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伊朗不孕个体应对/依恋风格与不孕特异性困扰之间的关系:一项横断面研究。

Relationship between coping/attachment styles and infertility-specific distress in Iranian infertile individuals: A cross-sectional study.

作者信息

Elyasi Forouzan, Parkoohi Parisa Islami, Naseri Mahshid, Gelekolaee Keshvar Samadaee, Hamedi Masoume, Peyvandi Sepideh, Azizi Marzieh

机构信息

Department of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Sexual and Reproductive Health Research Center, Addiction Institute, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.

Psychiatry and Behavioral Sciences Research Center, Addiction Research Institute, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

Int J Reprod Biomed. 2021 Apr 22;19(4):347-360. doi: 10.18502/ijrm.v19i4.9061. eCollection 2021 Apr.

Abstract

BACKGROUND

Infertility has been recognized as a stressful clinical condition, significantly affecting couples' emotional functioning.

OBJECTIVE

To investigate the relationship between coping/attachment styles and infertility-specific distress (ISD) in infertile participants.

MATERIALS AND METHODS

Atotal number of 240 infertile participants (120 women and 120 men) who attend the Outpatient Infertility Clinic in Sari, Iran between February and October 2017 were selected using the convenience sampling method. Data were collected using a questionnaire addressing sociodemographic variables. In addition, coping and attachment styles were evaluated via the Coping Strategies Questionnaire and the Revised Adult Attachment Scale by Collins and Read (1990); respectively. Ultimately, the Infertility Distress Scale was used to assess ISD.

RESULTS

The mean ISD score was 42.53 9.63. Secure and insecure attachment styles were observed in 37.9% and 62.1% of the cases, respectively. There was a significant difference among ISD and different groups of attachment styles (p = 0.001) and emotion-focused coping style (p = 0.021). However, no significant relationship was found between problem-focused coping style and ISD (p = 0.985).

CONCLUSION

Considering the relationship between coping/attachment styles and ISD, it was recommended to implement stress prevention and coping education within the framework of coping/attachment theories for infertile individuals.

摘要

背景

不孕症已被认为是一种压力较大的临床病症,会显著影响夫妻的情绪功能。

目的

调查不孕参与者的应对/依恋方式与不孕症特异性困扰(ISD)之间的关系。

材料与方法

采用便利抽样法,选取了2017年2月至10月期间在伊朗萨里市门诊不孕症诊所就诊的240名不孕参与者(120名女性和120名男性)。使用一份涉及社会人口统计学变量的问卷收集数据。此外,分别通过应对策略问卷和柯林斯与里德(1990年)修订的成人依恋量表评估应对方式和依恋方式。最终,使用不孕症困扰量表评估ISD。

结果

ISD的平均得分为42.53±9.63。分别在37.9%和62.1%的病例中观察到安全型和不安全型依恋方式。ISD与不同依恋方式组(p = 0.001)和情绪聚焦应对方式(p = 0.021)之间存在显著差异。然而,问题聚焦应对方式与ISD之间未发现显著关系(p = 0.985)。

结论

考虑到应对/依恋方式与ISD之间的关系,建议在应对/依恋理论框架内为不孕个体实施压力预防和应对教育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f47/8106813/abd8329ad9e3/ijrb-19-347-g001.jpg

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