Department of Psychology, University of Regina, Regina, Saskatchewan, Canada.
Department of Psychology, University of Regina, Regina, Saskatchewan, Canada.
J Psychosom Res. 2021 Jun;145:110465. doi: 10.1016/j.jpsychores.2021.110465. Epub 2021 Mar 26.
Infertility is disproportionately associated with distress in women yet there has been limited research focusing on the relationship between coping strategies and fertility-monitoring techniques on distress in women struggling to conceive naturally.
Fifty-eight distressed women with infertility were recruited via social media. Every second day women's depressive and anxious mood was assessed in the morning and again in the evening along with their psychological coping strategies, the use of fertility monitoring techniques, and Fertility Quality of Life emotion subscale, over the course of one full menstrual cycle.
During menstruation and statistically adjusting for morning depressive mood, active coping (β(SE) = -1.35 (0.36), p < .001) and behavioural engagement (β(SE) = -0.98 (0.35), p = .006) were associated with less depressive mood in the evening. Across all phases, social support seeking was associated with greater anxiety (β(SE) = 0.50 (0.20), p = .013) and lower emotional quality of life (β(SE) = -0.82 (0.32), p = .011). Use of fertility monitoring techniques was associated with heightened anxiety (M(SE) = 6.7 (0.2) vs. 5.9 (0.2), p < .001). The use of avoidance strategies (β(SE) = 3.22 (1.29), p = .016), endorsement of optimism (β(SE) = -4.72 (1.78), p = .011) and social support seeking (β(SE) = 3.09 (1.18), p = .012) throughout the cycle were significantly predictive of depression ratings following a negative pregnancy test, despite statistically adjusting for mean depression ratings throughout the menstrual cycle.
These findings highlight a number of cognitive and behavioural strategies that could be manipulated via psychological interventions to improve distress among women struggling to conceive.
不孕与女性的痛苦不成比例相关，但针对应对策略与生育监测技术对自然受孕困难的女性的生育压力的关系，相关研究却十分有限。
通过社交媒体招募了 58 名患有不孕的焦虑女性。在整个月经周期中，每两天测量一次女性的晨晚间抑郁和焦虑情绪，同时测量她们的心理应对策略、生育监测技术的使用情况以及生育质量的情绪子量表。
在月经期间，在统计上调整晨间抑郁情绪后，积极应对（β（SE）=-1.35（0.36），p<0.001）和行为投入（β（SE）=-0.98（0.35），p=0.006）与晚间的抑郁情绪呈负相关。在所有阶段，寻求社会支持与更高的焦虑（β（SE）=0.50（0.20），p=0.013）和更低的情绪生活质量（β（SE）=-0.82（0.32），p=0.011）相关。生育监测技术的使用与焦虑程度升高有关（M（SE）=6.7（0.2）与 5.9（0.2），p<0.001）。在整个周期中，回避策略的使用（β（SE）=3.22（1.29），p=0.016）、乐观主义的认可（β（SE）=-4.72（1.78），p=0.011）和社会支持寻求（β（SE）=3.09（1.18），p=0.012）均与负面妊娠试验后的抑郁评分显著相关，尽管在统计上调整了整个月经周期中的平均抑郁评分。
这些发现强调了一些认知和行为策略，这些策略可以通过心理干预进行操作，以改善自然受孕困难的女性的痛苦。
