Depression and state anxiety scores during assisted reproductive treatment are associated with outcome: a meta-analysis

Purewal, Satvinder, Chapman, Sarah C. E. and van den Akker, Olga ORCID: (2018) Depression and state anxiety scores during assisted reproductive treatment are associated with outcome: a meta-analysis. Reproductive BioMedicine Online, 36 (6) . pp. 646-657. ISSN 1472-6483 [Article] (doi:10.1016/j.rbmo.2018.03.010)

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This meta-analysis investigated whether state anxiety and depression scores during assisted reproductive technology (ART) treatment and changes in state anxiety and depression scores between baseline and during ART treatment are associated with treatment outcomes. PubMed, PsycInfo, Embase, ScienceDirect, Web of Science and Scopus were searched for studies to include in the meta-analysis. Meta-analytic data were analysed using random effects models to estimate standardised mean differences. 11 studies (2202 patients) were included. Women who achieved a pregnancy had significantly lower depression scores during treatment than women who did not become pregnant -0.302 (95% CI: -0.551 - -0.054, z = -2.387, p = 0.017; I2= 77.142%, p = 0.001). State anxiety scores were also lower in women who became pregnant -0.335 (95% CI: -0.582 - -0.087: z=-2.649, p=0.008; I2 =81.339%, p = 0.001). However, changes in state anxiety (d=-0.056; 95% CI: -0.195 - 0.082, z = -0.794; I2= 0.00%) and depression scores (d=-0.106; 95% CI: -0.296 - 0.085, z = -1.088; I2= 0.00%) from baseline to treatment were not associated with ART outcomes. Clinics should aim to promote better psychosocial care for patients to help them manage the psychological and physical demands ART treatment, giving realistic expectations.

Item Type: Article
Research Areas: A. > School of Science and Technology > Psychology > Applied Health Psychology group
Item ID: 24089
Notes on copyright: © 2018. This author's accepted manuscript version is made available under the CC-BY-NC-ND 4.0 license
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Depositing User: Olga Van Den akker
Date Deposited: 05 Apr 2018 14:40
Last Modified: 13 Jun 2021 00:23

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