{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T14:58:36Z","timestamp":1793113116941,"version":"4.5.0"},"reference-count":102,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:00:00Z","timestamp":1764806400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The purpose of this study was to investigate the prevalence of anxiety and depression in female infertility patients, as well as the risk factors that are linked to these conditions, through a systematic review and meta-analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eight databases\u2014PubMed, Web of Science, Embase, Cochrane Library, Sinomed, CNKI, VIP, and WanFang\u2014were thoroughly searched, with the search period lasting until February 28, 2025. Research on anxiety or depression and the risk factors linked to it that involved female infertility patients was included. Information was taken from each study, including study region, patient age, prevalence rates, and risk factors for anxiety or depression in female infertility patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>It was discovered that 41% [95% CI (0.35, 0.47)] of female infertility patients had anxiety, and 42% [95% CI (0.36, 0.48)] had depression. Age [OR\u202f=\u202f1.38, 95% CI (1.10, 1.73)], duration of infertility [OR\u202f=\u202f1.68, 95% CI (1.30, 2.17)], treatment expenses [OR\u202f=\u202f2.04, 95% CI (1.78, 2.34)], and lack of knowledge about Assisted Reproductive Technology (ART)-related Information [OR\u202f=\u202f1.70, 95% CI (1.26, 2.29)] were significantly associated with anxiety. Age [OR\u202f=\u202f1.16, 95% CI (1.00, 1.33)], duration of infertility [OR\u202f=\u202f1.83, 95% CI (1.56, 2.16)], treatment expenses [OR\u202f=\u202f1.47, 95% CI (1.25, 1.74)], history of miscarriage [OR\u202f=\u202f2.17, 95% CI (1.43, 3.31)], and primary infertility [OR\u202f=\u202f2.15, 95% CI (1.55, 3.00)] were risk factors for depression. Other factors analyzed, such as place of residence, no reproductive history, and family income, were not found to be statistically significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Women with infertility face a high incidence of anxiety and depression, which is related to factors such as treatment costs, age, and duration of infertility. A history of miscarriage or primary infertility further increases the risk of depression, while a lack of knowledge of assisted reproductive technologies increases the risk of anxiety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Systematic review registration<\/jats:title>\n                    <jats:p>\n                      PROSPERO,\n                      <jats:ext-link>https:\/\/www.crd.york.ac.uk\/PROSPERO\/view\/CRD420251036068<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2025.1701381","type":"journal-article","created":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T05:16:39Z","timestamp":1764825399000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":8,"title":["Prevalence and risk factors of negative emotions in infertile women: a systematic review and meta-analysis"],"prefix":"10.3389","volume":"13","author":[{"given":"Liuxin","family":"Hu","sequence":"first","affiliation":[{"name":"Department of Reproductive Medicine, Jiangxi Province Hospital of Integrated Chinese and Western Medicine","place":["Nanchang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youchang","family":"Yuan","sequence":"additional","affiliation":[{"name":"Graduate School, Jiangxi University of Chinese Medicine","place":["Nanchang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanjing","family":"Li","sequence":"additional","affiliation":[{"name":"Graduate School, Jiangxi University of Chinese Medicine","place":["Nanchang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mian","family":"Cai","sequence":"additional","affiliation":[{"name":"College of Nursing, Jiangxi University of Chinese Medicine","place":["Nanchang, Jiangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Yin","sequence":"additional","affiliation":[{"name":"College of Nursing, Jiangxi University of Chinese Medicine","place":["Nanchang, Jiangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lijuan","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Reproductive Medicine, Jiangxi Province Hospital of Integrated Chinese and Western Medicine","place":["Nanchang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,12,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"533","DOI":"10.1016\/j.fertnstert.2019.11.025","article-title":"Definitions of infertility and recurrent pregnancy loss: a committee opinion","volume":"113","year":"2020","journal-title":"Fertil 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