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一年后 IVF 成功的心理社会预测因素:一项随访研究。

Psychosocial predictors of IVF success after one year: a follow-up study.

机构信息

a Psychology Research Institute , Ulster University , Coleraine , Northern Ireland.

出版信息

J Reprod Infant Psychol. 2019 Jul;37(3):311-321. doi: 10.1080/02646838.2018.1560398. Epub 2018 Dec 25.

Abstract

: There is growing evidence that psychosocial factors play an important role in the success of in-vitro fertilisation (IVF). The current study explored the impact of coping style, social support, self-compassion, parenthood motivation and relationship attachment as predictors of IVF success. : A follow-up survey of 305 women undergoing IVF who had initially been assessed one year earlier. : Participants were assessed on measures of coping style, social support, self-compassion, parenthood motivation, relationship attachment and psychological distress and reassessed one year later in terms of the outcome of IVF. : Of these, 156 reported successful births while 149 had been unsuccessful. Of the 149 who had been unsuccessful, 66 were undertaking another cycle of IVF and 83 were not, although whether they had completely given up is not known. The significant positive predictors were problem-focused coping, mindfulness, nurturance motivation, secure attachment, support from friends and self-kindness. In addition, social pressure motivation, and avoidance coping were negative predictors. : The findings point to potential psychological interventions in terms of stress management, couple counselling and mindfulness therapy in increasing the likelihood of success from IVF.

摘要

越来越多的证据表明,社会心理因素在体外受精(IVF)的成功中起着重要作用。本研究探讨了应对方式、社会支持、自我同情、育儿动机和关系依恋作为 IVF 成功预测因素的影响。

对 305 名接受 IVF 的女性进行了随访调查,这些女性最初在一年前接受了评估。

参与者接受了应对方式、社会支持、自我同情、育儿动机、关系依恋和心理困扰的评估,并在一年后根据 IVF 的结果进行了重新评估。

其中,156 人报告成功生育,而 149 人未成功。在 149 名未成功的人中,66 人正在进行另一个 IVF 周期,83 人没有,但不知道他们是否完全放弃。有意义的积极预测因素是问题焦点应对、正念、养育动机、安全依恋、来自朋友的支持和自我友善。此外,社会压力动机和回避应对是负面预测因素。

研究结果表明,在压力管理、夫妻咨询和正念疗法方面,可能存在潜在的心理干预措施,可以提高 IVF 的成功率。

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