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Prevalence of anxiety and depressive disorders and the role of coping strategies in females with infertility


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Category
Articles
Publisher
Medknow Publishers Wolters Kluwer India Pvt. Ltd
Publishing Date
01-Apr-2019
volume
6
Issue
2
Pages
145-56
  • Abstract

Background: Adjustment, anxiety and depressive disorders are amongst the most common psychiatric morbidities in infertile women in previous studies. Different women cope with the unpredictable, chronic stress of infertility in different ways. Coping strategies may have an impact on the development of psychiatric morbidity. Hence this study was undertaken. Methods: A cross sectional study was conducted by interviewing 68 consecutive patients with primary or secondary infertility. Socio-demographic details were taken using the study proforma. Psychiatric morbidity was diagnosed as per ICD-10 criteria. Severity was assessed using HAM-A and MADRS. Coping was evaluated on the COMPI Coping Strategy Scale. Statistical Packages of Social Sciences version 20 was used to compile, tabulate and analyze the data. Results: A majority (67.7 %) of infertile females had psychiatric morbidity, the most common being Adjustment disorder (37 %), followed by Mixed anxiety and depressive disorder (32.6 %) and Mood (depressive) disorder (30.4 %). Conclusion: A high use of active confronting and meaning based coping was seen in majority of the females who did not have psychiatric morbidity. The use of active confronting coping in majority (64.7 %) of those with Adjustment disorder was found to be statistically significant