Institute of Medical Psychology, Centre for Psychosocial Medicine, University of Heidelberg, Bergheimer Straße 20, 69115, Heidelberg, Germany.
J Assist Reprod Genet. 2011 Nov;28(11):1111-7. doi: 10.1007/s10815-011-9637-2. Epub 2011 Sep 8.
Our hypothesis was that resilience (=psychosocial stress-resistance) reduces infertility-specific distress and maintains quality of life of infertile couples.
Questionnaire data of WHO Quality of Life assessment (WHOQOL; domains: 'physical', 'psychological', 'social relationships' and 'environment'), Fertility Problem Inventory (FPI; scales: 'social concern', 'sexual concern', 'relationship concern', 'rejection of childfree lifestyle' and 'need for parenthood'), Resilience Scale (RS), as well as sociographic and medical data were available for 199 infertile couples.
Age, medical diagnosis and 'intensity of desire for a child' had no influence on quality of life. High scores on 'suffering from childlessness' went along with less satisfaction on 'physical' and 'psychological' domains for the women only. For both partners, high scores on 'suffering from childlessness' went along with higher scores on all FPI scales. High resilience was associated with high scores on all WHOQOL domains for both partners, also with low scores on all FPI scales except for 'need for parenthood' for the women and with a low score only on 'relationship concern' for the men.
For infertile couples, resilience can be considered as an unspecific protective factor against infertility-specific distress and impaired quality of life. When offering counselling to involuntarily childless couples, awareness should be raised for resilience as a couple's resource and a "generic" factor of coping.
我们的假设是，韧性（=心理社会压力抵抗力）可以减轻不孕夫妇的特定困扰，维持其生活质量。
本研究采用问卷调查的方法，收集了 199 对不孕夫妇的世界卫生组织生活质量评估（WHOQOL；领域：“身体”、“心理”、“社会关系”和“环境”）、生育问题量表（FPI；量表：“社会关注”、“性关注”、“关系关注”、“对无子女生活方式的排斥”和“对为人父母的需求”）、韧性量表（RS）以及社会学和医学数据。
年龄、医学诊断和“渴望孩子的强烈程度”对生活质量没有影响。“不孕之苦”得分较高的女性，其“身体”和“心理”领域的满意度较低。对于双方来说，“不孕之苦”得分较高与所有 FPI 量表得分较高有关。双方的 RS 得分较高与所有 WHOQOL 领域得分较高有关，除了女性的“为人父母的需求”和男性的“关系关注”外，所有 FPI 量表的得分都较低。
对于不孕夫妇来说，韧性可以被视为一种针对不孕特定困扰和生活质量受损的非特异性保护因素。在为非自愿不孕夫妇提供咨询时，应意识到韧性是夫妻资源和“通用”应对因素。
