Volmer L, Rösner S, Toth B, Strowitzki T, Wischmann T
Institut für Medizinische Psychologie, Zentrum für Psychosoziale Medizin, Heidelberg, Germany.
Universitätsfrauenklinik, Abteilung für Gynäkologische Endokrinologie und Fertilitätsstörungen, Heidelberg, Germany.
Geburtshilfe Frauenheilkd. 2017 Jan;77(1):52-58. doi: 10.1055/s-0042-119200.
Infertility patients often have high stress levels which, in some cases, represent a risk of developing depression or anxiety. The SCREENIVF questionnaire is a validated tool to evaluate such risks. Some coping strategies have been shown to be correlated with infertile couples' levels of stress. Determining which strategies are correlated with higher levels of risk for depression or anxiety could be useful to offer targeted psychological counseling to reduce the risk of depression or anxiety. A total of 296 women and men who attended the Fertility Center at Heidelberg University Hospital completed the SCREENIVF questionnaire and the COMPI coping scales. Data were analyzed first on an individual basis and focused on the couple, using the Actor Partner Interdependence Model. On an individual level, active avoidance coping was positively correlated with a higher risk of depression or anxiety in women, while meaning-based coping was negatively correlated with risk in men. When the results of couples were viewed together, women and men using active avoidance coping exhibited higher risk scores as individuals (actor effect), as did their partners (partner effect). Women who used meaning-based coping had positive actor and partner effects. Women using active-confronting coping had a negative partner effect (higher risk score for men). These findings indicate that some coping strategies may have a protective effect while others may increase the risk of emotional maladjustment in infertile couples. Further analysis of coping strategies could help to identify new counseling approaches for infertile patients.
不孕不育患者往往压力水平较高，在某些情况下，这意味着有患抑郁症或焦虑症的风险。SCREENIVF问卷是一种经过验证的评估此类风险的工具。一些应对策略已被证明与不孕不育夫妇的压力水平相关。确定哪些策略与更高的抑郁或焦虑风险相关，可能有助于提供有针对性的心理咨询，以降低抑郁或焦虑的风险。共有296名在海德堡大学医院生育中心就诊的女性和男性完成了SCREENIVF问卷和COMPI应对量表。首先对个体数据进行分析，并使用行为者-伴侣相互依赖模型将重点放在夫妻双方身上。在个体层面上，主动回避应对与女性患抑郁症或焦虑症的较高风险呈正相关，而基于意义的应对与男性的风险呈负相关。当将夫妻双方的结果放在一起看时，采用主动回避应对的女性和男性作为个体（行为者效应）以及他们的伴侣（伴侣效应）都表现出较高的风险得分。采用基于意义应对的女性具有积极的行为者和伴侣效应。采用主动面对应对的女性具有负面的伴侣效应（男性风险得分较高）。这些发现表明，一些应对策略可能具有保护作用，而另一些策略可能会增加不孕不育夫妇情绪失调的风险。对应对策略的进一步分析有助于为不孕不育患者确定新的咨询方法。
