与辅助生殖技术相关的压力因素和社会支持对感知压力和抑郁症的影响
Aditi Gupta1, Emily Lu1, Zaneta Thayer2
1Department of Anthropology, Dartmouth College, Hinman Box 4036, Hanover, NH, 03755, USA.
BMC women's health
|July 27, 2024
概括
辅助生殖技术 (ART) 过程在不孕症患者中显著增加了压力和抑郁症. 心理健康支持应该是ART护理的标准组成部分,以改善患者的福祉.
科学领域:
- 生殖医学 生殖医学
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 辅助生殖技术 (ART) 为不孕症提供解决方案,但可能对心理健康产生负面影响.
- 这项研究调查了心理困扰,包括压力和抑郁,跨越不孕不育和ART治疗的各个阶段.
- 该研究还探讨了ART特定压力因素和情绪支持对心理健康结果的影响.
研究的目的:
- 确定在不孕症和ART不同阶段的个体之间,感知到的压力和抑郁症症状如何变化.
- 评估ART特定压力因素,情绪支持和心理健康症状之间的关联.
主要方法:
- 在2021年7月至2022年3月期间,对240名患有不孕症的参与者进行了一项横截面在线调查.
- 参与者完成了经过验证的感知压力 (科恩感知压力量表) 和抑郁 (爱丁堡抑郁量表) 的量表.
- 对接受ART的人来说,评估了ART特定的压力因素和感知支持 (伴侣,提供者);使用ANOVA和回归分析数据.
主要成果:
- 观察到心理困扰的高患病率:88%的人报告中等/高压力,43.8%的人可能患有抑郁症.
- 与孕妇或产后患者相比,接受ART但尚未怀孕的个体报告了明显更高的压力和抑郁症状.
- 对于ART参与者来说,社会耻辱和治疗需求与增加的痛苦相关,而伴侣支持与压力降低有关.
结论:
- 在面临不孕症的个体中,ART旅程显著加剧了感知到的压力和抑郁.
- 临床医生和政策制定者应该将心理健康服务纳入不孕不育护理的标准组成部分.
- 解决心理健康问题对于父母和通过ART怀孕的孩子的长期健康至关重要.
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