Nouman Hani, Benyamini Yael
School of Social Work, University of Haifa, Haifa, Israel.
Bob Shapell School of Social Work, Tel Aviv University, Tel Aviv, Israel.
Int J Behav Med. 2019 Apr;26(2):154-164. doi: 10.1007/s12529-018-9757-5.
Infertility is a source of stress, particularly in pronatalist societies in which a lifestyle without children is viewed as an unacceptable option. The present study examined the relationship between the use of culturally adapted religious coping strategies and emotional adjustment among women coping with fertility problems.
This is a cross-sectional correlational study. One hundred and eighty-six religious Israeli women undergoing fertility treatment filled out questionnaires assessing their use of culturally adapted religious coping strategies and emotional adjustment (distress/well-being).
A path analysis showed that the culturally adapted religious coping strategies of seeking the support of Rabbis and seeking the support of God had a strong correlation with reduced psychological distress, but not with enhanced psychological well-being. Seeking approval and recognition from the community was correlated with reduced distress and enhanced well-being. However, seeking ties and belonging to the community was correlated with increased psychological distress and reduced psychological well-being. Finally, women without children experienced greater psychological distress than women with children and sought more support of Rabbis and fewer ties with the community.
In a pronatalist culture that sanctifies childbirth, infertility is a source of significant distress. Professionals' awareness of the culturally adapted religious coping strategies utilized by their clients may help them conduct culturally sensitive intervention, which may greatly help to enhance emotional adjustment. Future research is recommended to develop instruments that measure culturally adapted strategies and their influence on emotional adjustment over time, in different states of health while comparing different cultures.
不孕症是压力的一个来源，尤其在推崇生育的社会中，没有孩子的生活方式被视为不可接受的选择。本研究探讨了采用文化适应的宗教应对策略与应对生育问题的女性情绪调节之间的关系。
这是一项横断面相关性研究。186名接受生育治疗的以色列宗教女性填写了问卷，评估她们对文化适应的宗教应对策略的使用情况以及情绪调节（痛苦/幸福感）。
路径分析表明，寻求拉比的支持和寻求上帝的支持这两种文化适应的宗教应对策略与心理痛苦减轻密切相关，但与心理幸福感增强无关。寻求社区的认可和认同与痛苦减轻及幸福感增强相关。然而，寻求与社区的联系和归属感与心理痛苦增加及心理幸福感降低相关。最后，没有孩子的女性比有孩子的女性经历了更大的心理痛苦，并且寻求拉比的支持更多，与社区的联系更少。
在将生育神圣化的推崇生育的文化中，不孕症是重大痛苦的一个来源。专业人员了解其客户采用的文化适应的宗教应对策略，可能有助于他们进行具有文化敏感性的干预，这可能极大地有助于增强情绪调节。建议未来的研究开发工具，以测量文化适应的策略及其在不同健康状态下、随着时间推移对情绪调节的影响，同时比较不同文化。
