Zhejiang University School of Medicine, Hangzhou, Zhejiang, People's Republic of China.
Department of Center for Reproductive Medicine, Huzhou Maternity & Child Health Care Hospital, Huzhou, Zhejiang, People's Republic of China.
PLoS One. 2020 Apr 3;15(4):e0231033. doi: 10.1371/journal.pone.0231033. eCollection 2020.
This study investigated the medical coping styles of female patients treated with in vitro fertilization and embryonic transfer (IVF-ET), and analyzed the effects of alexithymia and social support on their choice of coping style.
A survey was conducted with 285 female patients undergoing IVF-ET in a reproductive medical center of a third-grade class-A hospital in China using the Medical Coping Modes Questionnaire, the Social Support Rating Scale, and the Toronto Alexithymia scale.
Patients who underwent IVF-ET treatment had a higher score for avoidance as a coping mode than did normal controls. Utilization of social support predicted the use of confrontation as a coping style. Difficulty identifying feelings, objective support, and utilization of social support were factors in the choice of avoidance as a coping style, and length of infertility treatment, difficulty identifying feelings, and subjective support predicted patients' use of the acceptance-resignation as a coping style.
Patients who undergo IVF-ET generally select the coping style of avoidance, which is not conducive to treatment. Targeted intervention strategies should be developed based on the factors influencing patients' choice of coping style(s) to guide them in choosing positive coping methods, improve compliance, and achieve successful pregnancy outcomes.
本研究调查了体外受精-胚胎移植（IVF-ET）治疗女性患者的医学应对方式，并分析了述情障碍和社会支持对其应对方式选择的影响。
采用医学应对方式问卷、社会支持评定量表和多伦多述情障碍量表，对在中国某三级甲等医院生殖医学中心接受 IVF-ET 治疗的 285 名女性患者进行调查。
与正常对照组相比，接受 IVF-ET 治疗的患者回避应对方式得分较高。社会支持的利用度预测了面对应对方式的使用。难以识别情绪、客观支持和社会支持的利用度是回避应对方式选择的因素，不孕治疗的时间长短、难以识别情绪和主观支持预测了患者接受-放弃应对方式的使用。
接受 IVF-ET 的患者通常选择回避的应对方式，这不利于治疗。应根据影响患者应对方式选择的因素制定有针对性的干预策略，指导患者选择积极的应对方式，提高依从性，实现成功的妊娠结局。
