Department of Health Education and Health Promotion, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Department of Psychiatry, Research Center of Addiction and Behavioral Sciences and Diabetes Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
BMC Womens Health. 2021 Dec 7;21(1):401. doi: 10.1186/s12905-021-01551-7.
Thalassemia is the most common genetic disorder in humans that can be controlled and treated by, premarital screening, prenatal diagnosis and abortion. Aortion can be a critical issue for many families based on the cultural and religious backgrounds and have different consequences for couples, such as emotional divorce. Therefore, the present study aimed to investigate the association between fear of abortion and emotional divorce in women with minor thalassemia in Yazd City, Iran.
This retrospective study was conducted on 61 women with minor thalassemia (case group) and 100 healthy women (control group), who referred to health centers in Yazd. The census sampling was applied to select the case group and multistage (cluster andsimple) random sampling was adopted to select the control group. Data were collected using Gutman Emotional Divorce Questionnaire and a researcher made scale for measuring fear of Abortion. Data were analyzed by SPSS using descriptive statistics and chi-square, independent t-test, Pearson correlation, and linear regression.
The mean scores of emotional divorce (6.62 vs. 4.26) and fear of abortion (25.85 vs. 17.4) were higher in the case than control group (P ˂ 0.01). There was a positive and significant correlation between fear of abortion and emotional divorce in the case (P ˂ 0.05, r = 0.275) and control (P ˂ 0.05, r = 0.570) groups. Fear of abortion in the case group predicted 25% of the variance in emotional divorce.
Given the high level of fear of abortion in women with minor thalassemia and its effect on increasing the emotional divorce, designing and implementing psychological interventions with ongoing follow-up are recommended for thalassemia carrier couples.
地中海贫血是人类最常见的遗传性疾病，可以通过婚前筛查、产前诊断和人工流产来控制和治疗。人工流产对许多家庭来说是一个重要的问题，这取决于他们的文化和宗教背景，并且对夫妇有不同的影响，例如情感离婚。因此，本研究旨在探讨伊朗亚兹德市轻度地中海贫血妇女对人工流产的恐惧与情感离婚之间的关系。
这是一项回顾性研究，共纳入 61 名轻度地中海贫血妇女（病例组）和 100 名健康妇女（对照组），均来自亚兹德市的健康中心。采用普查抽样法选择病例组，采用多阶段（聚类和简单）随机抽样法选择对照组。使用 Gutman 情感离婚问卷和研究者自制的人工流产恐惧量表收集数据。采用 SPSS 进行数据分析，包括描述性统计、卡方检验、独立 t 检验、皮尔逊相关分析和线性回归分析。
病例组的情感离婚（6.62 分比 4.26 分）和人工流产恐惧（25.85 分比 17.4 分）得分均高于对照组（P ˂ 0.01）。病例组和对照组之间的人工流产恐惧与情感离婚之间存在正相关关系（P ˂ 0.05，r = 0.275 和 P ˂ 0.05，r = 0.570）。病例组中人工流产恐惧可以预测情感离婚的 25%。
鉴于轻度地中海贫血妇女对人工流产的恐惧程度较高，以及其对情感离婚的影响，建议为地中海贫血携带者夫妇设计并实施心理干预措施，并进行持续随访。
