Correlations among hope, fertility quality of life and negative emotions for couples undergoing their first in vitro fertilization–embryo transfer: a cross-sectional analysis

Abstract Background The global incidence of infertility is increasing, and infertility has become an important medical and social issue. With the widespread application of in vitro fertilization-embryo transfer (IVF-ET) technology, the mental health problems of patients undergoing this treatment hav...

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Main Authors: Hui Ye, Jing Zhao, Yujie Zou, Xiaorun Song, Mi Xu, Yu Zhang, Lili Zhang, Gaohua Wang
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Reproductive Health
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Online Access:https://doi.org/10.1186/s12978-025-01954-x
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author Hui Ye
Jing Zhao
Yujie Zou
Xiaorun Song
Mi Xu
Yu Zhang
Lili Zhang
Gaohua Wang
author_facet Hui Ye
Jing Zhao
Yujie Zou
Xiaorun Song
Mi Xu
Yu Zhang
Lili Zhang
Gaohua Wang
author_sort Hui Ye
collection DOAJ
description Abstract Background The global incidence of infertility is increasing, and infertility has become an important medical and social issue. With the widespread application of in vitro fertilization-embryo transfer (IVF-ET) technology, the mental health problems of patients undergoing this treatment have gradually attracted widespread attention. The purpose of this study was to explore the relationships among the level of hope, the fertility quality of life and negative emotions of patients who underwent IVF-ET treatment for the first time to provide a scientific basis for subsequent psychological support interventions. Methods This study was a cross-sectional survey conducted at the Reproductive Medicine Center of Renmin Hospital of Wuhan University. From February 2023 to October 2023, 1425 patients who received IVF-ET treatment for the first time participated in the questionnaire survey. The survey content included the General Information Questionnaire, the Fertility Quality of Life (FertiQoL) Questionnaire, and the Herth Hope Index (HHI). Pearson correlation analysis was used to examine the relationships among the level of hope, fertility quality of life, and negative emotions. Results The survey included 805 women and 620 men representing 603 couples. The level of hope in patients undergoing IVF-ET treatment for the first time was positively correlated with fertility quality of life (r = 0.247, P < 0.01), and the level of hope was negatively correlated with negative emotions (stress: r = − 0.135, P < 0.01; anxiety: r = − 0.105, P < 0.01; depression: r = − 0.189, P < 0.01). Fertility quality of life was negatively correlated with negative emotions (stress: r = − 0.609, P < 0.01; anxiety: r = − 0.533, P < 0.01; depression: r = − 0.591, P < 0.01). Among couples undergoing IVF-ET treatment for the first time, the husband’s level of hope (r = 0.131, P < 0.01), fertility quality of life (r = 0.372, P < 0.01), and negative emotions (stress: r = 0.181, P < 0.01; anxiety: r = 0.163, P < 0.01; depression: r = 0.210, P < 0.01) were positively correlated with those of his wife. Conclusions In patients undergoing their first IVF-ET treatment, there is a significant correlation among hope, fertility quality of life, and negative emotions. Moreover, within couples, the levels of hope, fertility quality of life, and negative emotions of husbands and wives mutually influence each other. Enhancing the level of hope in this population is conducive to alleviating negative emotions and improving their fertility quality of life. The mutual influence of spouses should not be overlooked in clinical practice, and psychological support for both partners should be emphasized.
