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不孕相关压力对中国不孕女性心理健康的影响:婚姻调适的调节作用。

The effect of infertility-related stress on Chinese infertile females' mental health: The moderating role of marital adjustment.

作者信息

Li Xiaoshan, Wang Kaikai, Huo Yafen, Zhou Mingjie

机构信息

School of Psychology, Jiangxi Normal University, Nanchang, China.

Center of Mental Health Education and Research, School of Psychology, Jiangxi Normal University, Nanchang, China.

出版信息

Psych J. 2019 Jun;8(2):232-239. doi: 10.1002/pchj.255. Epub 2018 Nov 22.

Abstract

Although the impacts of infertility-related stress on mental health have been testified in the literature, the underlying mechanism between them is still not clear. In response to this issue, 286 Chinese women who were pursuing medical treatment for fertility problems in two state-owned hospitals were invited to complete the survey, including the 7-item Dyadic Adjustment Scale (DAS), the Fertility Problem Inventory (FPI), the 5-item Mental Health Inventory (MHI-5), and demographic variables (e.g., age). The multiple linear regression method (SPSS 16) was used to investigate the impact of infertility-related stress and marital satisfaction on infertile women's mental health. Results showed that the total FPI score-and the specific domains of Social Concern, Relationship Concern, and Rejection of Child-Free Lifestyle in particular-had a significant negative relation with infertile women's mental health and marital satisfaction as a moderator between them. Therefore, the core of marital relationship and specific infertility-related stress should be addressed in psychological intervention programs for people facing infertility in mainland China.

摘要

尽管文献中已证实与不孕相关的压力对心理健康的影响,但二者之间的潜在机制仍不清楚。针对这一问题,我们邀请了286名在两家国有医院寻求生育问题治疗的中国女性完成调查,包括7项二元调适量表(DAS)、生育问题量表(FPI)、5项心理健康量表(MHI-5)以及人口统计学变量(如年龄)。采用多元线性回归方法(SPSS 16)研究与不孕相关的压力和婚姻满意度对不孕女性心理健康的影响。结果表明,FPI总分,尤其是社会关注、关系关注和拒绝无子女生活方式等特定领域,与不孕女性的心理健康呈显著负相关,婚姻满意度在二者之间起调节作用。因此,在中国大陆针对面临不孕问题的人群开展心理干预项目时,应关注婚姻关系的核心以及与不孕相关的特定压力。

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