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认知行为疗法咨询对不孕女性压力的有效性

The Effectiveness of Counseling with a Cognitive-Behavioral Approach on Infertile Women's Stress.

作者信息

Zahra Ordoni Avval, Soheila Rabiepoor, Tahereh Behroozilak, Marzieh Arefi, Atefeh Yas

机构信息

Midwifery Counseling, Golestan Health Center, Golestan University of Medical Sciences, Gorgan, Iran.

Reproductive Health Research Center & Midwifery Department, Urmia University of Medical Sciences, Urmia, Iran.

出版信息

Maedica (Bucur). 2019 Dec;14(4):363-370. doi: 10.26574/maedica.2019.14.4.363.

DOI:10.26574/maedica.2019.14.4.363
PMID:32153667
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7035448/
Abstract

Infertility is defined as failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse. It is a major crisis, triggering psychological stress for most people, and can cause many negative psychological reactions. This study aimed to explore the effects of group counseling sessions by a cognitive approach on infertile women's stress. In this study, 50 infertile women who were referred to an infertility center were selected using convenient sampling. The selected participants were randomly assigned to two groups: experimental and control. First, the Newton Infertility Stress questionnaire was filled as a pre-test by both groups. The control group had no counseling, while the experimental group received 10 sessions of group counseling in the field of stress management and controlling irrational thoughts about infertility during a two-week period. After this time, both groups completed the same questionnaire again and the obtained data were analyzed. In this study, a significant difference in the mean score of all five aspects of the infertility specific total stress questionnaire and that of total stress after counseling (P = 0.002) was found between the experimental and control groups. The study showed the effects of group counseling by a participatory approach on infertility specific stress.

摘要

不孕症的定义是在规律无保护性交12个月或更长时间后仍未实现临床妊娠。这是一个重大危机,会给大多数人带来心理压力,并可能引发许多负面心理反应。本研究旨在探讨认知取向的团体辅导对不孕女性压力的影响。在本研究中,采用便利抽样法从转介至不孕症中心的50名不孕女性中进行选取。将所选参与者随机分为两组:实验组和对照组。首先,两组均填写牛顿不孕症压力问卷作为前测。对照组不接受辅导,而实验组在两周内接受10次关于压力管理和控制对不孕症的非理性想法方面的团体辅导。之后,两组再次填写相同问卷,并对所得数据进行分析。在本研究中,发现实验组和对照组在不孕症特定总压力问卷所有五个方面的平均得分以及辅导后总压力的平均得分上存在显著差异(P = 0.002)。该研究表明参与式团体辅导对不孕症特定压力有影响。

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本文引用的文献

1
[Stress of men and women seeking treatment for infertility].[寻求不孕治疗的男性和女性的压力]
Rev Bras Ginecol Obstet. 2013 Jun;35(6):255-61. doi: 10.1590/s0100-72032013000600004.
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Web-based treatment for infertility-related psychological distress.基于网络的不孕相关心理困扰的治疗。
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Online psychoeducational support for infertile women: a randomized controlled trial.为不孕女性提供的在线心理教育支持:一项随机对照试验。
Hum Reprod. 2008 Mar;23(3):554-66. doi: 10.1093/humrep/dem306. Epub 2007 Dec 18.
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Infertility among couples in a population-based study in Iran: prevalence and associated risk factors.伊朗一项基于人群的研究中夫妻的不孕症:患病率及相关危险因素
Int J Androl. 2008 Jun;31(3):303-14. doi: 10.1111/j.1365-2605.2007.00764.x. Epub 2007 May 7.
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Anxiety and sexual stress in men and women undergoing infertility treatment.接受不孕治疗的男性和女性的焦虑及性压力。
Fertil Steril. 2007 Oct;88(4):911-4. doi: 10.1016/j.fertnstert.2006.12.023. Epub 2007 Apr 11.
6
International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care.国际上对不孕症患病率和寻求治疗情况的估计:不孕症医疗护理的潜在需求
Hum Reprod. 2007 Jun;22(6):1506-12. doi: 10.1093/humrep/dem046. Epub 2007 Mar 21.
7
Infertility treatment and marital relationships: a 1-year prospective study among successfully treated ART couples and their controls.不孕治疗与婚姻关系:一项针对成功接受辅助生殖技术治疗的夫妇及其对照的为期一年的前瞻性研究。
Hum Reprod. 2007 May;22(5):1481-91. doi: 10.1093/humrep/dem013. Epub 2007 Feb 16.
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Variability in the difficulties experienced by women undergoing infertility treatments.接受不孕治疗的女性所经历困难的差异性。
Fertil Steril. 2005 Feb;83(2):275-83. doi: 10.1016/j.fertnstert.2004.10.014.
9
Coping with infertility: a body-mind group intervention programme for infertile couples.应对不孕症:一项针对不孕夫妇的身心团体干预计划。
Hum Reprod. 2004 Aug;19(8):1917-23. doi: 10.1093/humrep/deh323. Epub 2004 May 20.
10
Effects of using a nursing crisis intervention program on psychosocial responses and coping strategies of infertile women during in vitro fertilization.使用护理危机干预计划对体外受精期间不孕女性心理社会反应及应对策略的影响
J Nurs Res. 2003 Sep;11(3):197-208. doi: 10.1097/01.jnr.0000347636.95347.f8.