Psycoemotional state of women undergoing in vitro fertilization treatment

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Abstract

Background: A combination of factors causing infertility and consisting of somatic, mental and social determinants of health, requires a comprehensive study of strategies to improve the effectiveness of assisted reproductive technologies (ART). At the same time, exploration of the psychoemotional state of patients undergoing ART treatment, requires both psychophysiological and psychodiagnostic research methods to obtain more objective data.

Objective: To explore specific characteristics of the psychoemotional state of women undergoing in vitro fertilization (IVF) treatment.

Materials and methods: The psycho-emotional state of women was assessed using psychophysiological methods (electroencephalography (EEG) analysis), psychodiagnostic methods: Psychological Stress Measure (PSM-25) (R. Tessier, L. Lemyre, L. Fillion, adapted by N.E. Vodopyanova) and Anxiety and Depression Questionnaire – a shortened version of the Clinical Questionnaire for Identification and Assessment of Neurotic States (K.K. Yakhin, D.M. Mendelevich), as well as statistical methods.

Results: Data analysis found statistically significant differences in the properties of EEG alpha rhythm frequency, as well as in manifestation of irritative changes — diffuse asynchronous beta activity in the group of women undergoing repeated IVF cycles. Nonconforming data were also found between objective (EEG) and subjective (psychodiagnostic methods) assessment of the psychoemotional state of women undergoing repeated IVF treatment. Objective assessment showed that regardless of the number of IVF attempts, the signs of stress were present in women in both groups and became more intense with repeated IFV failures. According to subjective assessment, women in both groups did not report experiencing stress, anxiety, or depression, even after failed IVF attempts.

Conclusion: The obtained data indicate the necessity to use objective methods, such as EEG analysis for assessment of the psychoemotional state in women undergoing IVF treatment for infertility. This approach will allow timely correction of the identified impairments, improved adherence of infertile patients to continue treatment, and will improve the effectiveness of ART programs.

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About the authors

Darya V. Yasnaya

Kuzbass Humanitarian and Pedagogical Institute of Kemerovo State University

Email: st1daria@ya.ru
ORCID iD: 0009-0004-0659-7183

Senior Lecturer at the Department of Psychology and General Pedagogy

Russian Federation, 654041, Kemerovo Oblast – Kuzbass, Novokuznetsk, Tsiolkovsky str., 23

Viktoria V. Likhacheva

Novokuznetsk State Institute of Postgraduate Medical Education – a branch of the Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia; LLC “Expert”

Email: viroli@mail.ru
ORCID iD: 0000-0002-5637-7590

Dr. Med. Sci., Professor, Department of Obstetrics and Gynecology, Higher Category Obstetrician-Gynecologist

Russian Federation, 654005, Kemerovo Oblast – Kuzbass, Novokuznetsk, Stroiteley Ave.5; 654041, Kemerovo Oblast – Kuzbass, Novokuznetsk, Kutuzov str., 17a

Larisa A. Proskuryakova

Kuzbass Humanitarian and Pedagogical Institute of Kemerovo State University; Novokuznetsk State Institute of Postgraduate Medical Education – a branch of the Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia

Author for correspondence.
Email: lora-al@yandex.ru
ORCID iD: 0000-0002-9583-9161
SPIN-code: 5636-0613
Scopus Author ID: 57200689936
ResearcherId: AAE-5730-2022

Dr. Bio. Sci., Professor, Department of Psychology and General Pedagogy, Associate Professor, Department of Hygiene, Epidemiology and Healthy Living

Russian Federation, 654041, Kemerovo Oblast – Kuzbass, Novokuznetsk, Tsiolkovsky str., 23; 654005, 654005, Kemerovo Oblast – Kuzbass, Novokuznetsk, Stroiteley Ave.5

Valeriya V. Alontseva

Pavlov First Saint Petersburg State Medical University, Ministry of Health of Russia

Email: leral2612@mail.ru

6th year student, Medical Faculty

Russian Federation, 197022, Saint Petersburg, Leo Tolstoy str., 6-8

Olga V. Azarova

LLC “Expert”

Email: az.o@mail.ru
ORCID iD: 0000-0002-2954-7494

obstetrician-Gynecologist, Reproductive Specialist, Head of the ART Department

Russian Federation, 654041, Kemerovo Oblast – Kuzbass, Novokuznetsk, Kutuzov str., 17a

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