Hegyi Borbála Eszter, Kocsis Krisztián, Király András, Kazinczi Csaba, Ando Bálint, Kovács Ildikó, Kozinszky Zoltán, Németh Gábor, Pásztor Norbert
Department of Obstetrics and Gynecology, University of Szeged, Szeged, HU.
Department of Neurology, University of Szeged, Szeged, HU.
Psychol Belg. 2020 Jun 18;60(1):152-163. doi: 10.5334/pb.539.
Infertility may be associated with severe psychological burden and many couples need mental support. We used dyadic approach to identify couples with disturbed psychological condition and we tested the WHO-5 Well-Being Index (WHO-5-WBI) questionnaire as a possible, rapid screening method. Extensive psychological assessment of infertile couples was carried out with Beck's Depression Inventory, Spielberger State-Trait Anxiety Inventory, WHO-5-WBI, Symptom Check List-90 Revised Test, Fagerstrom Test for Nicotine Dependence, Alcohol Use Disorders Identification Test. Data of 128 patients (64 couples) were used in the statistical calculations. The Two-Step cluster analysis has revealed 2 groups, which could be separated supremely based on the level of experienced depression, anxiety and according to the general mental health. The WHO-5-WBI questionnaire showed consistent results while classifying couples into groups, which were formed. Our results indicate that infertility affects both spouses almost in the same extent in several psychological aspects. A cluster of couples with increased psychological burden could be clearly separated. The WHO-5-WBI questionnaire was a promising tool to screen reliably spouses based on their psychological state and identify couples that need psychological support during their fertility work-up and treatment.
不孕症可能与严重的心理负担相关，许多夫妻需要心理支持。我们采用二元方法来识别心理状况不佳的夫妻，并测试了世界卫生组织-5幸福指数（WHO-5-WBI）问卷作为一种可能的快速筛查方法。使用贝克抑郁量表、斯皮尔伯格状态-特质焦虑量表、WHO-5-WBI、症状自评量表-90修订版测试、尼古丁依赖的法格斯特龙测试、酒精使用障碍识别测试对不孕夫妻进行了广泛的心理评估。128名患者（64对夫妻）的数据用于统计计算。两步聚类分析揭示了2组，这两组可以根据经历的抑郁、焦虑水平以及总体心理健康状况很好地分开。WHO-5-WBI问卷在将夫妻分类为已形成的组时显示出一致的结果。我们的结果表明，不孕症在几个心理方面对夫妻双方的影响程度几乎相同。一组心理负担加重的夫妻可以明显区分出来。WHO-5-WBI问卷是一种很有前景的工具，可根据配偶的心理状态可靠地进行筛查，并识别出在生育检查和治疗期间需要心理支持的夫妻。
