Andrews F M, Abbey A, Halman L J
Institute for Social Research, University of Michigan, Ann Arbor 48106-1248.
J Health Soc Behav. 1991 Sep;32(3):238-53.
Stress associated with the inability to have a child is linked to four aspects of marriage and to five dimensions of life quality. Data come from 157 couples who met a standard medical definition for infertility. Wives and husbands were interviewed independently, and most of the following findings apply to both. A causal model suggests that fertility problem stress has direct effects that increase marital conflict and decrease sexual self-esteem, satisfaction with own sexual performance, and frequency of sexual intercourse. Also, fertility problem stress has both direct and indirect effects (via the marriage factors) that decrease evaluations of life-as-a-whole, self-efficacy, marriage, intimacy, and health. The negative effects on life quality are stronger for wives than for husbands. The model suggests that the life quality of couples with fertility problems could be improved if health care providers and couples themselves took steps to reduce such stresses and/or reduce their impact on the marriage factors.
与无法生育相关的压力与婚姻的四个方面以及生活质量的五个维度相关联。数据来自157对符合不育医学标准定义的夫妇。妻子和丈夫分别接受了访谈，以下大多数研究结果对双方都适用。一个因果模型表明，生育问题压力具有直接影响，会增加婚姻冲突，降低性自尊、对自身性行为表现的满意度以及性交频率。此外，生育问题压力具有直接和间接影响（通过婚姻因素），会降低对整体生活、自我效能、婚姻、亲密关系和健康的评价。对生活质量的负面影响，妻子比丈夫更强。该模型表明，如果医疗保健提供者和夫妇自身采取措施减轻此类压力和/或减少其对婚姻因素的影响，那么有生育问题的夫妇的生活质量可能会得到改善。
