La depresión en su relación con las técnicas de reproducción asistida y la influencia del asesoramiento profesional durante el proceso

David Ruiz-Porras, Lourdes Ruiz-Porras, Verónica Cruz-Repiso

Resumen


Introducción. La infertilidad y el tratamiento por medio de métodos de reproducción asistida tienen implicaciones psicológicas importantes para la pareja: desde manifestaciones positivas por la esperanza que ofrecen estas técnicas ante el éxito de las mismas, al igual que manifestaciones negativas por la incertidumbre y el posible fracaso; una de ellas es la depresión. Por tanto, se planteó por objetivo analizar la relación entre la depresión y las técnicas de reproducción asistida, así como la influencia que tiene el asesoramiento profesional en las parejas que optan por estas técnicas. Metodología. Fue un estudio descriptivo de síntesis mediante una búsqueda bibliográfica del conocimiento actual existente sobre la relación depresión-técnicas de reproducción asistida, así como los efectos de la misma en el posparto. Resultados. En la relación de direccionalidad se halló que la infertilidad es un factor de riesgo para la depresión, y esta  un predictor de fracaso de las técnicas de reproducción asistida. No hubo evidencia de un aumento de la depresión posparto en los embarazos logrados por técnicas de reproducción asistida. Se describen las estrategias de prevención posibles. Conclusión. Al parecer, existe una relación entre técnicas de reproducción asistida y la depresión, aunque se requiere una mayor investigación. No obstante, cabe resaltar la importancia de tratar psicoterapéuticamente a ambos miembros de la pareja antes, durante y después del proceso de reproducción asistida. 

Palabras clave


Depresión; Técnicas de reproducción asistida; Tratamiento psicoterapéutico en reproducción asistida; Fallo del tratamiento de reproducción asistida; Depresión posparto; Infertilidad

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Referencias


Babore, A., Stuppia, L., Trumello, C., Candelori, C. y Antonucci, I. (2017). Male factor infertility and lack of openness about infertility as risk factors for depressive symptoms in males undergoing assisted reproductive technology treatment in Italy. Fertility and Sterility, 107(4), 1041-1047.

Ban, L., Tata, L.J., West, J., Fiaschi, L. y Gibson, J.E. (2012). Live and non-live pregnancy outcomes among women with depression and anxiety: a population-based study. PloS ONE, 7(8), e43462.

Bell, K. (2006). An overview of assisted reproduction in Australia and directions for social research. Australian Journal of Emerging Technologies and Society, 4(1), 15-27.

Belloch, A., Sandín, B. y Ramos, F. (2008). Manual de psicopatología (ed. rev.). Madrid: McGraw-Hill.

Bennett, P., Phelps, C., Brain, K., Hood, K. y Gray, J. (2007). A randomized controlled trial of a brief self-help coping intervention designed to reduce distress when awaiting genetic risk information. Journal of Psychosomatic Research, 63(1), 59-64.

Boivin, J. (2003). A review of psychosocial interventions in infertility. Social Science & Medicine, 57(12), 2325-2341.

Boivin, J., Scanlan, L.C. y Walker, S.M. (1999). Why are infertile patients nousing psychosocial counselling? Human Reproduction, 14(5), 1384-1391.

Cesta, C.E., Viktorin, A., Olsson, H., Johansson, V., Sjölander, A., Bergh, C., e Iliadou, A.N. (2016). Depression, anxiety, and antidepressant treatment in women: association with in vitro fertilization outcome. Fertility and Sterility, 105(6), 1594-1602.

Frederiksen, Y., Farver-Vestergraad, I., Gronhoj Skovgard, N., Ingerslev, H.J. y Zachariae, R. (2015). Efficacy of psychosocial interventions for psychological and pregnancy outcomes in infertile women and men: a systematic review and meta-analysis. British Journal of Medicine Open, 5, e006592(e pub).

Gambadauro, P., Iliadis, S., Bränn, E. y Skalkidou, A. (2017). Conception by means of in vitro fertilization is not associated with maternal depressive symptoms during pregnancy or postpartum. Fertility and Sterility, 108(2), 325-332.

Gameiro, S., Boivin, J., Dancet, E., de Klerk, C., Emery, M., Lewis-Jones, C., et al. (2015). ESHRE guideline: routine psychosocial care in infertility and medically assisted reproduction: a guide for fertility staff. Human Reproduction, 30(11), 2476-2485.

