Made available in DSpace on 2014-12-17T14:14:04Z (GMT). No. of bitstreams: 1 SimoneNB.pdf: 1450571 bytes, checksum: 491d3f4e3cfc42edec5aafb00ea04f6a (MD5) Previous issue date: 2004-09-15 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Purpose: assess the frequency of stress and anxiety levels in infertile women, correlate these aspects with risk factors and qualitatively analyze feelings resultant from the inability to conceive, in order to obtain data for specific psychological guidance. Methods: the case-control study included a total of 302 women, 152 being infertile (case group: 30.3 ? 5.4 years), and 150 non-fertile (control group: 25.7 ? 7.9 years). The quantitative approach involved the application of Lipp s Stress Symptoms Inventory (LSSI) and State-Trait Anxiety Inventory (STAI), whereas the qualitative approach consisted of a semi-structured interview. Response variables considered were: stress frequency and anxiety scores (State and Trait). Statistical analysis compared frequencies and medians between groups, by means of qui-squared and Mann-Whitney tests, respectively, and constructed logistical regression models to test associations between response variables and risk factors considered. Qualitative data were analyzed descriptively and categorized in order to perform correspondence analysis. The level of significance was 5%. Results: in the study sample, stress frequency was higher in the case group than in the control(61.8 and 36.0%, respectively), however, significant differences were not observed between groups in relation to stress phases and predominant symptomology type. With respect to anxiety, there were no significant differences between case and control groups as to median state scores [39.5 (35.0 46.0) and 41.0 (35.7 47.0 ); respectively) and anxiety trait scores [44.0 (34.0 51.0) and 42.0 (36.0 49.2); respectively). Risk factors significantly associated with greater risk for high anxiety scores in the case group were: primary infertility, unawareness of the causal factor, diagnostic phase investigation, religion, lack of children from other marriages and the fact that the woman was previously married. The qualitative approach demonstrated that infertility provokes emotional responses, such as sadness, anxiety, anger, fear and guilt. Conclusions: it can be concluded that infertile women are more vulnerable to stress; however, they are capable of adapting to stressful events without serious physical or psychological compromising / Objetivo: avaliar a freq??ncia de estresse e n?veis de ansiedade em mulheres inf?rteis, correlacionar esses aspectos com fatores de risco e analisar, qualitativamente, os sentimentos advindos da incapacidade de conceber, de forma a obter subs?dios para uma orienta??o psicol?gica espec?fica. M?todos: o estudo incluiu um total de 302 mulheres, sendo 152 inf?rteis (grupo caso: 30,3 ? 5,4anos), e 150 n?o-inf?rteis (grupo controle: 25,7 ? 7,9 anos). A abordagem quantitativa envolveu a aplica??o do Invent?rio de Sintomas de Estresse de Lipp (ISSL) e Invent?rio de Ansiedade Tra?o-Estado (IDATE), ao passo que a abordagem qualitativa consistiu de uma entrevista semi-estruturada. As vari?veis resposta consideradas foram: freq??ncia de estresse e escores de ansiedade (Estado e Tra?o). A an?lise estat?stica compreendeu a compara??o de freq??ncias e medianas entre os grupos, por meio dos testes qui-quadrado e Mann-Whitney, respectivamente, assim como a constru??o de modelos de regress?o log?stica para testar associa??es entre as vari?veis resposta e os fatores de risco considerados. Os dados qualitativos foram analisados de forma descritiva e categorizados para realiza??o de an?lise de correspond?ncia. O n?vel de signific?ncia adotado foi de 5%. Resultados: na amostra estudada, a freq??ncia de estresse foi maior no grupo caso do que no controle (61,8 e 36,0%; respectivamente), no entanto, n?o foram observadas diferen?as significativas entre os grupos com rela??o ?s fases do estresse e tipo de sintomatologia predominante. Em rela??o ? ansiedade, n?o houve diferen?as significativas entre os grupos caso e controle quanto ?s medianas dos escores de estado (39,5 e 41,0; respectivamente) e tra?o (44,0 e 42,0; respectivamente) de ansiedade. No grupo caso, os fatores de risco associados significativamente com estresse ou ansiedade foram: infertilidade prim?ria, desconhecimento do fator causal, fase de investiga??o diagn?stica, religi?o e aus?ncia de filhos advindos de outros casamentos. Na abordagem qualitativa, as mulheres inf?rteis expressaram as seguintes respostas emocionais predominantes: tristeza, ansiedade, raiva, medo e culpa. Conclus?es: os resultados permitem concluir que as mulheres inf?rteis est?o mais vulner?veis ao estresse, no entanto, s?o capazes de responder aos eventos estressores de forma adaptativa, sem comprometimentos mais s?rios nas ?reas f?sica e psicol?gica