STAI score was 49.8 ± 15.3, with an overall incidence of STAI > 36 of 71 %. The mean VAS scale for anxiety perception was 45.3 ± 15.3. Women were more emotionally distressed, anxious and depressed than men (36.8 ± 16.4 vs 31.0 ± 18.4 for IES-R, respectively; p = 0.03). Notwithstanding the uncertainty about pregnancy safety, 64.6 % of respondents chose to maintain their reproductive programme. Economic crisis induced 11.5 % of the surveyed patients to give up their ART program. Respondents who had at least one relative affected by COVID-19 had a significantly higher IES-R score and anxiety VAS, but not higher STAI scores, than patients belonging to unaffected families. CONCLUSION(S) COVID-19 pandemic itself and the recommendation to stop ART program generated higher distress levels in infertile couples. The psychological impact of COVID-19 pandemic in infertility patients should not be underestimated, and a specific psychological support should be planned.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Pneumonia, Viral / Stress, Psychological / Quarantine / Coronavirus Infections / Infertility Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Male / Pregnancy Country/Region as subject: Europa Language: English Journal: Eur J Obstet Gynecol Reprod Biol Year: 2020 Document Type: Article Affiliation country: J.ejogrb.2020.08.025

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Pneumonia, Viral / Stress, Psychological / Quarantine / Coronavirus Infections / Infertility Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Male / Pregnancy Country/Region as subject: Europa Language: English Journal: Eur J Obstet Gynecol Reprod Biol Year: 2020 Document Type: Article Affiliation country: J.ejogrb.2020.08.025