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spelling doaj-art-1dbab060659f4366913cc99aa40bccce2025-02-02T12:27:24ZengBMCReproductive Health1742-47552025-01-0122111210.1186/s12978-025-01954-xCorrelations among hope, fertility quality of life and negative emotions for couples undergoing their first in vitro fertilization–embryo transfer: a cross-sectional analysisHui Ye0Jing Zhao1Yujie Zou2Xiaorun Song3Mi Xu4Yu Zhang5Lili Zhang6Gaohua Wang7Reproductive Medicine Center, Renmin Hospital of Wuhan University, Hubei Clinic Research Center for Assisted Reproductive Technology & Embryonic DevelopmentReproductive Medicine Center, Renmin Hospital of Wuhan University, Hubei Clinic Research Center for Assisted Reproductive Technology & Embryonic DevelopmentReproductive Medicine Center, Renmin Hospital of Wuhan University, Hubei Clinic Research Center for Assisted Reproductive Technology & Embryonic DevelopmentReproductive Medicine Center, Renmin Hospital of Wuhan University, Hubei Clinic Research Center for Assisted Reproductive Technology & Embryonic DevelopmentReproductive Medicine Center, Renmin Hospital of Wuhan University, Hubei Clinic Research Center for Assisted Reproductive Technology & Embryonic DevelopmentReproductive Medicine Center, Renmin Hospital of Wuhan University, Hubei Clinic Research Center for Assisted Reproductive Technology & Embryonic DevelopmentCadre Healthcare Department, Renmin Hospital of Wuhan UniversityDepartment of Psychiatry, Renmin Hospital of Wuhan University, Institute of Neuropsychiatry, Renmin Hospital of Wuhan UniversityAbstract Background The global incidence of infertility is increasing, and infertility has become an important medical and social issue. With the widespread application of in vitro fertilization-embryo transfer (IVF-ET) technology, the mental health problems of patients undergoing this treatment have gradually attracted widespread attention. The purpose of this study was to explore the relationships among the level of hope, the fertility quality of life and negative emotions of patients who underwent IVF-ET treatment for the first time to provide a scientific basis for subsequent psychological support interventions. Methods This study was a cross-sectional survey conducted at the Reproductive Medicine Center of Renmin Hospital of Wuhan University. From February 2023 to October 2023, 1425 patients who received IVF-ET treatment for the first time participated in the questionnaire survey. The survey content included the General Information Questionnaire, the Fertility Quality of Life (FertiQoL) Questionnaire, and the Herth Hope Index (HHI). Pearson correlation analysis was used to examine the relationships among the level of hope, fertility quality of life, and negative emotions. Results The survey included 805 women and 620 men representing 603 couples. The level of hope in patients undergoing IVF-ET treatment for the first time was positively correlated with fertility quality of life (r = 0.247, P < 0.01), and the level of hope was negatively correlated with negative emotions (stress: r = − 0.135, P < 0.01; anxiety: r = − 0.105, P < 0.01; depression: r = − 0.189, P < 0.01). Fertility quality of life was negatively correlated with negative emotions (stress: r = − 0.609, P < 0.01; anxiety: r = − 0.533, P < 0.01; depression: r = − 0.591, P < 0.01). Among couples undergoing IVF-ET treatment for the first time, the husband’s level of hope (r = 0.131, P < 0.01), fertility quality of life (r = 0.372, P < 0.01), and negative emotions (stress: r = 0.181, P < 0.01; anxiety: r = 0.163, P < 0.01; depression: r = 0.210, P < 0.01) were positively correlated with those of his wife. Conclusions In patients undergoing their first IVF-ET treatment, there is a significant correlation among hope, fertility quality of life, and negative emotions. Moreover, within couples, the levels of hope, fertility quality of life, and negative emotions of husbands and wives mutually influence each other. Enhancing the level of hope in this population is conducive to alleviating negative emotions and improving their fertility quality of life. The mutual influence of spouses should not be overlooked in clinical practice, and psychological support for both partners should be emphasized.https://doi.org/10.1186/s12978-025-01954-xInfertilityIn vitro fertilization-embryo transferHopeFertility quality of lifeNegative emotions
spellingShingle Hui Ye
Jing Zhao
Yujie Zou
Xiaorun Song
Mi Xu
Yu Zhang
Lili Zhang
Gaohua Wang
Correlations among hope, fertility quality of life and negative emotions for couples undergoing their first in vitro fertilization–embryo transfer: a cross-sectional analysis
Reproductive Health
Infertility
In vitro fertilization-embryo transfer
Hope
Fertility quality of life
Negative emotions
title Correlations among hope, fertility quality of life and negative emotions for couples undergoing their first in vitro fertilization–embryo transfer: a cross-sectional analysis
title_full Correlations among hope, fertility quality of life and negative emotions for couples undergoing their first in vitro fertilization–embryo transfer: a cross-sectional analysis
title_fullStr Correlations among hope, fertility quality of life and negative emotions for couples undergoing their first in vitro fertilization–embryo transfer: a cross-sectional analysis
title_full_unstemmed Correlations among hope, fertility quality of life and negative emotions for couples undergoing their first in vitro fertilization–embryo transfer: a cross-sectional analysis
title_short Correlations among hope, fertility quality of life and negative emotions for couples undergoing their first in vitro fertilization–embryo transfer: a cross-sectional analysis
title_sort correlations among hope fertility quality of life and negative emotions for couples undergoing their first in vitro fertilization embryo transfer a cross sectional analysis
topic Infertility
In vitro fertilization-embryo transfer
Hope
Fertility quality of life
Negative emotions
url https://doi.org/10.1186/s12978-025-01954-x
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