The effect of problem‑solving skill training on mental health and the success of treatment of infertile women under intrauterine insemination treatment

نویسندگان

1 Department of Obstetrics and Gynecology, Research Center for Women’s Health, Faculty of Medicine, Mashhad University of Medical Sciences,

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3 Department of Midwifery, School of Nursing and Midwifery, Evidence-Based Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences

4 Department of Clinical Psychology, Research Center for Psychiatry and Behavioral Sciences, Mashhad University of Medical Sciences

5 Department of Biostatistics, Faculty of Public Health, Research Center for Management and Social Factors Influencing Health, Mashhad University of Medical Sciences,

6 Department of Clinical Psychology, Ebne Sina Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

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چکیده

INTRODUCTION: Using fertility treatment will cause high levels of anxiety and depression. The studywas carried out with the objective of determining the effect of problem‑solving skills (PSS) training onmental health and the success of treatment of infertile women under intrauterine insemination (IUI)treatment.MATERIALS AND METHODS: this randomized clinical trial was carried out on 72 womenreferring to Milad Infertility Center in Mashhad. Individuals were randomly assigned into control andintervention groups. PSS were taught in three sessions in the intervention group, and the controlgroup received usual care. The success rate of therapy and the mean of anxiety and depressionon the day of IUI operation were compared using the Beck Depression Inventory and SpielbergerAnxiety Inventory in both groups. t‑test, Mann–Whitney, paired t‑test, Wilcoxon, and Chi‑squaretests were used to analyze the data.RESULTS: on the day of IUI operation, the mean score of state anxiety in the controlgroup (5 0 . 11 ± 8.51) and PSS (68.12 ± 11.49) was significant (P < 0.001), trait anxiety in thecontrol group (46.41 ± 8.70) and PSS (44.00 ± 9.92) was significant (P < 0.001), and depression in thecontrol group (17.44 ± 11.70) and PSS (12.99 ± 8.99) was significant (P < 0.001); however, the successof treatment in both groups (14.7% and PSS (26.5%) was not significantly different (P = 0.230).CONCLUSION: Considering the effect of problem‑solving on reducing anxiety and depression, it issuggested that infertility center of this intervention should be used.