Casu Giulia, Gremigni Paola
Department of Psychology, University of Bologna, Italy.
J Adv Nurs. 2016 Mar;72(3):693-706. doi: 10.1111/jan.12830. Epub 2015 Oct 15.
To develop and psychometrically test a brief self-report to assess the amount of infertility-related stress; to investigate how infertility-related stress was associated to socio-demographics, causes of infertility and emotional distress.
Infertility exerts a stress effect on both personal and interpersonal areas. Due to the burden of multiple assessments in fertility clinics, there is the need for very brief and easy to administer measures of the stressful impact of infertility on the intrapersonal and interpersonal life domains.
The study had a psychometric, cross-sectional design.
Between January - December 2013, a total of 597 Italian infertile patients (58·6% women), recruited at the time of initial infertility consultation, completed the Infertility-Related Stress Scale. A subsample of 200 participants (50% women) also completed self-reports of anxiety and depression. A subsample of 40 patients completed again the Infertility-Related Stress Scale at a 4-week follow-up visit.
Confirmatory factor analyses supported the proposed two-factor model of infertility stress affecting intrapersonal and interpersonal life domains. Both dimensions showed good reliability and were associated in expected ways with emotional distress. Patients with above-threshold levels of anxiety and depression showed higher infertility stress in both domains and particularly in the intrapersonal area. Infertility stress was significantly higher in women than in men in the intrapersonal domain.
The Infertility-Related Stress Scale showed evidence of validity and reliability. This new, brief self-report can assist fertility clinic staff in identifying those patients who need support to overcome the stressful impact of infertility on intrapersonal and interpersonal domains.
编制一份简短的自我报告并进行心理测量学测试，以评估与不孕症相关的压力程度；调查与不孕症相关的压力如何与社会人口统计学、不孕原因及情绪困扰相关联。
不孕症会对个人和人际关系领域产生压力影响。由于生育诊所多项评估的负担，需要非常简短且易于实施的措施来衡量不孕症对个人和人际关系生活领域的压力影响。
该研究采用心理测量学的横断面设计。
2013年1月至12月期间，共有597名意大利不孕患者（58.6%为女性）在初次不孕咨询时被招募，完成了与不孕症相关的压力量表。200名参与者的子样本（50%为女性）还完成了焦虑和抑郁的自我报告。40名患者的子样本在4周的随访中再次完成了与不孕症相关的压力量表。
验证性因素分析支持了所提出的影响个人和人际关系生活领域的不孕症压力双因素模型。两个维度均显示出良好的信度，并以预期方式与情绪困扰相关联。焦虑和抑郁水平高于阈值的患者在两个领域，尤其是在个人领域表现出更高的不孕症压力。在个人领域，女性的不孕症压力显著高于男性。
与不孕症相关的压力量表显示出有效性和可靠性的证据。这种新的简短自我报告可帮助生育诊所工作人员识别那些需要支持以克服不孕症对个人和人际关系领域压力影响的患者。
