ArticleFrontiers in public health2026
Heterogeneous effects of sleep and psychological health on pregnancy outcomes in donor insemination: a prospective cohort study.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: To investigate the impact of sleep quality, anxiety, depression and somatic symptom burden on pregnancy outcomes among patients receiving donor-sperm assisted reproduction, and to explore heterogeneous associations across IVF/ICSI-D and IUI-D subgroups. Methods: A prospective cohort study was conducted at the Reproductive Center of West China Second University Hospital, Sichuan University. From June 2020 to May 2024, 758 consecutive patients undergoing donor insemination-assisted reproduction were enrolled, including 234 undergoing IVF/ICSI-D and 516 undergoing IUI-D. Somatic symptom burden, anxiety, depression, and sleep quality were assessed using the Patient Health Questionnaire-15 (PHQ-15), Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), and Pittsburgh Sleep Quality Index (PSQI), respectively. Baseline demographic characteristics and infertility-related variables were systematically recorded. Univariate screening followed by fully adjusted multivariable logistic regression and sensitivity analysis excluding educational attainment were performed to identify independent predictors of multiple pregnancy endpoints. Results: In the IVF/ICSI-D subgroup, higher PSQI scores (indicating poorer sleep) displayed independent correlative links to lower odds of clinical pregnancy (OR = 0.827, Conclusion: Sleep quality displays correlative predictive links to pregnancy outcomes among donor insemination recipients, with distinct correlative patterns observed across different ART modalities. Mild anxiety exhibits a positive correlative association with favourable live birth rates within the IVF/ICSI-D subgroup, alongside a correlative link to higher cesarean delivery prevalence. Our observational associations support the clinical value of routine sleep screening and individualized psychological support for this patient cohort.
Indexed as
Identifiers
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.