Browse > Article
http://dx.doi.org/10.4069/kjwhn.2019.25.3.273

The Relationship between Fatigue, Health-Promoting Behavior, and Depression among Infertile Women  

Kim, Miok (College of Nursing, Dankook University)
Hong, Ju Eun (Department of Nursing, Dongyang University)
Lee, Eun Young (Department of Nursing, Shinsung University)
Publication Information
Women's Health Nursing / v.25, no.3, 2019 , pp. 273-284 More about this Journal
Abstract
Purpose: As the number of infertile couples has grown, many infertile women have experienced depression during the diagnosis and treatment of their infertility. This study aimed to identify the factors related to depression in infertile women who underwent reproductive treatments. Methods: The study subjects were 149 infertile women who underwent reproductive treatments. The data were collected by self-administered questionnaires from August 1 to December 24, 2018. The questionnaire consisted of questions about fatigue, health-promoting behavior, and depression. Analyses of the descriptive statistics, t-tests, one-way analysis of variance, correlation, and multiple regression were conducted using the SPSS 25.0 Windows program. Results: Thirty-six of the women in the study (24.2%) were in the probably depressed group and 113 (75.8%) were in the definitely depressed group and 100% of the subjects experienced symptoms of depression. Depression was positively correlated with fatigue and negatively correlated with health-promoting behavior. Multiple regression analysis revealed that fatigue and interpersonal relationships were factors significantly related to depression in the model (p<.001), with an explanatory power of 42.6%. Conclusion: The results confirmed that fatigue and interpersonal relationships, which is a subfactor of health-promoting behavior, were factors related to depression. To alleviate depression in infertile women, efforts should be made to identify and reduce psychological and physical fatigue. In addition, minimizing relational difficulties that they experience during an infertility diagnosis and treatment and strengthening positive interpersonal relationships can be positive strategies to alleviate depression.
Keywords
Infertility; Depression; Health promotion; Fatigue;
Citations & Related Records
Times Cited By KSCI : 6  (Citation Analysis)
연도 인용수 순위
1 Psaros C, Kagan L, Auba E, Alert M, Park ER. A brief report of depressive symptoms and health promoting behaviors among women with infertility attending a clinical mind-body program. Journal of Psychosomatic Obstetrics and Gynecology. 2012;33(1):32-36.   DOI
2 Hong JE, Park JM. A phenomenological study on the spontaneous abortion experiences of women. Korean Journal of Women Health Nursing. 2017;23(2):63-77.   DOI
3 Luk BH, Loke AY. Sexual satisfaction, intimacy and relationship of couples undergoing infertility treatment. Journal of Reproductive and Infant Psychology. 2019;37(2):108-122.   DOI
4 Faramarzi M, Pasha H, Esmalizadeh S, Kheirkhah F, Hajian-Tilaki K, Salmalian H. A survey of correlation infertility self-efficacy with behavioral health scales in infertile women. Health. 2014;6(10):943-949.   DOI
5 Kang SH, Kim DG. The increase of infertility and the role of health insurance in low birth rate era. KIRI Aging Review. 2018;20:11-14.
6 Leushuis E, van der Steeg JW, Steures P, Bossuyt PM, Eijkemans MJ, van der Veen F, et al. Prediction models in reproductive medicine: a critical appraisal. Human Reproduction Update. 2009;15(5):537-552.   DOI
7 Kim MO. Marital intimacy, sex communication, and sexual satisfaction of infertile women. Journal of Korea Society for Wellness. 2016;11(1):175-183.   DOI
8 Bahrami N, Sattarzadeh N, Koochaksariie FR, Ghojazadeh M. Comparing depression and sexual satisfaction in fertile and infertile couples. Journal of Reproduction & Infertility. 2007;8(1):52-59.
