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Abstract(s)
Introdução: A infertilidade é um problema cada vez mais presente na nossa sociedade, com
uma prevalência crescente nos últimos anos. Sendo uma interação de causas multifatoriais,
aliadas a grande exigência e sofrimento pessoal, é imperativo adotar uma visão integrada
segundo o qual os processos físicos estão intimamente relacionados com os sociais e
psicológicos.
Objetivos: Com este estudo pretende-se identificar os fatores que contribuem para a eficácia
do tratamento da infertilidade, tendo em conta não só a parte clínica, mas também a
componente psicossocial.
Métodos: Estudo retrospetivo de 278 casais seguidos em consulta de Infertilidade na Unidade
de Medicina Reprodutiva do Centro Hospitalar Universitário Cova da Beira (CHUCB), nos anos
de 2015 a 2018. Foram recolhidos dados a respeito das causas da infertilidade, dos
tratamentos efetuados e a sua eficácia, para cruzar com sintomas psicológicos clinicamente
relevantes e avaliar o stress inerente à sua condição, através do Brief Symptom Inventory
(BSI) e Inventário de Problemas de Fertilidade (IPF). A análise estatística foi efetuada através
do SPSS.
Resultados: Os casais estariam a tentar engravidar há uma média de 2,59 anos. 33,7% têm
infertilidade secundária, sendo que em cerca de metade dos casos ocorreram abortamentos.
A etiologia feminina é mais prevalente (27%) em comparação com a masculina (23%) e em 15%
dos casos não se consegue encontrar a causa da infertilidade. O tratamento mais eficaz foi a
fertilização in vitro (32,9%). Os distúrbios emocionais, como Somatização, Depressão,
Ansiedade e Ansiedade Fóbica são significativamente mais prevalentes nas mulheres, assim
como a Preocupação Social e Sexual. A Necessidade de Parentalidade e a Rejeição do Estilo
de Vida Sem Filhos são os fatores que mais preocupam ambos os elementos do casal.
Conclusão: Verificou-se que a componente psicossocial do casal influencia o processo de
tratamento da infertilidade, com impacto no seu resultado. Sintomas como Depressão,
Ansiedade, Hostilidade, Ansiedade Fóbica e Ideação Paranóide foram superiores em mulheres
que não engravidaram após o tratamento, assim como em homens, estando o negativismo
associado portanto a resultados desfavoráveis em ambos os sexos. A necessidade e o desejo
que os casais inférteis têm em se tornarem pais é significativamente maior em casais com
tratamentos bem-sucedidos. Para a mulher, a somatização está relacionada com o
abortamento; enquanto para o homem a preocupação sexual e com o relacionamento está
associada à etiologia masculina e a menores probabilidades de dar à luz.
Introduction: Infertility is a rising problem in our society, with an increasing prevalence in the past years. Being an interaction of multifactorial causes, with great demand and personal suffering, it is imperative to adopt an integrated view where physiology is intimately related to social and psychological processes. Objectives: This study aims to identify the factors that contribute to the effectiveness of infertility treatments, taking into account not only the clinical but also the psychosocial component. Methods: This is a retrospective study of 278 couples followed from 2015 to 2018 at Infertility consultation, in the Reproductive Medicine Unity at Centro Hospitalar Universitário Cova da Beira (CHUCB). Data was collected on the causes of infertility, the treatments performed and their effectiveness. The aim was to cross these data with clinically relevant psychological symptoms, through Brief Symptom Inventory (BSI) and Fertility’s Problem Inventory (FPI), in order to assess the stress inherent on their condition. Statistical analysis was performed using SPSS. Results: Couples have been trying to conceive for an average of 2.59 years. 33.7% had secondary infertility, and about half of these former pregnancies led to abortion. The female etiology is more prevalent (27%) compared to the male (23%) and in 15% of cases the cause of infertility cannot be found. The most effective treatment was in vitro fertilization (32,9%). Emotional disorders, such as Somatization, Depression, Anxiety and Phobic Anxiety are significantly more prevalent in women, as well as Social and Sexual Concerns. Need for Parenthood and the Rejection of Childfree Lifestyle are the factors that most concern both elements of the couple. Conclusion: It was found that the couple's psychosocial component has an influence on the infertility treatment process, with an impact on its outcome. Symptoms such as Depression, Anxiety, Hostility, Phobic Anxiety and Paranoid Ideation were higher in women who did not become pregnant after the treatment, as well as in men. Therefore, negative results are associated with adverse results in both sexes. The need and desire that infertile couples have to become parents is significantly greater in couples with successful treatments. For women, Somatization is related to abortion; whereas for men, Sexual and Relationship Concerns are associated with male etiology and less likelihood to give birth.
Introduction: Infertility is a rising problem in our society, with an increasing prevalence in the past years. Being an interaction of multifactorial causes, with great demand and personal suffering, it is imperative to adopt an integrated view where physiology is intimately related to social and psychological processes. Objectives: This study aims to identify the factors that contribute to the effectiveness of infertility treatments, taking into account not only the clinical but also the psychosocial component. Methods: This is a retrospective study of 278 couples followed from 2015 to 2018 at Infertility consultation, in the Reproductive Medicine Unity at Centro Hospitalar Universitário Cova da Beira (CHUCB). Data was collected on the causes of infertility, the treatments performed and their effectiveness. The aim was to cross these data with clinically relevant psychological symptoms, through Brief Symptom Inventory (BSI) and Fertility’s Problem Inventory (FPI), in order to assess the stress inherent on their condition. Statistical analysis was performed using SPSS. Results: Couples have been trying to conceive for an average of 2.59 years. 33.7% had secondary infertility, and about half of these former pregnancies led to abortion. The female etiology is more prevalent (27%) compared to the male (23%) and in 15% of cases the cause of infertility cannot be found. The most effective treatment was in vitro fertilization (32,9%). Emotional disorders, such as Somatization, Depression, Anxiety and Phobic Anxiety are significantly more prevalent in women, as well as Social and Sexual Concerns. Need for Parenthood and the Rejection of Childfree Lifestyle are the factors that most concern both elements of the couple. Conclusion: It was found that the couple's psychosocial component has an influence on the infertility treatment process, with an impact on its outcome. Symptoms such as Depression, Anxiety, Hostility, Phobic Anxiety and Paranoid Ideation were higher in women who did not become pregnant after the treatment, as well as in men. Therefore, negative results are associated with adverse results in both sexes. The need and desire that infertile couples have to become parents is significantly greater in couples with successful treatments. For women, Somatization is related to abortion; whereas for men, Sexual and Relationship Concerns are associated with male etiology and less likelihood to give birth.
Description
Keywords
Bsi Fatores Psicossociais Infertilidade Ipf Medicina Reprodutiva