Depression, anxiety, stress, and coping among men with infertility seeking treatment at a tertiary care hospital in South India: A mixed-method study

Background: Many studies in India and all over the world have focused on the psychological aspect of infertility in women, but only a few have explored it among men. To deal with psychological distress, sometimes, individuals may use maladaptive coping strategies which can further worsen the stress...

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Main Authors: Mamta Mor, Venkatachalam Jayaseelan, Shivanand Kattimani, Chitra Thyagaraju, NS Kubera, Mahadevan Duraiswamy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Indian Journal of Psychiatry
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Online Access:https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_504_24
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author Mamta Mor
Venkatachalam Jayaseelan
Shivanand Kattimani
Chitra Thyagaraju
NS Kubera
Mahadevan Duraiswamy
author_facet Mamta Mor
Venkatachalam Jayaseelan
Shivanand Kattimani
Chitra Thyagaraju
NS Kubera
Mahadevan Duraiswamy
author_sort Mamta Mor
collection DOAJ
description Background: Many studies in India and all over the world have focused on the psychological aspect of infertility in women, but only a few have explored it among men. To deal with psychological distress, sometimes, individuals may use maladaptive coping strategies which can further worsen the stress instead of reducing it. Aim: To assess symptoms of depression, anxiety, stress, and various coping strategies adopted by men with infertility along with exploring their coping experiences. Methods: A sequential explanatory mixed-method study was conducted in a tertiary care hospital in South India. The study was conducted among 200 men with infertility seeking treatment from a tertiary care hospital. The symptoms of depression, anxiety, and stress were assessed using Depression, Anxiety, Stress-21 scale, and coping strategies were assessed using Brief COPE scale. In-depth interviews were conducted among eight men who had moderate to severe symptoms of depression, anxiety, and stress. Results: The proportion of depressive symptoms was 46% (95% CI: 39.2–52.9), that of anxiety was 51% (95% CI: 44.1–57.8), and that of stress was 59.5% (95% CI: 52.5–66.0). The most common coping strategies used were planning (96.0%), active coping (91.5%), self-distraction (90.5%), and religion (89.5%). The analysis of qualitative data revealed three themes – emotional impact of infertility, coping mechanisms and support systems, and perception toward counseling to improve mental wellbeing. Conclusion: The study shows that the prevalence of symptoms of depression, anxiety, and stress is considerable among men with infertility. The majority of them were using problem-focused coping. Overall, the study highlights the need to diagnose and address mental health problems among men with infertility.
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spelling doaj-art-8bb3dd8cf4e24f63a41d8d1bc887ef0a2025-01-07T06:32:29ZengWolters Kluwer Medknow PublicationsIndian Journal of Psychiatry0019-55451998-37942024-12-0166121131113810.4103/indianjpsychiatry.indianjpsychiatry_504_24Depression, anxiety, stress, and coping among men with infertility seeking treatment at a tertiary care hospital in South India: A mixed-method studyMamta MorVenkatachalam JayaseelanShivanand KattimaniChitra ThyagarajuNS KuberaMahadevan DuraiswamyBackground: Many studies in India and all over the world have focused on the psychological aspect of infertility in women, but only a few have explored it among men. To deal with psychological distress, sometimes, individuals may use maladaptive coping strategies which can further worsen the stress instead of reducing it. Aim: To assess symptoms of depression, anxiety, stress, and various coping strategies adopted by men with infertility along with exploring their coping experiences. Methods: A sequential explanatory mixed-method study was conducted in a tertiary care hospital in South India. The study was conducted among 200 men with infertility seeking treatment from a tertiary care hospital. The symptoms of depression, anxiety, and stress were assessed using Depression, Anxiety, Stress-21 scale, and coping strategies were assessed using Brief COPE scale. In-depth interviews were conducted among eight men who had moderate to severe symptoms of depression, anxiety, and stress. Results: The proportion of depressive symptoms was 46% (95% CI: 39.2–52.9), that of anxiety was 51% (95% CI: 44.1–57.8), and that of stress was 59.5% (95% CI: 52.5–66.0). The most common coping strategies used were planning (96.0%), active coping (91.5%), self-distraction (90.5%), and religion (89.5%). The analysis of qualitative data revealed three themes – emotional impact of infertility, coping mechanisms and support systems, and perception toward counseling to improve mental wellbeing. Conclusion: The study shows that the prevalence of symptoms of depression, anxiety, and stress is considerable among men with infertility. The majority of them were using problem-focused coping. Overall, the study highlights the need to diagnose and address mental health problems among men with infertility.https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_504_24anxietycopingdepressioninfertilitymale infertilityqualitative research
spellingShingle Mamta Mor
Venkatachalam Jayaseelan
Shivanand Kattimani
Chitra Thyagaraju
NS Kubera
Mahadevan Duraiswamy
Depression, anxiety, stress, and coping among men with infertility seeking treatment at a tertiary care hospital in South India: A mixed-method study
Indian Journal of Psychiatry
anxiety
coping
depression
infertility
male infertility
qualitative research
title Depression, anxiety, stress, and coping among men with infertility seeking treatment at a tertiary care hospital in South India: A mixed-method study
title_full Depression, anxiety, stress, and coping among men with infertility seeking treatment at a tertiary care hospital in South India: A mixed-method study
title_fullStr Depression, anxiety, stress, and coping among men with infertility seeking treatment at a tertiary care hospital in South India: A mixed-method study
title_full_unstemmed Depression, anxiety, stress, and coping among men with infertility seeking treatment at a tertiary care hospital in South India: A mixed-method study
title_short Depression, anxiety, stress, and coping among men with infertility seeking treatment at a tertiary care hospital in South India: A mixed-method study
title_sort depression anxiety stress and coping among men with infertility seeking treatment at a tertiary care hospital in south india a mixed method study
topic anxiety
coping
depression
infertility
male infertility
qualitative research
url https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_504_24
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AT nskubera depressionanxietystressandcopingamongmenwithinfertilityseekingtreatmentatatertiarycarehospitalinsouthindiaamixedmethodstudy
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