在不育的女性和男性中,压力是否不同? 一个系统的审查和元分析
Masoumeh Simbar1, Fahimeh Rashidi2, Reza Taherian3
1Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
BMC public health
|November 1, 2025
概括
这项系统性审查发现,不育的女性比不育的男性经历的压力水平要高得多. 这些发现凸显了在不孕症评估期间,需要为两性提供有针对性的心理支持.
科学领域:
- 生殖健康 生殖健康
- 心理学 心理学 心理学
- 医学统计 医学统计
背景情况:
- 压力是不孕不育的重要因素,对女性和男性的影响各不相同.
- 了解性别特异性的压力差异对于有效的不孕症管理至关重要.
研究的目的:
- 进行系统性审查和元分析,调查不育个体之间的压力性别差异.
- 综合现有的关于不孕女性与男性压力水平的研究.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 在PubMed,科学网,Scopus和谷歌学者中搜索到2024年8月20日.
- 使用乔安娜·布里格斯研究所 (JBI) 标准进行质量评估和STATA 18.0进行分析,计算Cohen的d效果大小.
主要成果:
- 包括53项研究,21,355名参与者 (12,913名男性,8,442名女性).
- 由于数据的局限性,元分析仅对生育问题清单 (FPI) 是可行的.
- 与男性相比,不育妇女报告的总压力 (科恩的d=0.33) 和特定维度的压力 (社会,性,对父母的需求) 显著更高.
结论:
- 与不孕症相关的压力是影响男女的重要问题,女性的压力水平更高.
- 建议将标准化压力评估和文化敏感咨询纳入不孕症评估中.
- 强调需要规划和实施针对性干预措施,以应对不育夫妇的压力管理.
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