Background

Men with infertility experience significant distress, however research on psychiatric morbidity among this group is limited. Literature on explanatory models of infertility, which influence help seeking behaviour is also scarce.

Objectives

The aim of this cross-sectional study was to assess the prevalence and factors associated with psychiatric morbidity among men with infertility, their quality of life, and explanatory models regarding infertility.

Materials and methods

One hundred and thirty-five consecutive males who attended the reproductive medicine outpatient clinic in a tertiary care hospital were recruited after obtaining informed consent. Psychiatric morbidity, quality of life and explanatory models were assessed using the Clinical Interview Schedule - Revised, Fertility Quality of Life scale and modified Short Explanatory Model Interview respectively. Socio-demographic and clinical details were recorded using a structured proforma.

Results

Common mental disorder (CMD), observed in one third of the sample, was associated with longer duration of infertility and treatment, family history of psychiatric illness, sexual dysfunction, and past psychiatric illness in spouse. Presence of CMD was associated with lower quality of life scores. Participants held simultaneous and multiple explanatory models for infertility.

Conclusion

Men with infertility experience psychological distress that can further impair their quality of life. They should be offered support and psychosocial interventions as they undergo infertility treatment.

中文翻译：

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在三级医院接受不孕症治疗的男性常见精神障碍、生活质量和解释模型：一项横断面研究

背景

不育男性经历了巨大的痛苦，但对这一群体的精神病发病率的研究是有限的。关于影响求助行为的不孕症解释模型的文献也很少。

目标

这项横断面研究的目的是评估男性不育症的患病率和与精神疾病相关的因素、他们的生活质量以及不育症的解释模型。

材料和方法

在获得知情同意后，连续招募了 135 名在三级医院生殖医学门诊就诊的男性。精神病发病率、生活质量和解释模型分别使用临床访谈时间表 - 修订版、生育生活质量量表和修改后的简短解释模型访谈进行评估。使用结构化形式记录了社会人口统计学和临床​​细节。

结果

在三分之一的样本中观察到的常见精神障碍 (CMD) 与更长的不孕和治疗持续时间、精神疾病家族史、性功能障碍和配偶过去的精神疾病有关。CMD 的存在与较低的生活质量评分相关。参与者同时持有多个不孕症的解释模型。

结论

患有不孕症的男性会经历心理困扰，这会进一步损害他们的生活质量。在他们接受不孕症治疗时，应向他们提供支持和社会心理干预。