Author/Editor		Zorn, B; Virant-Klun, I; Kolbezen, M; Velikonja, V; Meden-Vrtovec, H
Title		Facteurs de stress psychologique et qualite du sperme dans une population de 450 hommed infertiles slovenes
Translated title		Psychological stress and sperm quality in 450 infertile Slovenian men
Type		članek
Source		Andrologie
Vol. and No.		Letnik 11, št. 2
Publication year		2001
Volume		str. 76-85
Language		fre
Abstract		The purpose of this prospective study was to examine the relationship between psychological stress and male reproductive function. The study population consisted of 450 men attending the infertility outpatient clinic and 45 men participating in an IVF-ICSI programme. Psychological stress was measured in four ways. Firstly, the "WHO (five) Well-Being Index" (1995 version) assessed the risk of depression in the previous two-week period. Secondly, Zungs Anxiety Scale Inventory was used to assess the features and severity of anxiety. Thirdly, the global reaction to various types of chronic life stress events related to family, partner, sexual behaviour, job strain and stress related to infertility treatment, with a more intense reaction corresponding to a higher score. Fourthly, the participant indicated by no (=1) or yes (=2) whether he had been exposed to the following acute stress situations: unemployment, moving house personal illness or illness of a close relative, road accident. All questionnaires were completed after collection of the semen sample. The incidence of depression and anxiety symptoms in the two study populations (6.5% and 5.3%, and 20.3% and 30.8%, respectively) was twice as high as that observed in the general population. Anxiety was more pronounced (50%) in icsi patients than in conventional IVF patients. To assess a relationship between psychological stress factors and male reproductive function, we used multiple regression analysis after adjustment of sperm parameters for age, sexual abstinence, type of infertility (primary or secondary), elevated body temperature , varicocele, and history of cryptorchidism and genital infection. (Abstract truncated at 2000 characters).
Descriptors		INFERTILITY, MALE STRESS, PSYCHOLOGICAL SPERMATOZOA PSYCHOLOGICAL TESTS DEPRESSION ANXIETY SPERM COUNT SPERM MOTILITY PROSPECTIVE STUDIES