J Korean Med Assoc.  2011 Aug;54(8):832-837. 10.5124/jkma.2011.54.8.832.

The preconception stress and mental health of couples

Affiliations
  • 1Department of Neuropsychiatry, Hanyang University College of Medicine, Seoul, Korea.
  • 2Department of Obstetrics and Gynecology, Hanyang University College of Medicine, Seoul, Korea. parkmi@hanyang.ac.kr

Abstract

The ultimate goal of the 'baby plan' is a healthy pregnancy and successful child rearing. Focusing on baby planning, this article covers issues concerning a successful and healthy pregnancy with a psychiatric point of view-the stress and mental health before the pregnancy. According to recent findings, stress influences a women's infertility rate 10 to 15 percent, and a major psychological reason is found to be depression rather than anxiety disorder. The infertility of men is also influenced by stress, based on the research findings that the density and quality of sperm worsens after disasters. Excessive stress before and during pregnancy could result in pre-term labor, small for gestational age infants, or reduced infant weight. In order to prevent these preconception distresses, psychiatric care and treatment are needed. In this regard, Eastern traditional wisdom could be helpful in the view of psychotherapy, since it has been traditionally approved and welcomed for more than a thousand years. One of the insights is that a sound relationship between a husband and wife is a foundation of a good family, and this has already been determined from the moment when the two met for the first time. In conclusion, preconception stress could negatively influence fertility and could have a negative effect on a pregnancy. Thus stress should be alieviated for a healthy pregnancy and successful child rearing by psychotherapeutic intervention.

Keyword

Preconception; Stress; Mental health; Psychotherapy; Couples

MeSH Terms

Anxiety Disorders
Child
Child Rearing
Depression
Disasters
Family Characteristics
Fertility
Gestational Age
Humans
Infant
Infertility
Mental Health
Multiple Endocrine Neoplasia Type 1
Pregnancy
Psychotherapy
Spermatozoa
Spouses

Cited by  1 articles

Importance of preconception care in low-fertility society of Korea
Moon-Il Park
J Korean Med Assoc. 2011;54(8):796-798.    doi: 10.5124/jkma.2011.54.8.796.


