Stress and depression among women and men who have experienced recurrent pregnancy loss: focusing on both sexes

Are women and men suffering from recurrent pregnancy loss (RPL) more affected by psychological stress and depression than the general population? Cross-sectional study investigating the prevalence of stress and depression in women and men with RPL seen in the Danish national RPL Unit. Data were coll...

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Veröffentlicht in:Reproductive biomedicine online 2021-06, Vol.42 (6), p.1172-1180
Hauptverfasser: Hedegaard, Signe, Landersoe, Selma Kloeve, Olsen, Lis Raabaek, Krog, Maria Christine, Kolte, Astrid Marie, Nielsen, Henriette Svarre
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container_end_page 1180
container_issue 6
container_start_page 1172
container_title Reproductive biomedicine online
container_volume 42
creator Hedegaard, Signe
Landersoe, Selma Kloeve
Olsen, Lis Raabaek
Krog, Maria Christine
Kolte, Astrid Marie
Nielsen, Henriette Svarre
description Are women and men suffering from recurrent pregnancy loss (RPL) more affected by psychological stress and depression than the general population? Cross-sectional study investigating the prevalence of stress and depression in women and men with RPL seen in the Danish national RPL Unit. Data were collected between 2015-2018. All newly referred couples were asked to complete the Major Depression Index (MDI) and Cohen's Perceived Stress Scale (PSS). The scores of both sexes were compared with scores from relevant cohorts of men and women from the general population. In total, 412 women with RPL (82% response rate) and 281 male partners (60% response rate) were included. Depression: 5/281 (1.8%) of men with RPL had moderate/severe depression vs. 5/253 (2.0%) of men in the comparison group (relative risk (RR) 0.90; 95% CI 0.26-3.07, p=0.99). Among women with RPL, 34/412 (8.3%) had a moderate/severe depression vs. 2.2% in the comparison group (RR 3.74; 95% CI 2.40-5.83, p
doi_str_mv 10.1016/j.rbmo.2021.03.012
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Cross-sectional study investigating the prevalence of stress and depression in women and men with RPL seen in the Danish national RPL Unit. Data were collected between 2015-2018. All newly referred couples were asked to complete the Major Depression Index (MDI) and Cohen's Perceived Stress Scale (PSS). The scores of both sexes were compared with scores from relevant cohorts of men and women from the general population. In total, 412 women with RPL (82% response rate) and 281 male partners (60% response rate) were included. Depression: 5/281 (1.8%) of men with RPL had moderate/severe depression vs. 5/253 (2.0%) of men in the comparison group (relative risk (RR) 0.90; 95% CI 0.26-3.07, p=0.99). Among women with RPL, 34/412 (8.3%) had a moderate/severe depression vs. 2.2% in the comparison group (RR 3.74; 95% CI 2.40-5.83, p&lt;0.001). High stress levels were found in 30/281 men with RPL (10.7%) vs. 15.8% in the comparison group (co-habiting men) (RR 0.67; 95% CI 0.48-0.94, p=0.017). High stress level was found among 110/384 (28.6%) of RPL-women vs. 420/1813 (23.2%) of comparison women (RR 1.24; 95% CI 1.03-1.48, p=0.026). Both MDI and PSS scores, respectively, for a woman and a man in an RPL couple were significantly correlated. Male partners in RPL couples did not have increased prevalence of stress and depression compared with other men but we confirmed our previous finding of significantly increased frequencies among women with RPL.</description><identifier>ISSN: 1472-6483</identifier><identifier>EISSN: 1472-6491</identifier><identifier>DOI: 10.1016/j.rbmo.2021.03.012</identifier><identifier>PMID: 33962908</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Abortion, Habitual - psychology ; Adult ; Cross-Sectional Studies ; Cross-sectional study ; Denmark - epidemiology ; Depression ; Depression - epidemiology ; Depression - etiology ; Female ; Humans ; Male ; Pregnancy ; Prevalence ; Recurrent pregnancy loss ; Stress ; Stress, Psychological - epidemiology ; Stress, Psychological - etiology</subject><ispartof>Reproductive biomedicine online, 2021-06, Vol.42 (6), p.1172-1180</ispartof><rights>2021 Reproductive Healthcare Ltd.</rights><rights>Copyright © 2021 Reproductive Healthcare Ltd. 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Cross-sectional study investigating the prevalence of stress and depression in women and men with RPL seen in the Danish national RPL Unit. Data were collected between 2015-2018. All newly referred couples were asked to complete the Major Depression Index (MDI) and Cohen's Perceived Stress Scale (PSS). The scores of both sexes were compared with scores from relevant cohorts of men and women from the general population. In total, 412 women with RPL (82% response rate) and 281 male partners (60% response rate) were included. Depression: 5/281 (1.8%) of men with RPL had moderate/severe depression vs. 5/253 (2.0%) of men in the comparison group (relative risk (RR) 0.90; 95% CI 0.26-3.07, p=0.99). Among women with RPL, 34/412 (8.3%) had a moderate/severe depression vs. 2.2% in the comparison group (RR 3.74; 95% CI 2.40-5.83, p&lt;0.001). High stress levels were found in 30/281 men with RPL (10.7%) vs. 15.8% in the comparison group (co-habiting men) (RR 0.67; 95% CI 0.48-0.94, p=0.017). High stress level was found among 110/384 (28.6%) of RPL-women vs. 420/1813 (23.2%) of comparison women (RR 1.24; 95% CI 1.03-1.48, p=0.026). Both MDI and PSS scores, respectively, for a woman and a man in an RPL couple were significantly correlated. 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subjects Abortion, Habitual - psychology
Adult
Cross-Sectional Studies
Cross-sectional study
Denmark - epidemiology
Depression
Depression - epidemiology
Depression - etiology
Female
Humans
Male
Pregnancy
Prevalence
Recurrent pregnancy loss
Stress
Stress, Psychological - epidemiology
Stress, Psychological - etiology
title Stress and depression among women and men who have experienced recurrent pregnancy loss: focusing on both sexes
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