Newton C R, Sherrard W, Glavac I
London Health Sciences Centre, Ontario, Canada.
Fertil Steril. 1999 Jul;72(1):54-62. doi: 10.1016/s0015-0282(99)00164-8.
To develop a reliable, valid instrument to evaluate perceived infertility-related stress.
Prospective study.
University-affiliated teaching hospital.
PATIENT(S): Consecutively referred patients (1,153 women and 1,149 men) seen for infertility treatment.
INTERVENTION(S): None.
MAIN OUTCOME MEASURE(S): Participants' infertility-related stress was assessed by written questionnaire using the Fertility Problem Inventory. Current levels of anxiety, depression, and marital satisfaction also were determined.
RESULT(S): Women described greater global stress than men and higher specific stress in terms of social concerns, sexual concerns, and need for parenthood. Both men and women facing male infertility reported higher global stress and more social and sexual concerns than men and women experiencing female infertility. Social, sexual, and relationship concerns related to infertility were more effective predictors of depression and marital dissatisfaction than expressed needs for parenthood or attitudes toward child-free living.
CONCLUSION(S): The Fertility Problem Inventory provides a reliable measure of perceived infertility-related stress and specific information on five separate domains of patient concern. Patterns of infertility-related stress differed depending on gender, fertility history, and infertility diagnosis. Among patients receiving treatment, social, sexual, and relationship concerns appear central to current distress. Counseling interventions that target these domains appear likely to offer maximal therapeutic benefit.
开发一种可靠、有效的工具来评估感知到的与不孕相关的压力。
前瞻性研究。
大学附属医院。
连续转诊来接受不孕治疗的患者（1153名女性和1149名男性）。
无。
使用生育问题量表通过书面问卷评估参与者与不孕相关的压力。还确定了当前的焦虑、抑郁和婚姻满意度水平。
女性报告的总体压力大于男性，在社会关注、性方面的关注以及为人父母的需求方面，特定压力更高。与经历女性不孕的男性和女性相比，面临男性不孕的男性和女性报告的总体压力更高，社会和性方面的关注更多。与不孕相关的社会、性和关系方面的关注比表达的为人父母的需求或对无子女生活的态度更能有效预测抑郁和婚姻不满。
生育问题量表提供了一种可靠的方法来衡量感知到的与不孕相关的压力以及患者关注的五个不同领域的具体信息。与不孕相关的压力模式因性别、生育史和不孕诊断而异。在接受治疗的患者中，社会、性和关系方面的关注似乎是当前困扰的核心。针对这些领域的咨询干预措施似乎可能带来最大的治疗益处。
