Pinto-Gouveia José, Galhardo Ana, Cunha Marina, Matos Marcela
CINEICC- Faculty of Psychology and Educational Sciences of the University of Coimbra, Coimbra, Portugal.
Hum Fertil (Camb). 2012 Mar;15(1):27-34. doi: 10.3109/14647273.2011.654310. Epub 2012 Feb 6.
Little is known about emotional regulation processes of psychological flexibility/acceptance, self-compassion, and coping styles in infertility and the way they may exert a protective function towards depression. The aim of the current study was to explore how these emotion regulation processes are related to depression and to the sense of self-efficacy to deal with infertility in infertile patients. Gender differences were also considered. One hundred couples without known fertility problems and 100 couples with an infertility diagnosis completed the instruments: Beck Depression Inventory, Coping Styles Questionnaire, Acceptance and Action Questionnaire, Self-Compassion Scale and Infertility Self-efficacy Scale. Infertile couples presented statistically significantly higher scores on depression and lower scores in psychological flexibility/acceptance and self-compassion than the control group. This pattern was particularly identified in women who also tended to use less an emotional/detached coping style and to perceive themselves as less confident to deal with infertility than men. Multiple regression analysis showed that psychological flexibility/acceptance was a significant predictor of depressive symptoms in men and women with infertility. Emotional regulation processes, such as psychological flexibility/acceptance and self-compassion, seem to be relevant to the understanding of depressive symptoms and psychological adjustment to infertility, suggesting that these issues should be addressed in a therapeutic context with these couples.
关于心理灵活性/接纳、自我同情以及应对方式在不孕不育中的情绪调节过程，以及它们对抑郁症可能发挥的保护作用，人们了解甚少。本研究的目的是探讨这些情绪调节过程如何与抑郁症以及不孕不育患者应对不孕不育的自我效能感相关。同时也考虑了性别差异。100对无已知生育问题的夫妇和100对被诊断为不孕不育的夫妇完成了以下量表：贝克抑郁量表、应对方式问卷、接纳与行动问卷、自我同情量表和不孕不育自我效能量表。与对照组相比，不孕不育夫妇在抑郁方面的得分在统计学上显著更高，而在心理灵活性/接纳和自我同情方面的得分更低。这种模式在女性中尤为明显，她们也往往比男性更少使用情绪/超脱的应对方式，并且认为自己应对不孕不育的信心更低。多元回归分析表明，心理灵活性/接纳是不孕不育男性和女性抑郁症状的重要预测因素。情绪调节过程，如心理灵活性/接纳和自我同情，似乎与理解抑郁症状以及对不孕不育的心理调适有关，这表明在对这些夫妇的治疗中应解决这些问题。
