The Fertility Clinic, London Health Sciences Centre, London, ON, Canada.
Hum Reprod. 2012 Jul;27(7):2058-66. doi: 10.1093/humrep/des129. Epub 2012 Apr 26.
This study evaluated couples' perceptions of preparatory psychosocial counselling prior to participation in medically assisted reproduction (MAR).
Eighty-three couples about to undergo IUI treatment were asked about their expectations regarding a subsequent single psychosocial counselling session and assessed in terms of their levels of infertility-specific stress, anxiety and depressive symptoms. Afterwards, participants rated their satisfaction with different elements of the session.
Almost two-thirds of women and one-half of men expected counselling to be important, and the majority anticipated that the session would be helpful and informative. Views of preparatory counselling were significantly more positive afterwards, indicating that a focused session addressing issues of treatment concerns, goal setting and managing infertility stress was more beneficial than anticipated. Those experiencing higher levels of infertility-specific stress expected the counselling session to be more important, and elevated stress and greater utilization of social support were predictive of post-counselling satisfaction.
Preparatory psychosocial counselling provided with a specific and practical focus appears to be a potentially important and helpful service prior to MAR. Clinics should not assume that patients can accurately judge the benefits of counselling before actually engaging in the session. Identifying patients most likely to benefit and providing a clear rationale may further increase receptivity to this proactive counselling service. While patients characterize this intervention as beneficial, it is not yet known if these benefits translate into improved management of treatment procedures.
本研究评估了夫妇在参与医学辅助生殖（MAR）之前对预备心理社会咨询的看法。
对 83 对即将接受 IUI 治疗的夫妇进行了调查，询问他们对随后的单次心理社会咨询的期望，并评估了他们的不孕特异性应激、焦虑和抑郁症状的水平。之后，参与者对咨询过程的不同要素的满意度进行了评分。
近三分之二的女性和一半的男性认为咨询很重要，大多数人预计咨询会有帮助和有启发性。预备咨询的看法明显更加积极，这表明专注于解决治疗关注、目标设定和管理不孕压力等问题的集中咨询比预期更有益。那些经历更高水平不孕特异性应激的人预计咨询更重要，应激水平较高和社会支持利用度较高是咨询后满意度的预测因素。
具有特定和实用重点的预备心理社会咨询在 MAR 之前似乎是一项重要且有益的服务。诊所不应该假设患者在实际参与咨询之前能够准确判断咨询的好处。确定最有可能受益的患者，并提供明确的理由，可能会进一步提高对这种主动咨询服务的接受度。虽然患者认为这种干预是有益的，但目前还不清楚这些益处是否转化为对治疗过程的更好管理。
