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Arch Hellen Med, 33(4), July-August 2016, 656-660


The prevalence of vector-borne diseases among patients with fever of unknown origin in a Bulgarian hospital*

M. Baymakova,1 K. Plochev,1 I. Dikov,1 T. Kundurdjiev,2 G.T. Popov,1 V. Kovaleva3
1Department of Infectious Diseases, Military Medical Academy, Sofia
2Department of Occupational Health, Faculty of Public Health, Medical University, Sofia
3Center of Military Epidemiology and Hygiene, Military Medical Academy, Sofia, Bulgaria

OBJECTIVE To investigate, through attachment theory, the role of close interpersonal relationships in infertility-related stress and the quality of life (QoL) in infertile women.

METHOD The sample consisted of 82 infertile women who were undergoing in vitro fertilization in the assisted reproduction unit of a private maternity hospital in Athens. The data were collected using a set of self-administered questionnaires which included demographic and medical information, the Fertility Problem Inventory (FPI) and the Experiences in Close Relationships-Revised (ECR-R) and the Fertility Quality of Life (FertiQoL) questionnaires.

RESULTS The infertility-related stress levels experienced by the infertile women in the sample were mostly moderate and showed significant negative correlation with their QoL. Anxious attachment was associated positively with total and specific infertility-related stress and negatively with QoL, while avoidant attachment was associated positively with the infertility-related stress subscale "relationship concern" and negatively with the subscale "rejection of childfree lifestyle". Regarding fertility QoL, avoidant attachment was negatively correlated with the "relational" subscale.

CONCLUSIONS The findings of this study highlight the need for implementing interventions to improve fertility-related QoL and reduce the impact of risk factors on fertility-related stress, such as in the case of anxiously attached infertile women.

Key words: Fever, Frequency, Pyrexia of unknown origin, Vector-borne diseases.

© Archives of Hellenic Medicine