Department of Psychology.
Department of Reproductive Health and Population Genetics.
J Fam Psychol. 2019 Apr;33(3):315-326. doi: 10.1037/fam0000502. Epub 2019 Feb 7.
This study adopted a dyadic approach to explore the associations between social support and stress as mediated by coping among infertile couples. All these variables were infertility-specific. A total of 201 couples starting their first assisted reproductive technology (ART) treatment completed self-reports of infertility-specific support from spouse and from social network, infertility-related coping with four strategies (active-avoidance, active-confronting, passive-avoidance, and meaning-based), and infertility stress. The actor-partner interdependence model was applied. Results indicated that dyadic associations between support and stress were either direct or mediated by individual or partner coping, with differences based on gender, source of support, and coping strategy. For both genders, greater support from spouse was associated with lower individual and partner stress directly and indirectly, through lower partner's use of active-avoidance coping. In men, the relationship between support from spouse and stress was also mediated by individual/partner avoidance coping strategies. As for support from social network, greater levels were directly associated with a lower partner stress in women and with higher individual stress in men. For both genders, the relationship between support from social network and stress was also mediated by active-confronting coping, which was associated with higher individual and partner stress. The findings suggest a potential protective role of support from spouse and an adverse effect of that from people outside the dyad. Interventions for couples starting ART treatment should focus on promoting infertility-related communication and support within the couple, which might help to reduce the use of infertility-specific maladaptive coping strategies. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
本研究采用对偶方法，探讨了在不孕夫妇中，应对方式在社会支持与压力之间的中介作用。所有这些变量都是针对不孕的。共有 201 对夫妇开始进行第一次辅助生殖技术（ART）治疗，他们完成了配偶和社会网络的特定于不孕的支持、四种策略（积极回避、积极应对、消极回避和基于意义的应对）的与不孕相关的应对方式以及不孕压力的自我报告。应用了演员-伙伴相互依存模型。结果表明，支持与压力之间的对偶关联要么是直接的，要么是通过个体或伴侣应对间接介导的，其差异基于性别、支持来源和应对策略。对于两种性别，配偶的支持越多，个体和伴侣的压力就越低，这是直接的，也是通过伴侣使用积极回避应对方式间接介导的。在男性中，配偶支持与压力之间的关系也通过个体/伴侣回避应对策略来介导。至于来自社会网络的支持，在女性中，更高的支持水平与伴侣的压力降低直接相关，而在男性中，与个体的压力升高直接相关。对于两种性别，来自社会网络的支持与压力之间的关系也通过积极应对的应对方式来介导，这与个体和伴侣的压力升高有关。研究结果表明，配偶的支持可能具有保护作用，而来自夫妻关系之外的人的支持可能具有不良影响。开始接受 ART 治疗的夫妇的干预措施应侧重于促进夫妻之间与不孕相关的沟通和支持，这可能有助于减少使用特定于不孕的适应不良的应对策略。（APA，2019 版权所有）。
