The psychological impact of the coronavirus disease 2019 pandemic on women who become pregnant after receiving treatment for infertility: a longitudinal study.
The psychological impact of the coronavirus disease 2019 pandemic on women who become pregnant after receiving treatment for infertility: a longitudinal study.
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DOI：
10.1016/j.xfre.2022.01.004
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Vaughan DA
中科院分区：
文献类型：
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作者：
Domar AD;Shah JS;Gompers A;Meyers AJ;Khodakhah DR;Hacker MR;Penzias AS;Sakkas D;Toth TL;Vaughan DA
比较2019冠状病毒病（COVID-19）大流行对已怀孕不孕症患者与未怀孕女性心理健康的影响。于二零二零年四月至二零二零年六月进行的前瞻性队列研究。参与者在此期间完成了三份问卷。一家大型的大学附属不孕不育诊所共有443名孕妇和1,476名仍在经历不孕症的妇女完成了所有三份问卷。没有。患者报告的主要压力源超过第一次重大COVID-19激增的三个月;关于自我报告的悲伤，焦虑，孤独和个人应对策略使用的进一步数据。怀孕的参与者报告服用抗抑郁药或抗焦虑药的可能性显著降低，先前诊断为抑郁症的可能性较小，更有可能将COVID-19作为首要压力源，总体而言，在第一次激增期间不太可能进行缓解压力的活动。在接受不孕症治疗后怀孕的妇女认为大流行病是她们最大的压力源，她们比未怀孕的妇女更担心大流行病，但不太可能从事缓解压力的活动。鉴于这一流行病的持续影响，应向接受治疗后怀孕的不孕症患者提供咨询，并鼓励他们采取具体的减压策略。
To compare the impact of the coronavirus disease 2019 (COVID-19) pandemic on the psychological health of patients with infertility who have become pregnant with that of women who have not. Prospective cohort study conducted from April 2020 to June 2020. The participants completed three questionnaires over this period. A single large, university-affiliated infertility practice. A total of 443 pregnant women and 1,476 women still experiencing infertility who completed all three questionnaires. None. Patient-reported primary stressor over three months of the first major COVID-19 surge; further data on self-reported sadness, anxiety, loneliness, and the use of personal coping strategies. Pregnant participants were significantly less likely to report taking an antidepressant or anxiolytic medication, were less likely to have a prior diagnosis of depression, were more likely to cite COVID-19 as a top stressor, and overall were less likely to practice stress-relieving activities during the first surge. Women who became pregnant after receiving treatment for infertility cited the pandemic as their top stressor and were more distressed about the pandemic than their nonpregnant counterparts but were less likely to be engaging in stress-relieving activities. Given the ongoing impact of the pandemic, patients with infertility who become pregnant after receiving treatment should be counseled and encouraged to practice specific stress-reduction strategies.