Hasanpoor-Azghdy Seyede Batool, Simbar Masoumeh, Vedadhir Abouali
Department of Reproductive Health and Midwifery, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Iran J Reprod Med. 2014 Feb;12(2):131-8.
Infertility is a major life event that brings about social and psychological problems. The type and rate these problems in the context of socio-cultural of different geographical areas and sex of people is different.
The aim of this qualitative study was to explain the psychological consequences of infertility in Iranian infertile women seeking treatment.
This qualitative study was done using qualitative content analysis on 25 women affected by primary and secondary infertility with no surviving children in 2012. They were purposefully selected with maximum sample variation from a large Fertility Health Research Center in Tehran, Iran. Data were collected using 32 semi-structured interviews and analyzed by the conventional content analysis method.
The findings of this study include four main themes: 1. Cognitive reactions of infertility (mental engagement; psychological turmoil). 2. Cognitive reactions to therapy process (psychological turmoil; being difficult to control in some situations; reduced self-esteem; feelings of failure). 3. Emotional-affective reactions of infertility (fear, anxiety and worry; loneliness and guilt; grief and depression; regret). 4. Emotional-affective reactions to therapy process (fear, anxiety and worry; fatigue and helplessness; grief and depression; hopelessness).
This study revealed that Iranian infertile women seeking treatment face several psychological-emotional problems with devastating effects on the mental health and well-being of the infertile individuals and couples, while the infertility is often treated as a biomedical issue in Iranian context with less attention on the mental-emotional, social and cultural aspects. This article extracted from Ph.D. thesis. (Seyede Batool Hasanpoor-Azghady).
不孕症是一件重大的生活事件，会引发社会和心理问题。在不同地理区域的社会文化背景以及不同性别人群中，这些问题的类型和发生率各不相同。
这项定性研究的目的是解释寻求治疗的伊朗不孕女性不孕症的心理后果。
这项定性研究于2012年对25名受原发性和继发性不孕症影响且无存活子女的女性进行了定性内容分析。她们是从伊朗德黑兰一个大型生育健康研究中心中经过有目的选择，以实现最大样本多样性。通过32次半结构化访谈收集数据，并采用传统内容分析法进行分析。
本研究的结果包括四个主要主题：1. 不孕症的认知反应（精神投入；心理动荡）。2. 对治疗过程的认知反应（心理动荡；在某些情况下难以控制；自尊降低；失败感）。3. 不孕症的情绪情感反应（恐惧、焦虑和担忧；孤独和内疚；悲伤和抑郁；后悔）。4. 对治疗过程的情绪情感反应（恐惧、焦虑和担忧；疲惫和无助；悲伤和抑郁；绝望）。
本研究表明，寻求治疗的伊朗不孕女性面临着若干心理情感问题，对不孕个体和夫妻的心理健康和幸福产生毁灭性影响，而在伊朗背景下，不孕症通常被视为一个生物医学问题，较少关注心理情感、社会和文化方面。本文摘自博士论文。（赛义德·巴图勒·哈桑普尔 - 阿兹加迪）
