Department of Advanced Nursing Practice and Education, East Carolina University College of Nursing, Greenville, NC, USA.
Department of Nursing Science, East Carolina University College of Nursing, Greenville, NC, USA.
J Psychosom Obstet Gynaecol. 2022 Jun;43(2):171-176. doi: 10.1080/0167482X.2021.2008901. Epub 2021 Dec 15.
To compare differences in infertility-related stress and quality of life (QOL) among women with infertility and concurrent reproductive trauma, defined as pregnancy loss during the infertility experience.
We used a descriptive, cross-sectional study design to recruit 205 women who underwent infertility treatments from infertility-related Facebook support groups and pages. Participants completed the Copenhagen Multi-center Psychosocial Infertility Fertility Problem Stress Scale, the Fertility Quality of Life tool, and a supplemental infertility demographic form. Statistical analyses included descriptive statistics, Pearson correlations, multivariate analysis of variance (MANOVA), univariate ANOVA, and eta squared. Statistical significance was evaluated using a Bonferroni adjusted alpha = .05/7 = .007.
Participants with concurrent reproductive trauma had significantly higher social stress ( < .001), and significantly lower emotional QOL ( = .003) than women with infertility alone. Although not statistically significant, participants with concurrent reproductive trauma reported higher personal and marital stress scores and lower mind/body, relational, and social QOL scores than women with infertility alone.
Women with concurrent reproductive trauma may need psychological support to combat the emotional distress of pregnancy loss during infertility treatment.
比较不孕相关压力和生活质量（QOL）在不孕和同时存在生殖创伤的女性中的差异，生殖创伤定义为不孕经历中发生的妊娠丢失。
我们采用描述性、横断面研究设计，从不孕相关的 Facebook 支持小组和页面中招募了 205 名接受不孕治疗的女性。参与者完成了哥本哈根多中心心理社会不孕生育问题压力量表、生育质量生活工具和补充不孕人口统计学表格。统计分析包括描述性统计、皮尔逊相关分析、多元方差分析（MANOVA）、单变量方差分析和 eta 平方。使用 Bonferroni 调整的 alpha =.05/7 =.007 评估统计学意义。
同时存在生殖创伤的参与者的社会压力明显更高（ <.001），情感 QOL 明显更低（ =.003），而仅患有不孕的女性则没有。尽管没有统计学意义，但同时存在生殖创伤的参与者报告的个人和婚姻压力评分更高，而思维/身体、关系和社会 QOL 评分更低，而仅患有不孕的女性则没有。
同时存在生殖创伤的女性可能需要心理支持来应对不孕治疗期间妊娠丢失带来的情绪困扰。
