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不孕相关压力和抑郁症状-体验回避的作用:一项横断面研究。

Infertility-related stress and depressive symptoms - the role of experiential avoidance: a cross-sectional study.

机构信息

Instituto Superior Miguel Torga, Coimbra, Portugal.

Faculty of Psychology and Educational Sciences, University of Coimbra-CINEICC, Coimbra, Portugal.

出版信息

J Reprod Infant Psychol. 2020 Apr;38(2):139-150. doi: 10.1080/02646838.2019.1612046. Epub 2019 May 2.

Abstract

: The current study aimed to explore the mediating role of experiential avoidance in the relationship between infertility-related stress (impact of infertility in women's life and representations about the importance of parenthood) and depressive symptoms.: Infertility is a stress inducing condition presenting many challenges to individuals facing this diagnosis, particularly to the ones who decide to pursue medical treatment. One of its consequences may be the experience of depressive symptoms which have also been associated with increased infertility-related stress. Moreover, experiential avoidance, conceptualised as an emotion regulation process, has also been connected to psychopathological symptoms, particularly depressive symptoms.: The sample consisted of 124 women presenting an infertility diagnosis who were pursuing medical treatment for fertility problems. Participants were recruited through the national patients' association website and completed the following self-report instruments: a sociodemographic and clinical questionnaire, the Acceptance and Action Questionnaire-II (AAQ-II), the Fertility Problem Inventory (FPI) and the Depression, Anxiety and Stress Scales 21 (DASS-21).: Results showed that representations about the importance of parenthood were associated with depressive symptoms indirectly, throughout the association with the impact of infertility in women's life and use of experiential avoidance.: Experiential avoidance can be considered a relevant emotion regulation process to be targeted in psychological intervention programs for women facing infertility.

摘要

: 本研究旨在探讨经验回避在不孕相关压力(不孕对女性生活的影响和对生育重要性的认知)与抑郁症状之间的中介作用。不孕是一种应激诱导的状况,给面临这一诊断的个体带来了许多挑战,尤其是那些决定接受治疗的个体。其后果之一可能是出现抑郁症状,而抑郁症状也与不孕相关压力的增加有关。此外,经验回避,即一种情绪调节过程,也与精神病理症状有关,尤其是抑郁症状。研究对象为 124 名正在接受不孕治疗的女性,她们被诊断为不孕。参与者通过国家患者协会的网站招募,并完成了以下自我报告工具:社会人口学和临床问卷、接受与行动问卷-第二版(AAQ-II)、生育问题量表(FPI)和抑郁、焦虑和压力量表 21 版(DASS-21)。结果表明,对生育重要性的认知与抑郁症状间接相关,通过与女性生活中不孕的影响和经验回避的使用相关联。经验回避可以被认为是一个相关的情绪调节过程,可以作为针对面临不孕的女性的心理干预计划的目标。

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