测试自我指导心理治疗干预治疗不孕症相关困扰的有效性:一项随机对照试验
M M L Poulter1, T D Wahl1, M J Kiviharju1
1Department of Psychology, University of Regina, Regina, Canada.
Human reproduction (Oxford, England)
|December 16, 2025
概括
在线应对不孕不育 (CWI) 计划显著改善了在出生时被分配为女性 (AFAB) 经历不孕不育的人的心理健康. 与往常治疗相比,参与者报告了更好的生活质量,减少了痛苦,抑郁和焦虑.
科学领域:
- 生殖医学和心理健康
- 数字健康干预措施 数字健康干预措施
- 在不孕症中心理健康
背景情况:
- 目前用于治疗不孕症的心理干预方法对心理健康的益处有限.
- 一个新的,简短的,定制的在线干预 (CWI) 显示出希望,但需要严格的测试.
- 不孕症显著影响心理健康,需要有效的支持策略.
研究的目的:
- 评估7周在线"应对不孕症" (CWI) 计划的有效性.
- 为了比较CWI与通常治疗 (TAU) 的有效性,对于在出生时被分配为女性 (AFAB) 经历不孕症的个体.
- 评估心理健康结果的改善,包括生活质量,焦虑,抑郁和焦虑.
主要方法:
- 一项并行随机对照试验 (RCT) 涉及173名经历不孕症的AFAB成年人.
- 参与者被随机分配到CWI计划 (每周视频模块) 或等候名单/TAU对照组.
- 心理结果在基线,治疗后和治疗后16周被评估.
主要成果:
- 与TAU相比,CWI项目组显示出与生育相关的生活质量显著更高 (科恩d = .53),以及较低的痛苦 (d = .35),抑郁 (d = .56),焦虑 (d = .66).
- 在基线生活质量较差或情绪/焦虑症状显著的子组观察到明显的治疗效应 (科恩d = 0.91-1.10).
- 在关系质量,情绪/焦虑障碍或怀孕率方面没有发现显著差异.
结论:
- 该CWI计划是AFAB个人经历由于不孕不育的心理痛苦的有效短期治疗.
- 该干预措施解决了在不孕症护理中获得心理健康支持的关键需求.
- 限制包括缺乏积极控制,自我报告措施和有限的后续期间.
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