Gradvohl Silvia Mayumi Obana, Osis Maria José Duarte, Makuch Maria Yolanda
Departamento de Psicologia, Universidade São Francisco-USF, Itatiba (SP), Brasil.
Rev Bras Ginecol Obstet. 2013 Jun;35(6):255-61. doi: 10.1590/s0100-72032013000600004.
To evaluate the level of stress in men and women seeking treatment for infertility and to identify the associated variables.
A cross-sectional study with 101 men and 101 women consulting for the first time at the Human Reproduction Unit. Participants completed the Brazilian version of the Fertility Problem Inventory (FPI) based on four domains: "social relationships", "life without children"; "marital relationship/sexual" and "maternity/paternity" and a structured questionnaire with socioeconomic and reproductive variables. Bivariate analysis was performed using the Chi-square and Fisher exact tests, considering p<0.05. Afterwards the multivariate correspondence analysis was done with variables with p<0.20.
Overall, the participants presented a high level of stress in all domains, except in the "life without children" domain. Multivariate analysis of correspondence showed that variables associated with a high level of stress in the "social relationships" domains were: to be a woman, to have the infertility problem, and to consider the quality of the marital relationship to be regular. In the "life without children" domain the variables that approached the high stress were: to be woman, age between 18 and 24 years, and to have the infertility problem. To be a man, to consider adoption, parents/in-laws and other people knowing about the difficulty to become pregnant, and to consider the quality of the marital relationship to be excellent were the variables associated with high level of stress in "marital/sexual relationship" domain. For "maternity/paternity" domain the variables associated were to be women, consider marital relationship quality regular, age between 25 and 35 years, be evangelical or protestant were the variables associated with a high level of stress.
Men and women seeking treatment for infertility present a high level of stress and it can be suggested that psychosocial support is important and should be different for men and women.
评估寻求不孕症治疗的男性和女性的压力水平，并确定相关变量。
一项横断面研究，对101名男性和101名首次到人类生殖科就诊的女性进行。参与者完成了基于四个领域的巴西版生育问题量表（FPI）：“社会关系”、“无子女的生活”、“婚姻关系/性”和“母性/父性”，以及一份包含社会经济和生殖变量的结构化问卷。使用卡方检验和Fisher精确检验进行双变量分析，以p<0.05为标准。之后，对p<0.20的变量进行多变量对应分析。
总体而言，除了“无子女的生活”领域外，参与者在所有领域都表现出较高的压力水平。多变量对应分析表明，与“社会关系”领域高压力水平相关的变量有：女性、存在不孕问题、认为婚姻关系质量一般。在“无子女的生活”领域，接近高压力水平的变量有：女性、年龄在18至24岁之间、存在不孕问题。男性、考虑收养、父母/岳父母及其他人知晓怀孕困难、认为婚姻关系质量优秀是与“婚姻/性关系”领域高压力水平相关的变量。对于“母性/父性”领域，相关变量有：女性、认为婚姻关系质量一般、年龄在25至35岁之间、是福音派或新教徒，这些变量与高压力水平相关。
寻求不孕症治疗的男性和女性表现出较高的压力水平，可以认为心理社会支持很重要，且对男性和女性应有所不同。
