Prognostic factors of depression and anxiety in infertile women with cesarean scar defects

Figure 1 Receiver operating characteristic curve for the multivariate logistic regression model predicting clinical pregnancy. The model included Self-Rating Anxiety Scale score, Fertility Quality of Life Scale score, residual myometrial thickness, cesarean scar defect severity (mild vs severe), co-morbid anxiety and depression, and spousal support score. Area under the curve = 0.821 (95% confidence interval: 0.744-0.899). The diagonal dashed line represents chance-level discrimination. The optimal threshold (sensitivity 78.4%, specificity 73.5%) is indicated by the filled circle. AUC: Area under the curve; CI: Confidence interval.

Figure 2 Psychological severity categories across cesarean scar defect severity strata (n = 100). A: Self-Rating Anxiety Scale (SAS) score severity distribution (normal/mild/moderate/severe) by cesarean scar defect (CSD) severity; increasing CSD severity was associated with a shift toward higher anxiety categories (SAS, P = 0.003); B: Self-Rating Depression Scale (SDS) score severity distribution by CSD severity; increasing CSD severity was associated with a shift toward higher depression categories (SDS, P = 0.001). CSD: Cesarean scar defect; SAS: Self-Rating Anxiety Scale; SDS: Self-Rating Depression Scale; RMT: Residual myometrial thickness.