心理困扰作为男性不孕患者生活质量的预测因素：一项横断面调查。
Psychological distress as predictor of quality of life in men experiencing infertility: a cross-sectional survey.
机构信息
School of Nursing, McGill University, Wilson Hall 3506 University Street, Montreal, QC, H3A 2A7, Canadá.
出版信息
Reprod Health. 2010 May 9;7:3. doi: 10.1186/1742-4755-7-3.
BACKGROUND
Infertility is associated with impairment in human life. The quality of life (QOL) construct allows measuring the impact of health conditions in a broader way. The study aimed to explore the impact of the psychological distress on QOL's dimensions in men experiencing infertility.
METHODS
162 men were completed a socio-demographic form, SF-36, WHOQOL-BREF, Beck Anxiety Inventory and Beck Depression Inventory. Hierarchical regressions included demographic and clinic variables, and subsequently depression and anxiety were added.
RESULTS AND DISCUSSION
Model 1 was not accurate in predicting QOL. R2 values ranged from 0.029 (Social Functioning) to 0.149 (Mental Health). Eight domains were not associated with any of the predictors. In the second model, a R2increase was observed in all domains. R2 of QOL scores ranged from .209 (Role Physical) to .406 (Social Functioning). The intensity of the depression was a significant predictor for all outcomes. The load of depression was higher than the ones of the socio-demographic and clinical variables. Anxiety levels have also presented the same effect, but with less intensity.
CONCLUSION
Subthreshold depression and anxiety were major predictors of QOL in men experiencing infertility. Health professionals need to include assessment of psychological symptomatology to plan more efficient interventions to infertile patients.
背景
不孕与人类生活质量受损有关。生活质量（QOL）结构允许更广泛地衡量健康状况的影响。本研究旨在探讨心理困扰对不孕男性 QOL 维度的影响。
方法
162 名男性完成了社会人口统计学表格、SF-36、WHOQOL-BREF、贝克焦虑量表和贝克抑郁量表。分层回归包括人口统计学和临床变量，随后加入抑郁和焦虑。
结果与讨论
模型 1 无法准确预测 QOL。R2 值范围从 0.029（社会功能）到 0.149（心理健康）。八个领域与任何预测因素均无关。在第二个模型中，所有领域的 R2 均增加。QOL 评分的 R2 值范围从.209（躯体角色功能）到.406（社会功能）。抑郁的强度是所有结果的重要预测因素。抑郁的负荷高于社会人口统计学和临床变量的负荷。焦虑水平也具有相同的效果，但强度较低。
结论
亚临床抑郁和焦虑是不孕男性 QOL 的主要预测因素。卫生专业人员需要包括对心理症状的评估，以计划对不孕患者更有效的干预措施。
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