Xiang Yanhui, Chi Xinli, Wu Hao, Zeng Tianyu, Chao Xiaomei, Zhang Peichao, Mo Lei
Center for the Study of Applied Psychology, South China Normal University, Guangzhou, Guangdong, China; School of Psychology, South China Normal University, Guangzhou, Guangdong, China; Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, Guangdong, China.
College of Psychology and Sociology, Shenzhen University, Shenzhen, Guangdong, China.
Arch Psychiatr Nurs. 2017 Apr;31(2):211-216. doi: 10.1016/j.apnu.2016.10.001. Epub 2016 Oct 18.
The present study assessed negative emotions associated with the traumas of infertility and child rearing (child's disability or death) and the correlates of duration of trauma. The widely used Chinese Mental Health Scale was used to assess negative emotions in 294 individuals who experienced the aforementioned traumas and 124 who did not (control group). Results showed that individuals with infertility exhibited greater anxiety, depression, and solitude than the control group; bereaved parents and had greater solitude and fear than control group; and parents of children with disabilities had greater solitude than the control group. Parents who experienced the death of a child had more fear and physiological maladjustment than parents of a child with disabilities. In addition, individuals without parenting experience had higher scores on solitude, fear, and physiological disease than those with parenting experience. After controlling for demographic variables, the duration of trauma significantly negatively predicted depression in the infertile group and for bereaved parents. The results suggest that in order to prevent psychological and physiological health problems among infertile couples, parents of a disabled child, and parents who experience the death of child, family and community-based strategies should be developed and implemented.
本研究评估了与不孕不育及育儿创伤(孩子残疾或死亡)相关的负面情绪以及创伤持续时间的相关因素。采用广泛使用的中国心理健康量表,对294名经历上述创伤的个体和124名未经历创伤的个体(对照组)的负面情绪进行评估。结果显示,不孕不育个体比对照组表现出更高的焦虑、抑郁和孤独感;失去孩子的父母比对照组有更高的孤独感和恐惧感;残疾孩子的父母比对照组有更高的孤独感。经历孩子死亡的父母比残疾孩子的父母有更多的恐惧和生理失调。此外,没有育儿经验的个体在孤独感、恐惧和生理疾病方面的得分高于有育儿经验的个体。在控制人口统计学变量后,创伤持续时间对不孕不育组和失去孩子的父母的抑郁有显著的负向预测作用。结果表明,为了预防不孕不育夫妇、残疾孩子的父母以及经历孩子死亡的父母出现心理和生理健康问题,应制定并实施基于家庭和社区的策略。