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与接受体外受精治疗的男性相比,女性对不孕症和治疗压力的认知。

Perceptions of infertility and treatment stress in females as compared with males entering in vitro fertilization treatment.

作者信息

Collins A, Freeman E W, Boxer A S, Tureck R

机构信息

Karolinska Institute, Stockholm, Sweden.

出版信息

Fertil Steril. 1992 Feb;57(2):350-6. doi: 10.1016/s0015-0282(16)54844-4.

DOI:10.1016/s0015-0282(16)54844-4
PMID:1735487
Abstract

OBJECTIVE

To determine gender similarities and differences in perceptions of infertility and anticipated treatment stress in couples enrolling for in vitro fertilization (IVF) treatment.

DESIGN

Both partners were evaluated at enrollment of IVF treatment. The evaluation was part of the screening procedure.

SETTING

The Department of Obstetrics and Gynecology at a teaching hospital.

PATIENTS, PARTICIPANTS: Two hundred consecutive couples who entered an IVF treatment program.

MAIN OUTCOME MEASURES

Self-report questionnaire included items on the duration of infertility, degree of social support, effect of infertility on sexual relationship, expected likelihood of achieving pregnancy, anticipation of stress during treatment, and a self-rating scale of emotional reactions to infertility.

RESULTS

The women anticipated more stress in IVF treatment but also rated greater degree of social support than the men. Both partners overestimated their chances of a successful treatment outcome. Factor analysis of the Infertility Scale produced three factors that were similar for both sexes. The first factor represented the desire to have a child as a major focus of life with inadequacy of the male role, social functioning and work efficiency, and pressure to have a child following.

CONCLUSIONS

Women reported more stress, but the factors affecting stress of infertility were very similar for both partners. The intense focus on having a child was the predominant factor in anticipated stress of IVF treatment for both males and females.

摘要

目的

确定接受体外受精(IVF)治疗的夫妇在不孕认知及预期治疗压力方面的性别异同。

设计

在IVF治疗登记时对夫妇双方进行评估。该评估是筛查程序的一部分。

地点

一家教学医院的妇产科。

患者、参与者:连续200对进入IVF治疗项目的夫妇。

主要观察指标

自我报告问卷包括不孕持续时间、社会支持程度、不孕对性关系的影响、预期怀孕可能性、治疗期间压力预期以及对不孕情绪反应的自评量表等项目。

结果

女性预期IVF治疗压力更大,但她们对社会支持程度的评分也高于男性。夫妇双方均高估了治疗成功的几率。对不孕量表进行因子分析得出三个对两性均相似的因子。第一个因子代表想要孩子是生活的主要关注点,伴有男性角色不足、社会功能和工作效率问题,以及随之而来的生育压力。

结论

女性报告的压力更大,但影响不孕压力的因素在夫妇双方中非常相似。对生育的强烈关注是男女双方IVF治疗预期压力的主要因素。

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