Department of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal.
Reproductive Medicine Unit of Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Fam Process. 2019 Jun;58(2):509-523. doi: 10.1111/famp.12364. Epub 2018 Apr 30.
Infertility is a challenging experience, affecting individual and couples' adjustment. However, the way the members of the couple support each other may affect the experience of infertility and their adjustment. This study aimed to investigate the role of dyadic coping by oneself and by the partner in the association between the impact of infertility and dyadic and emotional adjustment (anxiety and depression) to infertility. In this cross-sectional study, a total of 134 participants (67 couples with infertility) completed self-report questionnaires assessing infertility-related stress, dyadic coping, dyadic adjustment, and depression and anxiety symptoms. A path analysis examined the direct and indirect effects between the impact of infertility in one's life and dyadic and emotional adjustment. There is an indirect effect of the impact of infertility in one's life on dyadic adjustment through men's perceived dyadic coping efforts employed by the self (dyadic coping by oneself) and women's perceived dyadic coping efforts of the partner (dyadic coping by the partner). Regarding the emotional adjustment of infertile couples, infertility stress impact had an indirect effect only on depressive symptoms through men's dyadic coping by oneself. The results highlight the importance of men's dyadic coping strategies for the marital adjustment of couples as well as for men's emotional adjustment. Findings emphasize the importance of involving men in the fertility treatment process, reinforcing the dyadic nature of infertility processes.
不孕不育是一种具有挑战性的经历，会影响个体和夫妻的适应能力。然而，夫妻双方相互支持的方式可能会影响不孕不育的体验和他们的适应能力。本研究旨在探讨夫妻双方的应对方式（自身应对和伴侣应对）在不孕不育影响与夫妻关系和情感调整（焦虑和抑郁）之间的关系中的作用。在这项横断面研究中，共有 134 名参与者（67 对不孕不育夫妇）完成了自我报告问卷，评估了与不孕不育相关的压力、夫妻双方的应对方式、夫妻关系调整以及抑郁和焦虑症状。路径分析检验了生活中不孕不育的影响与夫妻关系和情感调整之间的直接和间接效应。生活中不孕不育的影响对夫妻关系调整的间接效应，是通过男性自身感知的夫妻双方应对方式（自身应对）和女性感知的伴侣的夫妻双方应对方式（伴侣应对）实现的。至于不孕不育夫妇的情感调整，不孕不育压力的影响仅通过男性自身的夫妻双方应对方式对抑郁症状产生间接影响。研究结果强调了男性夫妻双方应对策略对夫妻婚姻调整以及男性情感调整的重要性。研究结果强调了在生育治疗过程中让男性参与的重要性，突出了不孕不育过程的夫妻双方性质。
