DETERMINANT AND SEVERITY OF INFERTILE COUPLES' DEPRESSION: A CROSS-SECTIONAL STUDY Authors: SHALAN JOODAH AL-ABBUDI1 , RAWAA SAMI DAWOOD2, UAADQASIM HUSSEIN3, DALAL MOHAMMAD KADHIM4
ABSTRACT
Background: Infertility that affects 10 to 15% of couples is a psychological, social and
medical problem. Objectives: assessment of prevalence and severity of depression
among infertile couples and the significant correlation of depression with
sociodemographic and clinical variables. Methods: A cross-sectional study conducted
in Imamain Kadhimain Medical City, Baghdad, Iraq. Study included all couples with
primary and secondary infertility. Socio-demographic and clinical variables were
compiled. Self-Reporting Questionnaire (SRQ-20) to identify mental illnesses; DSMIV-
TR criteria for depression and Hamilton-17 Scale for severity of depression, were
used.Results: Total couples completed the interview were 227 couples. Participation
rate was 85%. About 70.5% of the couples have primary infertility, 29.5% secondary
infertility. Husband with depression was (63.9%) and wives with depression (83.3%).Most of husbands were mild to moderate depression (46.7%) and most of
wives were severe to very severe depression (46.7%). Types of infertility were
statistically significant correlation with depression of wives (P=0.042) and the degree
of severity of depression of wives (P=0.010), rather than depression of husbands
(P=0.203) and the severity of depression of husbands (P=0.320). Conclusion: study
found high prevalence of depression among infertile couples with statistical
significant correlations with many sociodemographic and clinical variables.
Keywords: depression; infertility; SRQ20; HAM17; Iraq