9 Hwang NM. Factors related to the depression of infertile women. Health and Social Welfare Review. 2013;33(3):161-187.   DOI
10 Gameiro S, Boivin J, Peronace L, Verhaak CM. Why do patients discontinue fertility treatment? A systematic review of reasons and predictors of discontinuation in fertility treatment. Human Reproduction Update. 2012;18(6):652-669.   DOI
11 Simon GE, VonKorff M, Piccinelli M, Fullerton C, Ormel J. An international study of the relation between somatic symptoms and depression. The New England Journal of Medicine. 1999;341(18):1329-1335.   DOI
12 Hadley R, Hanley T. Involuntarily childless men and the desire for fatherhood. Journal of Reproductive and Infant Psychology. 2011;29(1):56-68.   DOI
13 Volgsten H, Skoog Svanberg A, Ekselius L, Lundkvist O, Sundstrom Poromaa I. Prevalence of psychiatric disorders in infertile women and men undergoing in vitro fertilization treatment. Human Reproduction. 2008;23(9):2056-2063.   DOI
14 Moos MK, Dunlop AL, Jack BW, Nelson L, Coonrod DV, Long R, et al. Healthier women, healthier reproductive outcomes: recommendations for the routine care of all women of reproductive age. American Journal of Obstetrics and Gynecology. 2008;199(6 Suppl 2):S280-S289.   DOI
15 Edelman CL, Kudzma EC, Mandle CL. Health promotion throughout the life span. 8th ed. St. Louis: Mosby; 2010.
16 Anderson K, Nisenblat V, Norman R. Lifestyle factors in people seeking infertility treatment - A review. The Australian & New Zealand Journal of Obstetrics & Gynaecology. 2010;50(1):8-20.   DOI
17 Fedorcsak P, Dale PO, Storeng R, Ertzeid G, Bjercke S, Oldereid N, et al. Impact of overweight and underweight on assisted reproduction treatment. Human Reproduction. 2004;19(11):2523-2528.   DOI
18 Jeong YM, Kang SK. A phenomenological study on infertile experiences of women: "Waiting for Meeting". Studies on Life and Culture. 2017;44:271-319.
19 Milligan RA, Parks PL, Kitzman H, Lenz ER. Measuring women's fatigue during the postpartum period. Journal of Nursing Measurement. 1997;5(1):3-16.   DOI
20 Yoshitake H. Relations between the symptoms and the feeling of fatigue. Ergonomics. 1971;14(1):175-186.   DOI
21 Pugh LC, Milligan R. A framework for the study of childbearing fatigue. Advances in Nursing Science. 1993;15(4):60-70.   DOI
22 Walker SN, Sechrist KR, Pender NJ. The Health-Promoting Lifestyle Profile II (HPLP II) [Internet]. Omaha: University of Nebraska Medical Center, College of Nursing; 1995 [cited 2019 Apr 20]. Available from: https://www.unmc.edu/nursing/faculty/health-promoting-lifestyle-profile-II.html.
23 Yun SN, Kim JH. Health-promoting behaviors of the women workers at the manufacturing industry - Based on the Pender's health promotion model -. Korean Journal of Occupational Health Nursing. 1999;8:130-140.
24 Cho MJ, Kim KH. Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. Journal of Korean Neuropsychiatric Association. 1993;32(3):381-399.
25 Kim MO, Kim HS. Mediator effect of marital intimacy on the relationship between depression and marital satisfaction of infertile women. Journal of Korean Public Health Nursing. 2018;32(1):96-108.   DOI
26 Hwang RH. Self-esteem, body image and factors influencing on depression of infertile women. Journal of Digital Convergence. 2017;15(10):537-549.   DOI
27 Jung YJ, Kim HY. Factors influencing infertility-related quality of life in women undergoing assisted reproductive techniques: focusing on depression and resilience. Korean Journal of Women Health Nursing. 2017;23(2):117-125.   DOI
28 American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Association; 2013.
29 Kim M, Nam H, Youn M. Infertility stress, depression, and resilience in women with infertility treatments. Journal of Korean Public Health Nursing. 2016;30(1):93-104.   DOI
30 Lee DJ, Park JS. The effects of fatigue, postpartum family support on postpartum depression in postpartum women. Korean Parent-Child Health Journal. 2018;21(1):39-49.