Determining the Predictive Model of Depression in Infertile Women Based on the Components of Lifestyle and Social Health Through the Mediation of Marital Satisfaction

Abstract

Background: Lifestyle and social health in fertility play a decisive role on mental health, and infertility is one of the unpleasant life experiences that can affect a person's mental health. In addition, marital satisfaction is also affected by infertility and plays an important role in the mental health of couples. Objectives: In order to find the relationship between these factors mentioned in the "background" section, this study aimed to determine a predictive model of depression in infertile women based on lifestyle and social health components mediated by marital satisfaction. Methods: The present study was a descriptive and correlational study in which 360 infertile women were selected based on the depression score obtained from the Beck questionnaire (score 8 and above). Then, social health, lifestyle, and marital satisfaction questionnaires were completed by the selected infertile women. Subsequently, the raw data obtained were analyzed using SPSS-Ver.22 and partial least squares (PLS)-Version 3 software. Finally, a predictive model was designed based on the relationship and correlation between the variables. Results: The findings showed that there is a significant relationship between social health and depression (r = -0.55, P < 0.01), between social health and marital satisfaction (r = 0.48, P < 0.01), between social health and lifestyle (r = 0.52, P < 0.01), lifestyle and depression (r = -0.41, P < 0.01), between lifestyle and marital satisfaction (r = 0.59, P < 0.01), and between marital satisfaction and depression (r = -0.61, P < 0.01). Negative values of the above-mentioned correlations (r) indicate an indirect relationship and positive “r” values indicate a direct correlation. Conclusions: Based on the results of the present research, the main hypothesis of this research was confirmed and it can be concluded that the model designed to predict the depression of infertile women based on lifestyle and social health components with the mediation of marital satisfaction is valid.