Gressier, F., Letranchant, A., Cazas, O., Sutter-Dallay, A.L., Falissard, B. y Hardy, P. (2015). Post-partum depressive symptoms and medically assisted conception: a systematic review and meta-analysis. Human Reproduction, 30(11), 2575-2586.

Harlow, B.L., Wise, L.A., Otto, M.W., Soares, C.N. y Cohen, L.S. (2003). Depression and its influence on reproductive endocrine and menstrual cycle markers associated with perimenopause: the Harvard Study of Moods and Cycles. Archives of General Psychiatry, 60(1), 29-36.

Hodgetts, K., Elshaug, A.G. y Hiller, J.E. (2012). What counts and how to count it: physicians’ constructions of evidence in a disinvestment context. Social Science & Medicine, 75(12), 2191-2199.

Holter, H., Anderheim, L., Bergh, C. y Möller, A. (2006). First IVF treatment—short-term impact on psychological well-being and the marital relationship. Human Reproduction, 21(12), 3295-3302.

Jongbloed-Pereboom, M., Middelburg, K.J., Heineman, M.J., Bos, A.F., Haadsma, M.L. y Hadders-Algra, M. (2012). The impact of IVF/ICSI on parental well-being and anxiety 1 year after childbirth. Human Reproduction, 27, 2389-2395.

Klerk, C., Hunfeld, J.A.M., Heijnen, E.M.E.W., Eijkemans, M.J.C., Fauser, B.C.J., Passchier, J. y Macklon, N.S. (2007). Low negative affect prior to treatment is associated with a decreased chance of live birth from a first IVF cycle. Human Reproduction, 23(1), 112-116.

Klerman, G.L. y Weissman, M.M. (1989). Increasing rates of depression. Journal of the American Medical Association, 261(15), 2229-2235.

Kovacs, G.T., Morgan, G., Levine, M. y McCrann, J. (2012). The Australian community overwhelmingly approves IVF to treat subfertility, with increasing support over three decades. Australian and New Zealand Journal of Obstetrics and Gynaecology, 52(3), 302-304.

Maroufizadeh, S., Karimi, E., Vesali, S. y Samani, R.O. (2015). Anxiety and depression after failure of assisted reproductive treatment among patients experiencing infertility. International Journal of Gynecology & Obstetrics, 130(3), 253-256.

Mascarenhas, M.N., Flaxman, S.R., Boerma, T., Vanderpoel, S. y Stevens, G.A. (2012). National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys. PLoS Medicine, 9(12), e1001356.

Matthiesen, S.M., Frederiksen, Y., Ingerslev, H.J. y Zachariae, R. (2011). Stress, distress and outcome of assisted reproductive technology (ART): a meta-analysis. Human Reproduction, 26(10), 2763-2776.

Milazzo, A., Mnatzaganian, G., Elshaug, A.G., Hemphill, S.A., Hiller, J.E. y Astute Health Study Group (2016). Depression and anxiety outcomes associated with failed assisted reproductive technologies: a systematic review and meta-analysis. PloS ONE, 11(11), e0165805.

Pedro, J., Sobral M., P., Mesquita G., J., Leal, C., Costa, M.E. y Martins, M.V. (2017). Couples’ discontinuation of fertility treatments: a longitudinal study on demographic, biomedical, and psychosocial risk factors. Journal of Assisted Reproduction and Genetics, 34(2), 217-224.

Peterson, B.D., Newton, C.R., Rosen, K.H. y Skaggs, G.E. (2006). The relationship between coping and depression in men and women referred for in vitro fertilization. Fertility and Sterility, 85(3), 802-804.

Peterson, B.D., Pirritano, M., Christensen, U., Boivin, J., Block, J. y Schmidt, L. (2009). The longitudinal impact of partner coping in couples following 5 years of unsuccessful fertility treatments. Human Reproduction, 24(7), 1656-1664.

Peterson, B.D., Sejbaek, C.S., Pirritano, M. y Schmidt, L. (2013). Are severe depressive symptoms associated with infertility-related distress in individuals and their partners? Human Reproduction, 29(1), 76-82.

