International Journal of Infertility & Fetal Medicine

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VOLUME 15 , ISSUE 2 ( May-August, 2024 ) > List of Articles

RESEARCH ARTICLE

Effects of 8-week Structured Yoga Program on Anxiety and Depression among Women Undergoing In Vitro Fertilization Treatment: A Randomized Controlled Trial

Neha G Khandekar, Doss P Sundarajan

Keywords : Anxiety, Depression, In vitro fertilization, Yoga therapy

Citation Information : Khandekar NG, Sundarajan DP. Effects of 8-week Structured Yoga Program on Anxiety and Depression among Women Undergoing In Vitro Fertilization Treatment: A Randomized Controlled Trial. Int J Infertil Fetal Med 2024; 15 (2):77-82.

DOI: 10.5005/jp-journals-10016-1340

License: CC BY-NC 4.0

Published Online: 28-10-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Introduction: The approximate 33% likelihood of conception in vitro fertilization (IVF) therapy often leads to feelings of anxiety, distress, and depression for many women undergoing IVF treatment. Furthermore, most women's chances of conceiving after IVF treatment decrease due to various factors like late age and associated fertility factors. Yoga is a holistic strategy that could provide a platform for women to manage their emotional reactions during and after the IVF treatment process. This research study aimed to investigate the effects of an 8-week structured yoga program (SYP) on the level of anxiety and depression in women undergoing IVF treatment. Materials and methods: A total of 102 women undergoing IVF treatment were randomized into two groups—a structured yoga group (SYG) and a home-based walking group (HWG). SYG participants received yoga therapy for a period of 8 weeks, performing 3 days per week lasting for 60 minutes. The Spielberger State-Trait Anxiety Inventory (STAI) and the Beck Depression Inventory-II (BDI-II) were used to evaluate anxiety and depression. Data was analyzed using paired and unpaired t-tests. Results: Women who participated in the summer youth program demonstrated significantly reduced levels of anxiety and depression compared to the control group (p < 0.001). Conclusion: Participation in a SYP can lead to a significant reduction in perceived levels of anxiety and depression in women who are undergoing IVF treatment. Clinical significance: Yoga can be considered an inexpensive and safe therapy that can help women to cater through psychological disturbances faced during and after the IVF procedures.


