Department of Critical Care Medicine, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
Department of Nursing, Center for Reproductive Medicine, Shandong University, Jinan, China.
Psychol Health Med. 2022 Apr;27(4):823-837. doi: 10.1080/13548506.2021.1893767. Epub 2021 Apr 19.
The present study aimed to evaluate psychological distress and scrutinized whether family resilience plays a moderating role in the association between infertility-related stress and psychological distress among infertile females preparing for their first IVF-ET. A total of 492 infertile females completed self-reported measures including the Kessler 10 Psychological Distress Scale (K10), the fertility problem inventory (FPI), and the Family Resilience Assessment Scale (FRAS). The results showed 21 (65.2%) participants reported moderate or higher levels of psychological distress. While controlling for economic status, we found psychological distress to be positively linked to infertility-related stress (=0.483, 0.001), and negatively related to family resilience (=-0.145, =0.001). The simple slopes analysis showed that infertility-related stress had a weaker positive association with psychological distress for individuals at 1 SD (= 0.443, < 0.001) above the mean on family resilience compared to those at 1 SD (= 0.537, < 0.001) below the mean. Thus, it suggests that clinical practice should conduct family resilience-oriented interventions to facilitate family resilience among infertile females preparing for their first IVF-ET, with the goal to reduce psychological distress.
本研究旨在评估心理困扰，并探讨家庭弹性是否在与不孕相关的压力和准备首次 IVF-ET 的不孕女性的心理困扰之间的关系中起到调节作用。共有 492 名不孕女性完成了自我报告的测量，包括 Kessler 10 心理困扰量表（K10）、生育问题清单（FPI）和家庭弹性评估量表（FRAS）。结果显示，21 名（65.2%）参与者报告了中度或更高水平的心理困扰。在控制经济状况后，我们发现心理困扰与不孕相关的压力呈正相关（=0.483，p<0.001），与家庭弹性呈负相关（=-0.145，p=0.001）。简单斜率分析表明，与家庭弹性处于平均值以下 1 标准差的个体相比（=0.537，p<0.001），家庭弹性处于平均值以上 1 标准差的个体的不孕相关压力与心理困扰之间的正相关较弱（=0.443，p<0.001）。因此，这表明临床实践应该开展以家庭弹性为导向的干预措施，以增强准备首次 IVF-ET 的不孕女性的家庭弹性，从而降低心理困扰。
