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身份构建失败是不孕症的主要挑战:一项定性研究。

Failure in Identity Building as the Main Challenge of Infertility: A Qualitative Study.

作者信息

Alamin Shaghayegh, Allahyari Tallat, Ghorbani Behzad, Sadeghitabar Ali, Karami Mohammad Taghi

机构信息

Department of Social Work, Faculty of Social Sciences, Allameh Tabataba'i University, Tehran, Iran.

Nanobiotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran.

出版信息

J Reprod Infertil. 2020 Jan-Mar;21(1):49-58.

Abstract

BACKGROUND

The approach of considering the psychosocial consequences of infertility has become significant. Psychosocial outcomes of infertility are defined and shaped in the context of the particular social and cultural conditions. Childbearing, and raising a child are considered to be the core of "identity" in many collectivist cultures, and the status provided to individuals with children is accompanied with social acceptance and approval. In such societies, infertile people see their social identity seriously damaged. The purpose of this study was to comprehend the challenge of identity crisis of infertile people in Iran for helping to formulate support programs for policy makers.

METHODS

This qualitative study was conducted in 2016-2018, through semi-structured interviews conducted with 40 infertile clients of Avicenna Fertility Center. Data were analyzed by Strauss and Corbin coding paradigm.

RESULTS

The core of the phenomenon of psychosocial consequences of infertility was failure in identity building, which included the main categories of prevention from continuity and prevention of forming normative identity.

CONCLUSION

Challenge of identity crisis based on the experience of infertile people and the social construction of infertility in their minds affects not only internal, external, personal and structural factors, but it is also a kind of identity search in individuals. Regarding this fact, providing appropriate social services and training the skills needed to rebuild identity of infertile people and their social health will be very effective.

摘要

背景

考虑不孕症的心理社会后果的方法已变得至关重要。不孕症的心理社会结果是在特定的社会和文化背景下定义和形成的。在许多集体主义文化中,生育和抚养孩子被视为“身份认同”的核心,有孩子的个体所获得的地位伴随着社会的接纳和认可。在这样的社会中,不孕不育者认为他们的社会身份受到严重损害。本研究的目的是了解伊朗不孕不育者身份认同危机的挑战,以帮助政策制定者制定支持项目。

方法

这项定性研究于2016 - 2018年进行,通过对40名来自阿维森纳生育中心的不孕不育患者进行半结构化访谈。数据采用施特劳斯和科尔宾编码范式进行分析。

结果

不孕症心理社会后果现象的核心是身份认同构建失败,这包括阻止连续性和阻止形成规范身份这两个主要类别。

结论

基于不孕不育者的经历以及他们脑海中不孕症的社会建构所产生的身份认同危机挑战,不仅影响内部、外部、个人和结构因素,而且也是个体的一种身份探索。鉴于这一事实,提供适当的社会服务以及培训重建不孕不育者身份认同及其社会健康所需的技能将非常有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a25/7048687/59601ae7aebd/JRI-21-49-g001.jpg

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