تأثیر روش لقاح آزمایشگاهی (IVF) بر شیوع و عوامل خطر افسردگی پس از زایمان: یک مرور روایتی

•   آرشیو : نسخه زمستان 1403 - جلد اول
•   کد پذیرش : 12183
•   موضوع : روانشناسی عمومی
• نویسنده/گان : | علیرضا امیرشاهی، سارا بیدار، زهرا برخوردار، شیما طائب، تینا کرم پور
•   زبان : فارسی
•   نوع مقاله : پژوهشی
•   چکیده مقاله به فارسی : مقدمه: افسردگی پس از زایمان یکی از شایع‌ترین اختلالات روانی دوران پس از زایمان است که می‌تواند تحت تأثیر عوامل مختلف، از جمله روش بارداری، قرار گیرد. این مطالعه با هدف مقایسه میزان افسردگی پس از زایمان در مادران با انجام IVF و مادران با حاملگی طبیعی انجام شد.
  روش‌ها: این مرور روایتی با جستجوی پایگاه‌های اطلاعاتی PubMed، Scopus، Web of Science و Google Scholar انجام شد. مقالات مرتبط بین سال‌های 2010 تا 2023 که از ابزارهای استاندارد برای سنجش افسردگی پس از زایمان استفاده کرده بودند، انتخاب شدند.
  یافته‌ها: از مجموع 1250 مقاله شناسایی‌شده، 25 مقاله واجد شرایط بررسی نهایی بودند. نتایج نشان داد میزان افسردگی پس از زایمان در مادران IVF (15 تا 48 درصد) به طور معناداری بالاتر از مادران با حاملگی طبیعی (8 تا 20 درصد) بود. عواملی نظیر سابقه ناباروری طولانی‌مدت، دفعات ناموفق IVF، اضطراب بالا، حمایت اجتماعی پایین و وضعیت اقتصادی-اجتماعی ضعیف به عنوان عوامل خطر شناسایی شدند.
  نتیجه‌گیری: مادران با انجام IVF در معرض خطر بالاتر افسردگی پس از زایمان هستند. غربالگری روانشناختی منظم و ارائه مداخلات حمایتی و درمانی می‌تواند در پیشگیری و مدیریت این اختلال مؤثر باشد. پژوهش‌های آینده باید به بررسی مکانیسم‌های زیربنایی و اثربخشی مداخلات روانشناختی در این گروه بپردازند.
•   لیست منابع : [1] Bai, L., Wang, X., Wang, J., Xiao, B., & Yao, C. (2019). Quality of life among infertile women undergoing in vitro fertilization treatment: A cross-sectional study in China. Journal of Psychosomatic Obstetrics & Gynecology, 40(3), 212-218.
  [2] Gressier, F., Letranchant, A., Cazas, O., Sutter-Dallay, A. L., Falissard, B., & Hardy, P. (2015). Post-partum depressive symptoms and medically assisted conception: A systematic review and meta-analysis. Human Reproduction, 30(11), 2575-2586.
  [3] Malina, A., & Pooley, J. A. (2017). Psychological consequences of IVF fertilization - Review of research. Annals of Agricultural and Environmental Medicine, 24(4), 554-558.
  [4] Martins, M. V., Peterson, B. D., Almeida, V. M., & Costa, M. E. (2014). Dyadic dynamics of perceived social support in couples facing infertility. Human Reproduction, 29(1), 83-89.
  [5] Pasch, L. A., Holley, S. R., Bleil, M. E., Shehab, D., Katz, P. P., & Adler, N. E. (2016). Addressing the needs of fertility treatment patients and their partners: Are they informed of and do they receive mental health services? Fertility and Sterility, 106(1), 209-215.e2.
  [6] Romeiro, J., Santos, P., & Moraes, T. (2017). Emotional impacts of assisted reproductive technology on women: A systematic review. European Journal of Obstetrics & Gynecology and Reproductive Biology, 218, 73-78.
  [7] Rooney, K. L., & Domar, A. D. (2018). The relationship between stress and infertility. Dialogues in Clinical Neuroscience, 20(1), 41-47.
  [8] Shorey, S., Chee, C. Y. I., Ng, E. D., Chan, Y. H., Tam, W. W. S., & Chong, Y. S. (2018). Prevalence and incidence of postpartum depression among healthy mothers: A systematic review and meta-analysis. Journal of Psychiatric Research, 104, 235-248.
  [9] Slomian, J., Honvo, G., Emonts, P., Reginster, J. Y., & Bruyère, O. (2019). Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes. Women’s Health, 15, 1-55.
  [10] Warmelink, J. C., Meijer, J. M., Mulder, N., Mulder, S., & van Lohuizen, M. T. (2016). Perception of the psychosocial aspects of subfertility by parents following successful medically assisted conception: A qualitative study. Open Journal of Obstetrics and Gynecology, 6(13), 830-845.
  [11] Vikström, J., Josefsson, A., Bladh, M., & Sydsjö, G. (2015). Mental health in women 20-23 years after IVF treatment: A Swedish cross-sectional study. BMJ Open, 5(10), e009426.
  [12] Agostini, F., Monti, F., Paterlini, M., & La Sala, G. B. (2018). Effects of assisted reproductive technology and women’s quality of life on depressive symptoms in the early postpartum period: A prospective case-control study. Gynecological Endocrinology, 34(5), 391-396.
  [13] Bhat, A., & Byatt, N. (2016). Infertility and perinatal loss: When the bough breaks. Current Psychiatry Reports, 18(3), 31.
  [14] Cesta, C. E., Viktorin, A., Olsson, H., Johansson, V., Sjölander, A., Bergh, C., Skalkidou, A., Nygren, K. G., & Cnattingius, S. (2016). Depression, anxiety, and antidepressant treatment in women: Association with in vitro fertilization outcome. Fertility and Sterility, 105(6), 1594-1602.e3.
  [15] Gambadauro, P., Iliadis, S., Bränn, E., & Skalkidou, A. (2019). Conception by means of in vitro fertilization is not associated with maternal depressive symptoms during pregnancy or postpartum. Fertility and Sterility, 112(3), 468-477.
  [16] Gourounti, K. (2016). Psychological stress and adjustment in pregnancy following assisted reproductive technology and spontaneous conception: A systematic review. Women & Health, 56(1), 98-118.
  [17] Hashemieh, C., Neisani Samani, L., & Taghinejad, H. (2013). Assessment of anxiety in pregnancy following assisted reproductive technology (ART) and associated infertility factors in women commencing treatment. Iranian Red Crescent Medical Journal, 15(12), e14465.
  [18] Listijono, D. R., Mooney, S., & Chapman, M. (2014). A comparative analysis of postpartum maternal mental health in women following spontaneous or ART conception. Journal of Psychosomatic Obstetrics & Gynecology, 35(2), 51-57.
  [19] Monti, F., Agostini, F., Paterlini, M., Andrei, F., Palomba, S., & La Sala, G. B. (2015). Effects of ART and quality of life on depressive symptoms postpartum: A prospective study. Human Reproduction, 30(4), 857-864.
  [20] Mounce, G., Macdonald, R., & Broughton Pipkin, F. (2021). Depression and anxiety in women after in vitro fertilisation: A prospective cohort study. Journal of Psychosomatic Obstetrics & Gynecology, 42(1), 54-61.
  [21] Olshansky, E. F. (2016). Psychosocial implications of pregnancy after infertility. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 45(6), 737-748.
  [22] Psaros, C., Dautzenberg, E., & Park, E. (2019). Mindfulness interventions for women undergoing ART: A systematic review. Human Fertility, 22(4), 297-306.
  [23] Raguz, N., McDonald, S. W., Metcalfe, A., O'Quinn, C., & Tough, S. C. (2014). Mental health outcomes of mothers who conceived using fertility treatment. Reproductive Health, 11(1), 19.
  [24] Tendais, I., & Figueiredo, B. (2016). Parents' anxiety and depression symptoms after successful infertility treatment and spontaneous conception: Does singleton/twin pregnancy matter? Human Reproduction, 31(10), 2303-2312.
  [25] Warmelink, J. C., Meijer, J. M., Mulder, N., Mulder, S., & van Lohuizen, M. T. (2016). Perception of the psychosocial aspects of subfertility by parents following successful medically assisted conception: A qualitative study. Open Journal of Obstetrics and Gynecology, 6(13), 830–845.
  [26] Agostini, F., Monti, F., Paterlini, M., & La Sala, G. B. (2018). Effects of assisted reproductive technology and women’s quality of life on depressive symptoms in the early postpartum period: A prospective case-control study. Gynecological Endocrinology, 34(5), 391–396.
  [27] Bai, L., Wang, X., Wang, J., Xiao, B., & Yao, C. (2019). Quality of life among infertile women undergoing in vitro fertilization treatment: A cross-sectional study in China. Journal of Psychosomatic Obstetrics & Gynecology, 40(3), 212–218.
  [28] Bhat, A., & Byatt, N. (2016). Infertility and perinatal loss: When the bough breaks. Current Psychiatry Reports, 18(3), 31.
  [29] Cesta, C. E., Viktorin, A., Olsson, H., Johansson, V., Sjölander, A., Bergh, C., Skalkidou, A., Nygren, K. G., & Cnattingius, S. (2016). Depression, anxiety, and antidepressant treatment in women: Association with in vitro fertilization outcome. Fertility and Sterility, 105(6), 1594–1602.e3.
  [30] Gressier, F., Letranchant, A., Cazas, O., Sutter-Dallay, A. L., Falissard, B., & Hardy, P. (2015). Post-partum depressive symptoms and medically assisted conception: A systematic review and meta-analysis. Human Reproduction, 30(11), 2575–2586.
  [31] Malina, A., & Pooley, J. A. (2017). Psychological consequences of IVF fertilization—Review of research. Annals of Agricultural and Environmental Medicine, 24(4), 554–558.
  [32] Martins, M. V., Peterson, B. D., Almeida, V. M., & Costa, M. E. (2014). Dyadic dynamics of perceived social support in couples facing infertility. Human Reproduction, 29(1), 83–89.
  [33] Pasch, L. A., Holley, S. R., Bleil, M. E., Shehab, D., Katz, P. P., & Adler, N. E. (2016). Addressing the needs of fertility treatment patients and their partners: Are they informed of and do they receive mental health services? Fertility and Sterility, 106(1), 209–215.e2.
  [34] Romeiro, J., Santos, P., & Moraes, T. (2017). Emotional impacts of assisted reproductive technology on women: A systematic review. European Journal of Obstetrics & Gynecology and Reproductive Biology, 218, 73–78.
  [35] Rooney, K. L., & Domar, A. D. (2018). The relationship between stress and infertility. Dialogues in Clinical Neuroscience, 20(1), 41–47.
  [36] Shorey, S., Chee, C. Y. I., Ng, E. D., Chan, Y. H., Tam, W. W. S., & Chong, Y. S. (2018). Prevalence and incidence of postpartum depression among healthy mothers: A systematic review and meta-analysis. Journal of Psychiatric Research, 104, 235–248.
  [37] Slomian, J., Honvo, G., Emonts, P., Reginster, J. Y., & Bruyère, O. (2019). Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes. Women’s Health, 15, 1–55.
  [38] Vikström, J., Josefsson, A., Bladh, M., & Sydsjö, G. (2015). Mental health in women 20–23 years after IVF treatment: A Swedish cross-sectional study. BMJ Open, 5(10), e009426.
  [39] Warmelink, J. C., Meijer, J. M., Mulder, N., Mulder, S., & van Lohuizen, M. T. (2016). Perception of the psychosocial aspects of subfertility by parents following successful medically assisted conception: A qualitative study. Open Journal of Obstetrics and Gynecology, 6(13), 830–845.
•   کلمات کلیدی به فارسی : فسردگی پس از زایمان، IVF، لقاح آزمایشگاهی، حاملگی طبیعی، مرور روایتی.
•   چکیده مقاله به انگلیسی : Introduction: Postpartum depression (PPD) is one of the most common mental disorders occurring after childbirth and can be influenced by various factors, including the method of conception. This study aims to compare the prevalence of postpartum depression in mothers who underwent IVF with those who experienced natural pregnancies.
  Methods: This narrative review was conducted by searching databases including PubMed, Scopus, Web of Science, and Google Scholar. Relevant articles published between 2010 and 2023 that utilized standardized tools for measuring postpartum depression were selected.
  Findings: From a total of 1250 articles identified, 25 articles met the criteria for final review. The results showed that the prevalence of postpartum depression in IVF mothers (15% to 48%) was significantly higher than that in mothers with natural pregnancies (8% to 20%). Risk factors identified included a history of long-term infertility, repeated IVF failures, high anxiety levels, low social support, and poor economic-social status.
  Conclusion: Mothers undergoing IVF are at a higher risk for postpartum depression. Regular psychological screening and providing supportive interventions and treatments can be effective in preventing and managing this disorder. Future research should focus on investigating the underlying mechanisms and the efficacy of psychological interventions in this population.
•   کلمات کلیدی به انگلیسی : Postpartum depression, IVF, in vitro fertilization, natural pregnancy, narrative review.
•  صفحات : 85-106
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