不孕症的心理方面 - - 演员与伴侣相互依赖分析的结果
Carla Luisa Thanscheidt1, Patrick Pätsch1, Sabine Rösner2
1Institut für Medizinische Psychologie, Universitätsklinikum Heidelberg, Heidelberg, Germany.
Geburtshilfe und Frauenheilkunde
|July 5, 2023
概括
不孕症会导致共同的压力;对夫妇更高的自我效能会降低焦虑和抑郁等心理风险. 伴侣的支持在生育治疗期间显著影响了情绪健康.
科学领域:
- 生殖医学 生殖医学
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 对于接受医疗治疗的夫妇来说,不孕不育是重要的共同压力因素.
- 众所周知,自我有效性可以支持适应性应对疾病.
- 这项研究调查了在不育夫妇中自我效能与心理风险之间的关联.
研究的目的:
- 检查接受生育治疗的个人及其伴侣的自我效能和心理风险因素 (焦虑,抑郁,接受,无助) 之间的关系.
- 探索自我效能对不孕夫妇心理健康的行为者和伴侣的影响.
- 为潜在的咨询策略提供信息,旨在提高自我效能,以减轻生育不良患者的心理社会风险.
主要方法:
- 一项涉及721名来自德国,奥地利和瑞士生育中心的个体 (320对夫妇) 的横截面研究.
- 使用SCREENIVF-R问卷来评估心理风险因素.
- 采用ISE尺度来衡量自我有效性,并使用配对t测试和行为者-合作伙伴相互依赖模型分析数据.
主要成果:
- 女性报告的心理风险得分高于男性的抑郁,焦虑,缺乏接受和无助感.
- 自我有效性证明了对个体风险因素 (行为者效应) 的保护作用.
- 男性的自我效能与女性的抑郁和无助有负相关;女性的自我效能与男性的接受和社会支持有正相关.
结论:
- 不孕症治疗结果和心理健康受到夫妇动态的影响,需要以夫妇为中心的分析方法.
- 提高自我效能的有针对性的干预措施可以改善应对机制,并减少不育夫妇的心理痛苦.
- 情侣治疗应该被认为是不孕症治疗中心理治疗的标准护理.
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