SynthesisPloS one2016
Depression and Anxiety Outcomes Associated with Failed Assisted Reproductive Technologies: A Systematic Review and Meta-Analysis.
Synthesis in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed, 6 syntheses or guidelines pooled it, 91 citations in OpenAlex.
- Oocyte gene mutations increase rates of total fertilization failure: a systematic review and meta-analysis.Reproductive biology and endocrinology : RB&E · 2026Pooled it
- Anxiety symptoms following conception through assisted reproductive technology: a systematic review.Frontiers in psychiatry · 2026Pooled it
- The effects of nursing interventions on anxiety and depression in infertile females undergoing assisted reproduction: a systematic review and meta-analysis.BMC women's health · 2025Pooled it
- Enduring hope and loss: qualitative evidence synthesis of LGBTQ+ experiences of perinatal loss.Frontiers in psychiatry · 2025Pooled it
- Effect of Stress on Each of the Stages of the IVF Procedure: A Systematic Review.International journal of molecular sciences · 2024Pooled it
- [Effects of First Assisted Reproductive Technologies on Anxiety and Depression among Infertile Women: A Systematic Review and Meta-Analysis].Journal of Korean Academy of Nursing · 2020Pooled it
- Effectiveness of Counseling for Infertile Couples on Women's Emotional Disturbance: A Randomized Clinical Trial.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2021Trial
- Birth outcomes in single motherhood 'by choice': a register study of children conceived through medically assisted reproduction.International journal of epidemiology · 2026Article
- Stratified Psychosocial Care in Assisted Reproductive Technologies: A Narrative Review and Conceptual Framework Across the IVF Pathway.Journal of clinical medicine · 2026Review
- Sociodemographic and medical correlates of fertility-related quality of life in primary infertile Czech couples attending fertility clinics.Health psychology report · 2026Article
- Does Self-Compassion Play a Mediating Role Between Stress and Fertility Adjustment in Women Undergoing Infertility Treatment? A Structural Equation Analysis.Journal of advanced nursing · 2026Article
- Parental dietary patterns and assisted reproductive technology outcomes including embryo morphokinetics: rotterdam periconception cohort.Journal of assisted reproduction and genetics · 2025Article
- Predictors of Stigma Among Women with Infertility: A Cross-Sectional Study in Shenzhen, China.Patient preference and adherence · 2025Article
- Stand-Alone Mobile Mindfulness App for People Experiencing Infertility: A Pilot Randomised Controlled Trial (MoMiFer-RCT).Psychologica Belgica · 2025Article
- Article
- An insurmountable obstacle: Experiences of Chinese women undergoing in vitro fertilization.PloS one · 2024Article
- Dysregulation of endometrial stromal serotonin homeostasis leading to abnormal phosphatidylcholine metabolism impairs decidualization in patients with recurrent implantation failure.Human reproduction open · 2024Article
- Correlation among irrational parenthood cognitions, fertility stress, and social support in patients with repeated implantation failure and the mediating effect of fertility stress: a cross-sectional survey.Journal of assisted reproduction and genetics · 2024Article
- Women's Narratives on Infertility as a Traumatic Event: An Exploration of Emotional Processing through the Referential Activity Linguistic Program.Healthcare (Basel, Switzerland) · 2023Article
- Loneliness during the Pregnancy-Seeking Process: Exploring the Role of Medically Assisted Reproduction.Journal of health and social behavior · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveOur study examined the psychological outcomes associated with failed ART treatment outcomes in men and women. SEARCH STRATEGY: A systematic search for studies published between January 1980 and August 2015 was performed across seven electronic databases. INCLUSION CRITERIA: Studies were included if they contained data on psychosocial outcomes taken pre and post ART treatment. DATA EXTRACTION AND SYNTHESIS: A standardised form was used to extract data and was verified by two independent reviewers. Studies were meta-analysed to determine the association of depression and anxiety with ART treatment outcomes. Narrative synthesis identified factors to explain variations in the size and directions of effects and relationships explored within and between the studies. MAIN
resultsBoth depression and anxiety increased after a ART treatment failure with an overall pooled standardised mean difference (SMD) of 0.41 (95% CI: 0.27, 0.55) for depression and 0.21 (95% CI: 0.13, 0.29) for anxiety. In contrast, depression decreased after a successful treatment, SMD of -0.24 (95% CI: -0.37,-0.11). Both depression and anxiety decreased as time passed from ART procedure. Nonetheless, these remained higher than baseline measures in the group with the failed outcome even six months after the procedure. Studies included in the narrative synthesis also confirmed an association with negative psychological outcomes in relation to marital satisfaction and general well-being following treatment failure.
conclusionLinking ART failure and psychosocial outcomes may elucidate the experience of treatment subgroups, influence deliberations around recommendations for resource allocation and health policy and guide patient and clinician decision making.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.