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Association of chronotype and depressive symptoms in Chinese infertile population undergoing assisted reproductive technology
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  • Danni Wang,
  • Fei Jiang,
  • Mengli Zhu,
  • Yuedi Jia,
  • Xiaohuan Song,
  • Wang Jieyu,
  • Qianhua Xu,
  • Guiying Luo
Danni Wang
Anhui Medical University School of Public Health

Corresponding Author:[email protected]

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Fei Jiang
Anhui Medical University School of Public Health
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Mengli Zhu
Anhui Medical University School of Public Health
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Yuedi Jia
Anhui Medical University School of Public Health
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Xiaohuan Song
Anhui Medical University School of Public Health
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Wang Jieyu
First Affiliated Hospital of Anhui Medical University Reproductive Medicine Center
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Qianhua Xu
First Affiliated Hospital of Anhui Medical University Reproductive Medicine Center
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Guiying Luo
First Affiliated Hospital of Anhui Medical University Reproductive Medicine Center
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Abstract

Objective: To assess the association between chronotype and depressive symptoms in an infertile population undergoing assisted reproductive technology. Design: Cross-sectional study. Setting: The First Affiliated Hospital of Anhui Medical University Reproductive Medicine Center in Hefei, China. Population: 1022 infertile patients who sought assisted reproductive technology at the Center between August and October 2022, were assessed for inclusion in this study. Methods: On the day of ovulation injection, we collected socio-demographics by inviting infertile patients to complete questionnaires and assessed the subjects’ chronotypes through the Morning and Evening Questionnaire-5 Items (MEQ-5). Main Outcome Measures: Depressive symptoms, assessed with validated Patient Health Questionnaire-9 (PHQ-9) and expressed as PHQ-9 scores. Results: Overall, 9%, 68%, and 22% of participants were categorized as evening, neutral, and morning chronotypes, respectively. There were significant differences between chronotype on levels of depressive symptoms, subjects with morning chronotype (odds ratios = 0.32, 95% confidence intervals: 0.18-0.57) and neutral chronotype (odds ratios = 0.47, 95% confidence intervals: 0.28-0.77) had lower odds of depressive status, compared to those with evening chronotype, but no partner effect of chronotype was found ( p >0.05, respectively). Conclusions: Our findings suggest that morning and neutral chronotypes may be significantly associated with a lower likelihood of depressive symptoms. In addition, the effect of earlier chronotypes in men on depressive symptoms in women warrants relevant clinical attention when considering treatment.
18 Sep 2023Submitted to BJOG: An International Journal of Obstetrics and Gynaecology
25 Sep 2023Assigned to Editor
25 Sep 2023Submission Checks Completed
25 Sep 2023Review(s) Completed, Editorial Evaluation Pending
15 Oct 2023Reviewer(s) Assigned