Department of Midwifery, Technological Educational Institution of Athens, Ag. Spiridonos, 12210 Athens, Greece.
Reprod Biomed Online. 2012 Jun;24(6):670-9. doi: 10.1016/j.rbmo.2012.03.002. Epub 2012 Mar 10.
The study aimed to examine: (i) the association between perception of infertility controllability and coping strategies; and (ii) the association between perception of infertility controllability and coping strategies to psychological distress, applying multivariate statistical techniques to control for the effects of demographic variables. This cross-sectional study included 137 women with fertility problems undergoing IVF in a public hospital. All participants completed questionnaires that measured fertility-related stress, state anxiety, depressive symptomatology, perception of control and coping strategies. Pearson's correlation coefficients were calculated between all study variables, followed by hierarchical multiple linear regression. Low perception of personal and treatment controllability was associated with frequent use of avoidance coping and high perception of treatment controllability was positively associated with problem-focused coping. Multivariate analysis showed that, when controlling for demographic factors, low perception of personal control and avoidance coping were positively associated with fertility-related stress and state anxiety, and problem-appraisal coping was negatively and significantly associated with fertility-related stress and depressive symptomatology scores. The findings of this study merit the understanding of the role of control perception and coping in psychological stress of infertile women to identify beforehand those women who might be at risk of experiencing high stress and in need of support.
（i）对不孕可控性的认知与应对策略之间的关系；以及（ii）对不孕可控性的认知与应对策略对心理困扰的关系，应用多变量统计技术来控制人口统计学变量的影响。这项横断面研究纳入了在一家公立医院接受 IVF 的 137 名有生育问题的女性。所有参与者都完成了问卷，这些问卷衡量了与生育相关的压力、状态焦虑、抑郁症状、控制感和应对策略。计算了所有研究变量之间的 Pearson 相关系数，然后进行了分层多元线性回归。个人和治疗可控性的感知度低与频繁使用回避应对策略有关，而对治疗可控性的感知度高与问题聚焦应对策略呈正相关。多变量分析表明，在控制人口统计学因素的情况下，个人控制和回避应对策略的感知度低与与生育相关的压力和状态焦虑呈正相关，而问题评估应对策略与与生育相关的压力和抑郁症状评分呈负相关且显著相关。本研究的结果值得理解控制感和应对策略在不孕女性心理压力中的作用，以便提前识别那些可能面临高压力并需要支持的女性。
