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

Table 5 Multivariate binary logistic regression: Independent prognostic factors for clinical pregnancy

Variable	β	aOR (95%CI)	SE	Wald (df = 1)	P value
Model AUC = 0.821 (95%CI: 0.744-0.899); Hosmer-Lemeshow P = 0.612
SAS score (per 1 point)	-0.052	0.949 (0.913-0.987)	0.020	6.76	0.009
FertiQoL score (per 1 point)	0.058	1.060 (1.016-1.106)	0.022	7.00	0.008
Residual myometrium (mm)	0.488	1.629 (1.192-2.225)	0.160	9.30	0.002
CSD severity: Mild vs severe	1.642	5.167 (1.628-16.40)	0.589	7.77	0.005
Co-morbid anxiety & depression	-1.183	0.306 (0.106-0.886)	0.541	4.78	0.029
Spousal support score	0.043	1.044 (1.003-1.086)	0.021	4.20	0.040

Method: Multivariate binary logistic regression with backward stepwise elimination (retention threshold P < 0.05); only variables retained in the final model are shown. Model area under the curve = 0.821 (95% confidence interval: 0.744-0.899); Hosmer-Lemeshow P = 0.612. Reference for cesarean scar defect severity: Severe group. Variables entering multivariate analysis but eliminated by backward selection (P ≥ 0.05): Age, body mass index, infertility duration (P = 0.067), prior assisted reproductive technology attempts, high-quality embryos (P = 0.097), and nursing intervention type (P = 0.214). AUC: Area under the curve; FertiQoL: Fertility Quality of Life scale; aOR: Adjusted odds ratio; CI: Confidence interval; SAS: Self-Rating Anxiety Scale; CSD: Cesarean scar defect.