Czyżkowska Anna, Awruk Katarzyna, Janowski Konrad
Faculty of Psychology, University of Finance and Management in Warsaw, Warsaw, Poland.
Int J Fertil Steril. 2016 Jan-Mar;9(4):465-76. doi: 10.22074/ijfs.2015.4604. Epub 2015 Dec 23.
Infertility is a factor which has been linked to higher prevalence of sexual dysfunctions in women; however, ambiguous results have been reported about the impact of infertility on women's sexual satisfaction. The purpose of this study was to compare sexual and dyadic functioning in infertile and fertile women. Furthermore, the associations between sexual variables and clinical variables (depressive symptoms, period trying to conceive, and treatment period) were assessed in infertile women sample.
The cross-sectional study involved 50 women with the history of infertility and 50 fertile women recruited from the general population. The Sexual Satisfaction Scale (SSS), Mell-Krat Scale (women's version), Family Assessment Measure (FAM-III), and Beck Depression Inventory (BDI) were administered to all participants.
Infertile women reported lower sexual satisfaction and more maladaptive patterns of dyadic functioning in comparison to the control group. As many as 45 (90%) of infertile women, compared to 13 (26%) of the control group, reported the scores on the Mell-Krat Scale indicative of the presence of dysfunctions in sexual reactivity (P≤0.001). Infertile women reported significantly higher levels of depressive symptoms than the women from the control group (P≤0.001). Negative correlations were observed between sexual satisfaction and dyadic functioning in both groups (P≤0.05); however, the patterns of these associations were different in infertile and fertile women. For example, negative correlations were found between satisfaction with control and task accomplishment, role performance, affective involvement, and values and norms in infertile women. However, these relationships were not observed in the control group. No correlations were revealed between sexual reactivity and dyadic functioning in infertile women and the control group. Negative correlations were observed between satisfaction with control and relationship duration and treatment period as well as between sexual reactivity and period of trying to conceive. Multiple regression analyses also revealed different predictors of sexual satisfaction in both groups: affective involvement (P≤0.05) and relationship duration (P≤0.05) in infertile women, whereas communication (P≤0.05), affective expression (P≤0.05) and depressive symptoms (P≤0.05) in the control group.
Infertility is an important factor affecting sexual and dyadic functioning and is linked to higher depressive symptoms in infertile women.
不孕症是一个与女性性功能障碍患病率较高相关的因素；然而，关于不孕症对女性性满意度的影响，已有报道结果并不明确。本研究的目的是比较不孕女性和有生育能力女性的性及二元功能。此外，在不孕女性样本中评估了性变量与临床变量（抑郁症状、尝试受孕时间和治疗时间）之间的关联。
这项横断面研究纳入了50名有不孕史的女性和50名从普通人群中招募的有生育能力的女性。对所有参与者进行了性满意度量表（SSS）、梅尔-克拉特量表（女性版）、家庭评估量表（FAM-III）和贝克抑郁量表（BDI）的测评。
与对照组相比，不孕女性报告的性满意度较低，二元功能模式更具适应不良性。多达45名（90%）不孕女性报告梅尔-克拉特量表得分表明存在性反应功能障碍，而对照组为13名（26%）（P≤0.001）。不孕女性报告的抑郁症状水平显著高于对照组女性（P≤0.001）。两组中性满意度与二元功能之间均观察到负相关（P≤0.05）；然而，不孕女性和有生育能力女性中这些关联的模式有所不同。例如，在不孕女性中，对控制和任务完成、角色表现、情感投入以及价值观和规范的满意度之间发现了负相关。然而，在对照组中未观察到这些关系。在不孕女性和对照组中，性反应与二元功能之间未发现相关性。对控制的满意度与关系持续时间和治疗时间之间以及性反应与尝试受孕时间之间观察到负相关。多元回归分析还揭示了两组中性满意度的不同预测因素：不孕女性中的情感投入（P≤0.05）和关系持续时间（P≤0.05），而对照组中的沟通（P≤0.05）、情感表达（P≤0.05）和抑郁症状（P≤0.05）。
不孕症是影响性和二元功能的重要因素，并且与不孕女性较高的抑郁症状相关。
