Klaus-Grawe-Institute for Psychological Therapy Zurich, Zurich, Switzerland.
Psychologie Anderegg, Affoltern am Albis, Switzerland.
Hum Fertil (Camb). 2022 Dec;25(5):924-938. doi: 10.1080/14647273.2021.1948112. Epub 2021 Jul 7.
While there is broad evidence to suggest that individual stress increases, and that high couple relationship quality reduces the risk for psychological distress, our understanding of these associations in couples dealing with infertility remains limited. In this cross-sectional study, we used dyadic data-analysis (Actor-Partner Interdependence Model; APIM) to examine the effects of infertility-related distress (experienced as an individual risk factor) and couple relationship quality (experienced as a couple-based resource), on psychological distress in a sample of 116 infertile couples. 59% of women and 23% of men reported clinical levels of psychological distress, 71% of women and 45% of men reported infertility-related distress, and 3% of participants reported low couple relationship quality. Infertility-related distress predicted psychological distress at the individual level ('actor effects') while men's infertility-related distress predicted women's psychological distress (partner effect'). Women without medically assisted reproduction (MAR) treatment exposure reported significantly higher couple relationship quality than women with MAR exposure, and men without treatment exposure reported significantly lower infertility-related distress than men with exposure. The level of psychological distress depended on whether both or neither of the partners, or only one partner reported infertility-related distress. Couple relationship quality was not associated with distress, which may imply that dyadic dimensions other than overall satisfaction could be relevant in supporting couples facing infertility.
虽然有广泛的证据表明个体压力增加，而夫妻关系质量高可以降低心理困扰的风险，但我们对处理不孕不育的夫妻中这些关联的理解仍然有限。在这项横断面研究中，我们使用了对偶数据分析（Actor-Partner Interdependence Model；APIM），来研究与不孕相关的困扰（作为个体风险因素）和夫妻关系质量（作为夫妻资源）对 116 对不孕夫妇样本中心理困扰的影响。59%的女性和 23%的男性报告存在临床水平的心理困扰，71%的女性和 45%的男性报告存在与不孕相关的困扰，3%的参与者报告夫妻关系质量低。与不孕相关的困扰可以预测个体层面的心理困扰（“个体效应”），而男性的与不孕相关的困扰可以预测女性的心理困扰（“伴侣效应”）。没有接受医学辅助生殖（MAR）治疗的女性报告的夫妻关系质量显著高于接受 MAR 治疗的女性，没有接受治疗的男性报告的与不孕相关的困扰显著低于接受治疗的男性。心理困扰的程度取决于是否双方或只有一方报告了与不孕相关的困扰。夫妻关系质量与困扰无关，这可能意味着在支持面临不孕不育的夫妻时，除了整体满意度之外，其他对偶维度可能是相关的。