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  1. Zegers-Hochschild F, Adamson GD, de Mouzon J, et al. The international committee for monitoring assisted reproductive technology (ICMART) and the world health organization (WHO) revised glossary on ART terminology, 2009. Hum Reprod 2009;24(11):2683–2687. DOI: 10.1093/humrep/dep343
  2. Sormunen T, Aanesen A, Fossum B, et al. Infertility-related communication and coping strategies among women affected by primary or secondary infertility. J Clin Nur 2018;27(1-2):335–344. DOI: 10.1111/jocn.13953
  3. Deshpande PS, Gupta AS. Causes and prevalence of factors causing infertility in a public health facility. J Hum Reprod Sci 2019;12(4):287–293. DOI: 10.4103/jhrs.JHRS_140_18
  4. Aimagambetova G, Issanov A, Terzic S, et al. The effect of psychological distress on IVF outcomes: reality or speculations? PloS One 2020;15(12):e0242024. DOI: 10.1371/journal.pone.0242024
  5. Sullivan EA, Zegers-Hochschild F, Mansour R, et al. International Committee for Monitoring Assisted Reproductive Technologies (ICMART) world report: assisted reproductive technology 2004. Hum Reprod 2013;28(5):1375–1390. DOI: 10.1093/humrep/det036
  6. Roberts L, Renati S, Solomon S, et al. Women and infertility in a pronatalist culture: mental health in the slums of Mumbai. Int J Women Health 2020;1(2):993–1003. DOI: 10.2147/IJWH.S273149
  7. Chand SP, Arif H. Depression. Treasure Island (Florida): StatPearls Publishing; 2022.
  8. Sapolsky RM. Stress and the brain: individual variability and the inverted-U. Nat Neurosci 2015;18(10):1344–1346. D0I: 10.1038/nn.4109
  9. Hammerli K, Znoj H, Barth J. The efficacy of psychological interventions for infertile patients: a meta-analysis examining mental health and pregnancy rate. Hum Reprod Update 2009;15(3):279–295. DOI: 10.1093/humupd/dmp002
  10. Pasch LA, Gregorich SE, Katz PK, et al. Psychological distress and in vitro fertilization outcome. Fertil Steril 2012;98(2):459–464. DOI: 10.1016/j.fertnstert.2012.05.023
  11. Rooney KL, Domar AD. The relationship between stress and infertility. Dialog Clin Neurosci 2022;25(3):41–47. DOI: 10.31887/DCNS.2018.20.1/klrooney
  12. Verhaak CM, Smeenk JM, Evers AA, et al. Women's emotional adjustment to IVF: a systematic review of 25 years of research. Hum Reprod Update 2007;13(1):27–36. DOI: 10.1093/humupd/dml040
  13. Oron G, Allnutt E, Lackman T, et al. A prospective study using Hatha Yoga for stress reduction among women waiting for IVF treatment. Reprod Biomed Online 2015;30(5):542–548. DOI: 10.1016/j.rbmo.2015.01.011
  14. Dumbala S, Bhargav H, Satyanarayana V, et al. Effect of yoga on psychological distress among women receiving treatment for infertility. Int J Yoga 2020;13(2):115–119. DOI: 10.4103/ijoy.IJOY_34_19
  15. Beck AT, Steer RA, Brown GK. Beck depression inventory (BDI-II). London, UK: Pearson; 1996.
  16. Bados A, Gómez-Benito J, Balaguer G. The state-trait anxiety inventory, trait version: does it really measure anxiety? J Pers Assess 2010;92(6):560–567. DOI: 10.1080/00223891.2010.513295
  17. Robertson R, Robertson A, Jepson R, et al. Walking for depression or depressive symptoms: a systematic review and meta-analysis. Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews 2012. pp. 66–75.
  18. Valoriani V, Lotti F, Vanni C, et al. Hatha-yoga as a psychological adjuvant for women undergoing IVF: a pilot study. Eur J Obstet Gynecol Reprod Biol 2014;176:158–162. DOI: 10.1016/j.ejogrb.2014.02.007
  19. Kiani Z, Simbar M, Hajian S, et al. The prevalence of anxiety symptoms in infertile women: a systematic review and meta-analysis. Fertil Res Pract 2020;6:7. DOI: 10.1186/s40738-020-00076-1
  20. Terzioglu F, Turk R, Yucel C, et al. The effect of anxiety and depression scores of couples who underwent assisted reproductive techniques on the pregnancy outcomes. Afr Health Sci 2016;16(2):441–450. DOI: 10.4314/ahs.v16i2.12
  21. Hajela S, Prasad S, Kumaran A, et al. Stress and infertility: a review. Int J Reprod Contracept Obstet Gynecol 2016;5(4):940-943. DOI: 10.18203/2320-1770.ijrcog20160001
  22. Maroufizadeh S, Navid B, Omani-Samani R, et al. The effects of depression, anxiety and stress symptoms on the clinical pregnancy rate in women undergoing IVF treatment. BMC Res Note 2019;12(1):256. DOI: 10.1186/s13104-019-4294-0
  23. Kirca N, Pasinlioglu T. The effect of yoga on stress level in infertile women. Perspect Psychiatr Care 2019;55(2):319–327. DOI: 10.1111/ppc.12352
  24. Sengupta P. Health impacts of yoga and pranayama: a state-of-the-art review. Int J Prev Med 2012;3(7):444–458.
  25. Dalgas U, Stenager E, Ingemann-Hansen T. Multiple sclerosis and physical exercise: recommendations for the application of resistance, endurance and combined training. Multiple Sclerosis Journal 2008;14(1):35–53. DOI: 10.1177/1352458507079445
  26. Shohani M, Badfar G, Nasirkandy MP, et al. The effect of yoga on stress, anxiety, and depression in women. Int J Prevent Med 2018;9:21. DOI: 10.4103/ijpvm.IJPVM_242_16
  27. Darbandi S, Darbandi M, Khorram Khorshid HR, et al. Yoga can improve assisted reproduction technology outcomes in couples with infertility. Altern Ther Health Med 2018;24(4):50–55.
  28. Chen HM, Tsai CM, Wu YC, et al. Randomised controlled trial on the effectiveness of home-based walking exercise on anxiety, depression and cancer-related symptoms in patients with lung cancer. Br J Cancer 2015;112(3):438–445. DOI: 10.1038/bjc.2014.612
  29. Streeter CC, Whitfield TH, Owen L, et al. Effects of yoga versus walking on mood, anxiety, and brain GABA levels: a randomized controlled MRS study. J Alter Complement Med 2010;16(11):1145–1152. DOI: 10.1089/acm.2010.0007
  30. Awtani M, Kapoor GK, Kaur P, et al. Anxiety and stress at different stages of treatment in women undergoing in vitro fertilization-intracytoplasmic sperm injection. J Hum Reprod Sci 2019;12(1):47–52. DOI: 10.4103/jhrs.JHRS_23_18
  31. Jasani S, Heller B, Jasulaitis S, et al. Impact of a structured yoga program on anxiety in infertility patients: a feasibility study. JFIV Reprod Med Genet 2016;4(183):2014–2016. DOI: 10.4172/2375-4508.1000183
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