Reference

1. Park MI. Baby plan. 2010. Seoul: Dong-A Ilbo.
2. Park MI. Tae Gyo is science. 1999. Seoul: Hanyang University Press.
3. Wischmann TH. Psychogenic infertility: myths and facts. J Assist Reprod Genet. 2003. 20:485–494.
4. Apfel RJ, Keylor RG. Psychoanalysis and infertility. Myths and realities. Int J Psychoanal. 2002. 83(Pt 1):85–104.
Article
5. Fenster L, Schaefer C, Mathur A, Hiatt RA, Pieper C, Hubbard AE, Von Behren J, Swan SH. Psychologic stress in the workplace and spontaneous abortion. Am J Epidemiol. 1995. 142:1176–1183.
Article
6. Khashan AS, McNamee R, Abel KM, Pedersen MG, Webb RT, Kenny LC, Mortensen PB, Baker PN. Reduced infant birth-weight consequent upon maternal exposure to severe life events. Psychosom Med. 2008. 70:688–694.
Article
7. Baird J, Hill CM, Kendrick T, Inskip HM. SWS Study Group. Infant sleep disturbance is associated with preconceptional psychological distress: findings from the Southampton Women's Survey. Sleep. 2009. 32:566–568.
Article
8. Said TM. Emotional stress & male infertility. Indian J Med Res. 2008. 128:228–230.
9. Klerman LV, Jack BW, Coonrod DV, Lu MC, Fry-Johnson YW, Johnson K. The clinical content of preconception care: care of psychosocial stressors. Am J Obstet Gynecol. 2008. 199:6 Suppl 2. S362–S366.
Article
10. Morse CA, Van Hall EV. Psychosocial aspects of infertility: a review of curren concepts. J Psychosom Obstet Gynaecol. 1987. 6:157–164.
11. Strauß B, Bettge S, Bindt C, Brahler E, Felder H, Gagel D, Goldschmidt S, Henning K, Ittner E, Kentenich H, Ningel K, Stammer H, Verres R, Wischmann T, Yuksel E. Psychosomatik in der reproduktionsmedizin. Leitlinien. Reproduktionsmedizin. 2000. 16:326–331.
12. Mai FM. Interesting cases: psychogenic infertility. Med Aspects Hum Sex. 1971. 5:26–32.
13. Hull MG, Glazener CM, Kelly NJ, Conway DI, Foster PA, Hinton RA, Coulson C, Lambert PA, Watt EM, Desai KM. Population study of causes, treatment, and outcome of infertility. Br Med J (Clin Res Ed). 1985. 291:1693–1697.
Article
14. Rantala ML, Koskimies AI. Sexual behavior of infertile couples. Int J Fertil. 1988. 33:26–30.
15. Strauss B, Appelt H, Bohnet HG, Ulrich D. Relationship between psychological characteristics and treatment outcome in female patients from an infertility clinic. J Psychosom Obstet Gynaecol. 1992. 13:121–133.
Article
16. Demyttenaere K, Bonte L, Gheldof M, Vervaeke M, Meuleman C, Vanderschuerem D, D'Hooghe T. Coping style and depression level influence outcome in in vitro fertilization. Fertil Steril. 1998. 69:1026–1033.
Article
17. Domar AD, Friedman R, Zuttermeister PC. Distress and conception in infertile women: a complementary approach. J Am Med Womens Assoc. 1999. 54:196–198.
18. Verhaak CM, Smeenk JM, Eugster A, van Minnen A, Kremer JA, Kraaimaat FW. Stress and marital satisfaction among women before and after their first cycle of in vitro fertilization and intracytoplasmic sperm injection. Fertil Steril. 2001. 76:525–531.
Article
19. Demyttenaere K, Nijs P, Evers-Kiebooms G, Koninckx PR. Personality characteristics, psychoendocrinological stress and outcome of IVF depend upon the etiology of infertility. Gynecol Endocrinol. 1994. 8:233–240.
Article
20. Sanders KA, Bruce NW. Psychosocial stress and treatment outcome following assisted reproductive technology. Hum Reprod. 1999. 14:1656–1662.
Article
21. Beerendonk C, Hendriks J, Scheepers H, Braat D, Merkus J, Oostdam B, van Dop P. The influence of dietary sodium restriction on anxiety levels during an invitro fertilization procedure. J Psychosom Obstet Gynaecol. 1999. 20:97–103.
Article
22. Abu-Musa AA, Nassar AH, Hannoun AB, Usta IM. Effect of the Lebanese civil war on sperm parameters. Fertil Steril. 2007. 88:1579–1582.
Article
23. Fukuda M, Fukuda K, Shimizu T, Yomura W, Shimizu S. Kobe earthquake and reduced sperm motility. Hum Reprod. 1996. 11:1244–1246.
Article
24. Conrad R, Schilling G, Haidl G, Geiser F, Imbierowicz K, Liedtke R. Relationships between personality traits, seminal parameters and hormones in male infertility. Andrologia. 2002. 34:317–324.
Article
25. Hjollund NH, Bonde JP, Henriksen TB, Giwercman A, Olsen J. Danish First Pregnancy Planner Study Team. Job strain and male fertility. Epidemiology. 2004. 15:114–117.
Article
26. Bashour H, Abdul Salam A. Psychological stress and spontaneous abortion. Int J Gynaecol Obstet. 2001. 73:179–181.
Article
27. Andalib A, Rezaie A, Oreizy F, Shafiei K, Baluchi S. A study on stress, depression and NK cytotoxic potential in women with recurrent spontaneous abortion. Iran J Allergy Asthma Immunol. 2006. 5:9–16.
28. Harville EW, Gunderson EP, Matthews KA, Lewis CE, Carnethon M. Pre-pregnancy stress reactivity and pregnancy outcome. Paediatr Perinat Epidemiol. 2010. 24:564–571.
Article
29. Choi WS. The Book of Changes. 1998. Seoul: Hea Won Press.
30. Rhee DS. Modern man and stress. 1995. Seoul: Hangangsu.
31. Hong SJ. The Great Learning and the Doctrin of the Mean. 1994. Seoul: Koryowon.
32. Rhee DS. Identity of Korean and tao. 1974. Seoul: Iljisa.
33. Park IB. Myungsimbogam. 2011. Seoul: Yukmundang.
Full Text Links
  • JKMA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr