Journal Article

Effect of solution focused approach on women aged 35 or over with in vitro fertilization-embryo transfer: A quasi-experimental trial

Gao, Yuan, Xie, Lei, Tang, Nan, Wang, Jing, Hu, Junping, Pei, Mengyue

2025

Overview

We aimed to explore the influence of solution-focused approach (SFA) on anxiety and depression, sleep quality, quality of life and clinical pregnancy rate among women aged 35 or over undergoing in vitro fertilization-embryo transfer (IVF-ET). The study was performed at the reproductive center in a public hospital in Lanzhou city. Totally, 112 women were enrolled in this study, and were divided into group SFA (n = 56) and group control (n = 56). The patients in the group SFA completed five sessions (30 minutes/turn), and patients in the group control received routine care. The intervention group showed a significant decrease in anxiety (t =  11.906, P <  0.001) and depression scores (t =  14.991, P <  0.001), as well as PSQI scores (t =  7.055, P <  0.001), and increased FertiQoL scores (t =  -2.828, P <  0.001). Comparing the two groups after the intervention, the intervention group demonstrated significantly lower SAS scores (t =  -10.348, P <  0.001), SDS scores (t =  -8.416, P <  0.001), and PSQI scores (t =  -5.087, P <  0.001), while FertiQoL scores were higher than the control group (t =  2.389, P =  0.019). The intervention group reported a satisfaction rate of 96.2% to 100% with the SFA. SFA can help relieve anxiety and depression, improve sleep quality and reproductive life quality. Improvement in psychological distress might not contribute to increasing female fecundity. Patients in the group SFA were satisfied with the intervention. Chinese Clinical Trial Registry (ChiCTR2300075444).

• Publisher: Public Library of Science,Public Library of Science (PLoS)
• Subject: Adult / Anxiety / Anxiety - psychology / Anxiety - therapy / Biology and Life Sciences / Depression - psychology / Depression - therapy / Depression, Mental / Embryo / Embryo transfer / Embryo Transfer - methods / Embryo Transfer - psychology / Embryo transplantation / Embryonic development / Embryos / Fecundity / Female / Fertilization in vitro / Fertilization in Vitro - methods / Fertilization in Vitro - psychology / Health aspects / Humans / In vitro fertilization / In vitro methods and tests / Infertility / Intervention / Medical research / Medicine and Health Sciences / Medicine, Experimental / Mental depression / Methods / Nursing care / Patients / Physiological aspects / Pregnancy / Pregnancy Rate / Psychological aspects / Psychological stress / Quality of Life / Reproductive technologies / Sleep / Sleep Quality / Social Sciences / Stress (Psychology) / Women / Womens health