Associations of psychological distress in sub fertile women in a tertiary care hospital.

  • Saher Naseeb Uneeb Liaquat National hospital
  • Haleema Hashmi
Keywords: subfertility, depression, anxiety, stress


Objective: To assess the prevalence of depression, anxiety and stress among sub fertile females and to find its associations.

Design: A cross-sectional study was done involving sub fertile females in their fertile age with inability to conceive >1 year. The study was conducted at Liaquat National Hospital from January 2018 to September 2018.

Method:  Sample size of 217 patients was taken, calculated using WHO calculator with a precision of 17 %, margin of error of 5% and confidence interval of 95% .15A structured questionnaire based on DASS 42 (Depression Anxiety and Stress Scale) was administered. It was translated in native Urdu language and females coming to OPD with complaint of subfertility were asked to fill the questionnaire. Data was compiled and analyzed using SPSS 21. P value ≤0.05 was considered as significant.

Results: A total of 217 sub fertile women, 18-43 years of age were interviewed with duration of sub fertility between 7 to 240 months. Depression was found in 97 (44.7%) sub fertile women and majority 47 (21.7%) had mild depression. Anxiety was found in 131 (60.4%) sub fertile females and majority 62 (28.6%) had moderate anxiety. Stress was found in 87 (40.1%) sub fertile females and majority 32 (14.7%) had mild stress. There was a significant relation between anxiety and parity (p=0.013).

Conclusion: The DASS scale shows that sub fertile women are under psychological distress. Although our study reported lower frequencies of depression and stress but anxiety levels were still high and are more in women who never had a child.

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