Division of Reproductive Endocrinology, XD-44, Department of Obstetrics and Gynecology, University of Washington, 98195, Seattle, WA.
Hum Nat. 1994 Sep;5(3):293-306. doi: 10.1007/BF02692156.
Experimental, theoretical, psychological, and economic barriers have caused physicians to rely on biomedical treatments for infertility at the exclusion of more environmentally oriented ones (e.g., psychosocial stress therapy). An evolutionary model is described for the origin of reproductive failure, suggesting why mammals evolved to be reproductively responsive to the environment and why psychosocial stress should have an especially strong impact on fertility problems. A study of the causal role of psychosocial stress in infertility is then summarized. The paper concludes with implications for future directions for the treatment of infertility and related human reproductive problems.
实验、理论、心理和经济障碍导致医生在治疗不孕不育时只依赖于生物医学治疗方法，而排除了更注重环境的治疗方法（例如，社会心理压力疗法）。本文描述了一个生殖失败的起源的进化模型，解释了为什么哺乳动物进化为对环境具有生殖反应性，以及为什么社会心理压力对生育问题应该具有特别强的影响。然后总结了社会心理压力在不孕不育中的因果作用研究。本文最后对不孕不育和相关人类生殖问题的治疗的未来方向提出了一些启示。
