This study aimed to examine the effects of source-specific negative social interactions (NSIs) and positive social interactions (PSIs) with husbands, parents, husband’s parents, and friends (and others) on depression in infertile Japanese women. A cross-sectional questionnaire survey was conducted on 300 female Japanese patients who were undergoing infertility treatment. The surveys were composed of four source-specific NSI scales (husband-NSI, parents-NSI, husband’s parents-NSI, and friends and others-NSI), four source-specific PSI scales (husband-PSI, parents-PSI, husband’s parents-PSI, and friends and others-PSI) and the Center for Epidemiologic Studies Depression Scale (CES-D). Multiple regression analysis was then conducted on 206 patients who responded to the questionnaire (response rate：68.7%). The results indicated that the husband-NSI, husband’s parents-NSI, and friends and others-NSI had significant positive associations with CES-D scores, but none of the PSI scales had a significant negative association with CES-D scores. Further, a significant positive interaction effect between the husband’s NSIs and the husband’s parents-NSIs on CES-D scores was seen. These findings suggest that NSIs and PSIs differ in their association with depression in infertile women. In other words, depression in infertile women was not remarkably reduced by PSIs, but was adversely affected by NSIs, especially those from the husband and husband’s parents.
【Aims】We conducted a study with the belief that using limited outpatient time, which one of the problems, “in a creative way”, could in some way increase satisfaction on both sides at our department’s outpatient clinic for indeterminate complaints. 【Subjects and Method】23 persons (12 males and 11 females) were divided into pairs, where the listener listened to the speaker’s conversation for at least one minute without making any comment, and then completed a questionnaire. We examined quantified data of patient communication abilities using the Score of Indefinite Complaints (SIC). 【Results】In response to the listener listening without comment, speakers responded that they felt a sense of satisfaction because, “I was listened to more thoroughly than I expected.” For this study we propose a method to build a good relationship with those patients. Propose: When there is “one minute” to spare: look the patient in the face for one minute and listen while nodding occasionally. 【Discussion】As shown in Propose, the patient achieves a sense of satisfaction from having the doctor listen to them, even if only for a short time. Furthermore, patient comments such as, “Just speaking gave me a chance to mentally organize my thoughts”, may indicate potential in some cases for patient utterances to offer a hint for treatment.
Anxiety about the use of drugs during pregnancy and lactation may be choose interruption not only treatment but also pregnancy and lactation. However, there are many women who need to continue treatment for basic disease. In addition, drug treatment may be necessary for treatment during pregnancy and lactation. In that case, it is necessary to evaluate the drug according to the number of weeks of pregnancy and the nursing situation and counseling. In our hospital, specialist pharmacist and obstetrician and gynecologist provide to drug consultation for pregnant women and nursing women. We analyzed 190 outpatients in medicine consultation from February 2015 to December 2018. As a change after counseling, in the pre-use consultation, the necessary drug was selected and started. 21 out of 24 post-use consultations were confirmed wish to continue the pregnancy. In the case of self-interruption, the resumption of the necessary treatment agents was observed in all pregnancy and lactation periods. By listening to anxiety about the use of pregnancy and lactation and explaining the degree of risk to fetuses and infants of drugs correctly and clearly, it is thought that it will lead to self-determination of treatment after consenting.
Pregnant women and their partners may have high psychological stress in undergoing prenatal genetic testing. In this study, we examined the effects of genetic counseling (GC) performed before testing on pregnant women and their partners by evaluating their psychological stress. The subjects were 155 couples who visited our hospital for the first time between January 2016 and May 2017 for NIPT (Non-invasive prenatal testing). The questionnaire was conducted before and after GC. The questionnaire after GC evaluated changes in feelings before and after GC by NRS (Numeric Rating Scale). This survey was conducted with the approval of our ethics committee. NRS before and after GC showed significant differences in all items in the pregnant women group. The partner group was significantly different except for depression. It was suggested that appropriate psychological support was provided to the client in GC. In addition, the change in NRS before and after GC (after GC-before GC) was significantly higher in the partner group only for the sense of security. This suggested that couples had different timings to obtain relief. Thus, it was speculated that by conducting psychological evaluations of GC participants, GC could reduce anxiety and stress in pregnant women and their partners.