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Emotional Impact of Reduced Access to Assisted Reproductive Care.
- Source :
-
The Journal of reproductive medicine [J Reprod Med] 2015 Sep-Oct; Vol. 60 (9-10), pp. 404-8. - Publication Year :
- 2015
-
Abstract
- Objective: To evaluate the impact of cessation of fertility services on patients with infertility.<br />Study Design: A cross-sectional, anonymous mail survey was conducted in a university hospital setting. A total of 281 female infertility patients treated from 2003-2006 were mailed surveys. The main outcome measures of the study were the Perceived Stress Scale 10 (PSS-10) and the Impact of Events Scale (IES).<br />Results: Of the 281 patients, 175 (62.3%) responded to the questionnaire. Of those, 51 (29.1%) reported being affected by the closure. The majority (58.9%) reported a somewhat or very negative impact on their perceived quality of life. Affected patients were more likely than unaffected patients to have an elevated PSS-10 result (odds ratio [OR] 2.1, 95% confidence interval [CI] 1.04-4.3). No significant difference was seen in IES results, with 90.2% of affected and 81.5% of unaffected patients scoring in the high distress range (OR 2.1, 95% CI 0.77-5.65). Self-reported average stress levels were reduced following news of resumption of services (3.3, scale 1-10) as compared to both prior to (5.1) and during (7.4) the closure.<br />Conclusion: When fertility services are discontinued, there may be significant emotional distress among the population affected. Health care providers should be aware of the impact infertility has on stress-coping and quality of life and be prepared to offer psychological services.
- Subjects :
- Adaptation, Psychological
Adult
Continuity of Patient Care
Cross-Sectional Studies
Female
Humans
Infertility, Female
Male
Middle Aged
Odds Ratio
Reproductive Techniques, Assisted
Surveys and Questionnaires
Young Adult
Health Facility Closure
Health Services Accessibility
Infertility psychology
Quality of Life psychology
Reproductive Health Services
Stress, Psychological psychology
Subjects
Details
- Language :
- English
- ISSN :
- 0024-7758
- Volume :
- 60
- Issue :
- 9-10
- Database :
- MEDLINE
- Journal :
- The Journal of reproductive medicine
- Publication Type :
- Academic Journal
- Accession number :
- 26592066