Riesco F., J., Rivero, C. y Mora J., M. (2015). Programa Formativo de la Especialidad de Enfermería Obstétrico-Ginecológica (v. 5). INGESA, 398-402.

Rockliff, H.E., Lightman, S.L., Rhidian, E., Buchanan, H., Gordon, U. y Vedhara, K. (2014). A systematic review of psychosocial factors associated with emotional adjustment in in vitro fertilization patients. Human Reproduction Update, 20(4), 594-613.

Ross, L.E., McQueen, K., Vigod, S. y Dennis, C.L. (2010). Risk for postpartum depression associated with assisted reproductive technologies and multiple births: a systematic review. Human Reproduction Update, 17(1), 96-106.

Sejbaek, C.S., Hageman, I., Pinborg, A., Hougaard, C.O. y Schmidt, L. (2013). Incidence of depression and influence of depression on the number of treatment cycles and births in a national cohort of 42 880 women treated with ART. Human Reproduction, 28(4), 1100-1109.

Shani, C., Yelena, S., Reut, B.K., Adrian, S. y Sami, H. (2016). Suicidal risk among infertile women undergoing in-vitro fertilization: Incidence and risk factors. Psychiatry Research, 240, 53-59.

Su, T.J., Tzeng, Y.L. y Kuo, P.C. (2011). The anxiety of Taiwanese women with or without continuity treatment after previous in vitro fertilisation failure. Journal of Clinical Nursing, 20(15-16), 2217-2223.

Sullivan, E.A., Zegers-Hochschild, F., Mansour, R., Ishihara, O., de Mouzon, J., Nygren, K.G. y Adamson, G.D. (2013). International Committee for Monitoring Assisted Reproductive Technologies (ICMART) World Report: Assisted reproductive technology 2004. Human Reproduction, 28(5), 1375-1390.

Terzioglu, F. (2007). Anxiety of infertile men who undergo genetic testing for assisted reproductive treatment. Journal of Psychosomatic Obstetrics & Gynecology, 28(3), 147-153.

Terzioglu, F., Turk, R., Yucel, C., Dilbaz, S., Cinar, O. y Karahalil, B. (2016). The effect of anxiety and depression scores of couples who underwent assisted reproductive techniques on the pregnancy outcomes. African Health Sciences, 16(2), 441-450.

Van Beugen, S., Ferwerda, M., Hoeve, D., Rovers, M.M., Spillekom-van Koulil, S., Van Middeldorp, H. y Evers, A.W.M. (2014). Internet-based cognitive behavioral therapy for patients with chronic somatic conditions: a meta-analytic review. Journal of Internal Medicine Research, 16, e88.

Van Dongen, A., Kremer, J., Van Sluisveld, N., Verhaak, C.M. y Nelen, W.L. (2012). Feasibility of screening patients for emotional risk factors before in vitro fertilization in daily clinical practice: a process evaluation. Human Reproduction, 27(12), 3493-3501.

Van Dongen, A.J., Nelen, W.L., IntHout, J., Kremer, J.A. y Verhaak, C.M. (2016). Therapy to reduce emotional distress in women undergoing assisted reproductive technology (ART): a feasibility randomized controlled trial. Human Reproduction, 31(5), 1046-1057.

Visser, A.P., Haan, G., Haan, G. y Wouters, I. (1994). Psychosocial aspects of in vitro fertilization. Journal of Psychosomatic Obstetrics & Gynecology, 15(1), 35-43.

Volgsten, H., Svanberg, A.S. y Olsson, P. (2010). Unresolved grief in women and men in Sweden three years after undergoing unsuccessful in vitro fertilization treatment. Acta Obstetricia et Gynecologica Scandinavica, 89(10), 1290-1297.

Wu, G., Yin, T., Yang, J., Xu, W., Zou, Y., Wang, Y. y Wen, J. (2014). Depression and coping strategies of Chinese women undergoing in-vitro fertilization. European Journal of Obstetrics & Gynecology and Reproductive Biology, 183, 155-158.

Ying, L., Wu, L.H. y Loke, A.Y. (2016). Gender differences in emotional reactions to in vitro fertilization treatment: a systematic review. Journal of Assisted Reproduction and Genetics, 33(2), 167-179.




DOI: https://doi.org/10.25009/pys.v30i1.2614

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