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使用平均情感形容词检查表对处于体外受精治疗不同阶段的女性的心理功能进行比较。

A comparison of psychological functioning in women at different stages of in vitro fertilization treatment using the mean affect adjective check list.

作者信息

Yong P, Martin C, Thong J

机构信息

Assisted Conception Unit, Simpson Memorial Maternity Pavilion, Royal Infirmary of Edinburgh, Edinburgh EH3 9EF, United Kingdom.

出版信息

J Assist Reprod Genet. 2000 Nov;17(10):553-6. doi: 10.1023/a:1026429712794.

Abstract

PURPOSE

The objectives were to identify the stage/s of IVF treatment where a woman is most vulnerable to psychological stress, and to assess the Mean Affect Adjective Check List (MAACL) as a measure of psychological functioning during IVF treatment, which has hitherto not been reported.

METHODS

Thirty-seven women undergoing IVF treatment according to the long protocol of controlled ovarian stimulation completed the MAACL questionnaire at the following stages: (a) before treatment (visit 1), (b) before embryo transfer (visit 2), and (c) before pregnancy test (visit 3).

RESULTS

Apart from anxiety scores for visit 2, the hostility, depression, and state anxiety scores for visit 3 were higher than the corresponding scores for visits 1 and 2 (P < 0.001). Anxiety scores for visits 2 and 3 were similar.

CONCLUSIONS

Psychological counseling should be targeted at women after embryo transfer and leading up to the pregnancy test. The MAACL is a useful method for measuring psychological stress in women during IVF treatment.

摘要

目的

本研究旨在确定体外受精(IVF)治疗过程中女性最易遭受心理压力的阶段,并评估平均情感形容词检查表(MAACL)作为IVF治疗期间心理功能的一种测量方法,此前尚未有相关报道。

方法

37名按照控制性卵巢刺激的长方案接受IVF治疗的女性在以下阶段完成了MAACL问卷:(a)治疗前(第1次就诊),(b)胚胎移植前(第2次就诊),以及(c)妊娠试验前(第3次就诊)。

结果

除第2次就诊的焦虑得分外,第3次就诊的敌意、抑郁和状态焦虑得分均高于第1次和第2次就诊的相应得分(P<0.001)。第2次和第3次就诊的焦虑得分相似。

结论

心理咨询应针对胚胎移植后直至妊娠试验期间的女性。MAACL是测量IVF治疗期间女性心理压力的一种有用方法。

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引用本文的文献

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An evaluation of counselling for couples undergoing treatment for in-vitro fertilization.
Hum Reprod. 1993 Aug;8(8):1332-8. doi: 10.1093/oxfordjournals.humrep.a138252.
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Stress level across stages of in vitro fertilization in subsequently pregnant and nonpregnant women.
Fertil Steril. 1995 Oct;64(4):802-10. doi: 10.1016/s0015-0282(16)57858-3.
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Infertility: intrapersonal and interpersonal impact.不孕症:对个人和人际关系的影响。
Fertil Steril. 1988 Jun;49(6):982-90. doi: 10.1016/s0015-0282(16)59948-8.
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Psychological studies of in vitro fertilization/embryo transfer participants.
J In Vitro Fert Embryo Transf. 1989 Aug;6(4):242-56. doi: 10.1007/BF01132873.
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Preoperative anxiety: detection and contributing factors.
Can J Anaesth. 1990 May;37(4 Pt 1):444-7. doi: 10.1007/BF03005624.
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Coping and the ineffectiveness of coping influence the outcome of in vitro fertilization through stress responses.
Psychoneuroendocrinology. 1992 Nov;17(6):655-65. doi: 10.1016/0306-4530(92)90024-2.

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