{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T11:29:10Z","timestamp":1785842950173,"version":"3.56.0"},"reference-count":52,"publisher":"Public Library of Science (PLoS)","issue":"3","license":[{"start":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T00:00:00Z","timestamp":1742342400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"First Medical Center, Chinese PLA General Hospital"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec023\">\n<jats:title>Background<\/jats:title>\n<jats:p>We aimed to explore the influence of solution-focused approach (SFA) on anxiety and depression, sleep quality, quality of life and clinical pregnancy rate among women aged 35 or over undergoing in vitro fertilization-embryo transfer (IVF-ET).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec024\">\n<jats:title>Methods<\/jats:title>\n<jats:p>The study was performed at the reproductive center in a public hospital in Lanzhou city. Totally, 112 women were enrolled in this study, and were divided into group SFA (n\u2009=\u200956) and group control (n\u2009=\u200956). The patients in the group SFA completed five sessions (30 minutes\/turn), and patients in the group control received routine care.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec025\">\n<jats:title>Results<\/jats:title>\n<jats:p>The intervention group showed a significant decrease in anxiety (t =\u2009 11.906, P &lt;\u2009 0.001) and depression scores (t =\u2009 14.991, P &lt;\u2009 0.001), as well as PSQI scores (t =\u2009 7.055, P &lt;\u2009 0.001), and increased FertiQoL scores (t =\u2009 -2.828, P &lt;\u2009 0.001). Comparing the two groups after the intervention, the intervention group demonstrated significantly lower SAS scores (t =\u2009 -10.348, P &lt;\u2009 0.001), SDS scores (t =\u2009 -8.416, P &lt;\u2009 0.001), and PSQI scores (t =\u2009 -5.087, P &lt;\u2009 0.001), while FertiQoL scores were higher than the control group (t =\u2009 2.389, P =\u2009 0.019). The intervention group reported a satisfaction rate of 96.2% to 100% with the SFA.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec026\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>SFA can help relieve anxiety and depression, improve sleep quality and reproductive life quality. Improvement in psychological distress might not contribute to increasing female fecundity. Patients in the group SFA were satisfied with the intervention.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec027\">\n<jats:title>Trial registration<\/jats:title>\n<jats:p>Chinese Clinical Trial Registry (<jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/clinicaltrials.gov\/ct2\/show\/ChiCTR2300075444\" xlink:type=\"simple\">ChiCTR2300075444<\/jats:ext-link>).<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0316771","type":"journal-article","created":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T17:30:04Z","timestamp":1742405404000},"page":"e0316771","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":2,"title":["Effect of solution focused approach on women aged 35 or over with in vitro fertilization-embryo transfer: A quasi-experimental trial"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9702-8402","authenticated-orcid":true,"given":"Nan","family":"Tang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Xie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengyue","family":"Pei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junping","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Gao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,3,19]]},"reference":[{"issue":"7","key":"pone.0316771.ref001","doi-asserted-by":"crossref","first-page":"e0306572","DOI":"10.1371\/journal.pone.0306572","article-title":"Prevalence 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