Center for Reproductive Medicine, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong, People's Republic of China.
Center for Reproductive Medicine, Shandong University, Jinan, Shandong, People's Republic of China.
Psychol Health Med. 2021 Dec;26(10):1181-1194. doi: 10.1080/13548506.2020.1808233. Epub 2020 Aug 17.
To determine if perceived stigma is positively associated with psychological distress, and examine if self-esteem has a moderating effect on the relationship between stigma and psychological distress among infertile Chinese couples. 369 infertile couples completed questionnaires including socio-demographic and clinical characteristics, stigma, self-esteem, and psychological distress. Stigma had a significant, positive association with psychological distress (r = 0.461, P < 0.01). Self-esteem moderated the association between stigma and psychological distress differently for men compared to women. Stigma had a positive, moderate association with psychological distress in men with high self-esteem compared to men with low self-esteem (t = 3.232, P < 0.01). However, there was no significant difference in the relationship between stigma and psychological distress between women with high and low self-esteem, tests of the simple slopes showed that non-significant difference of slopes between the two groups (t = -0.017, P = 0.987). The results indicate that self-esteem buffers the net effect of stigma on psychological distress in men but not women. Future research should focus on interventions that use self-esteem as a way to decrease the negative association of stigma with psychological distress, especially among men who are infertile and have low self-esteem.
为了确定感知到的耻辱感是否与心理困扰呈正相关，并探讨自尊是否对不孕夫妇中耻辱感与心理困扰之间的关系具有调节作用。369 对不孕夫妇完成了包括社会人口学和临床特征、耻辱感、自尊和心理困扰在内的问卷。耻辱感与心理困扰呈显著正相关(r=0.461，P<0.01)。自尊对耻辱感和心理困扰之间的关系的调节作用在男性和女性之间存在差异。与自尊低的男性相比，自尊高的男性的耻辱感与心理困扰呈正相关，且关联程度较高(t=3.232，P<0.01)。然而，自尊高和低的女性之间的耻辱感和心理困扰之间没有显著差异，斜率检验表明两组之间的斜率没有显著差异(t=-0.017，P=0.987)。结果表明，自尊缓冲了耻辱感对男性心理困扰的净效应，但对女性没有影响。未来的研究应该关注以自尊为干预手段的研究，以减少耻辱感与心理困扰之间的负面关联，尤其是对自尊心低且不育的男性。
