Shatford L A, Hearn M T, Yuzpe A A, Brown S E, Casper R F
Department of Psychology, University Hospital, London, Ontario, Canada.
Am J Obstet Gynecol. 1988 May;158(5):1099-107. doi: 10.1016/0002-9378(88)90229-3.
We describe a study designed to assess the role of infertility diagnosis in differentiating participants in an in vitro fertilization program on psychological variables. Three hundred forty-eight in vitro fertilization candidates representative of five diagnostic categories (tubal problems, endometriosis, male factor, multiple factors, and idiopathic) underwent psychological assessment before entering the in vitro fertilization program. Measures of personality functioning, depression, anxiety, social support, coping ability, and marital adjustment were obtained. Analyses revealed significant differences among diagnostic groups on several psychological measures. As well, candidates were categorized as having either organic or functional (idiopathic) infertility, and analyses revealed several differences between these two groups. Results suggest ways of providing individualized psychological support in vitro fertilization participants.
我们描述了一项旨在评估不孕症诊断在体外受精项目中对参与者心理变量差异所起作用的研究。348名代表五种诊断类别（输卵管问题、子宫内膜异位症、男性因素、多种因素和特发性）的体外受精候选者在进入体外受精项目之前接受了心理评估。获取了人格功能、抑郁、焦虑、社会支持、应对能力和婚姻调适方面的测量数据。分析显示，在几项心理测量指标上，诊断组之间存在显著差异。此外，候选者被分为患有器质性或功能性（特发性）不孕症两类，分析显示这两组之间存在若干差异。结果为体外受精参与者提供个性化心理支持提供了方法。
