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有针对性的支持可能会减轻不孕对不孕患者及其伴侣的心理和关系影响。

Tailored support may reduce mental and relational impact of infertility on infertile patients and partners.

机构信息

Cardiff University, School of Psychology, Cardiff CF10 3AT, UK.

Clinica EUGIN, Barcelona 08006, Spain.

出版信息

Reprod Biomed Online. 2022 Jun;44(6):1045-1054. doi: 10.1016/j.rbmo.2022.01.015. Epub 2022 Feb 3.

Abstract

RESEARCH QUESTION

What is the psychological impact of infertility on infertile patients and partners of infertile patients?

DESIGN

This online, international, quantitative survey assessed the impact of infertility on mental health, relationships and daily activities for 1944 respondents. Respondents were male or female infertile patients (n = 1037) or partners to infertile patients (n = 907; not necessarily partners of the patient sample) and were recruited at different stages of the treatment journey.

RESULTS

The most common emotions were 'sadness' at infertility diagnosis and 'anxiety' during treatment. Emotions differed in nature and intensity throughout the journey. Envy of others who achieved pregnancy was frequently reported by women. More than half of respondents (60.4%; n = 1174) perceived the infertility journey to have impacted their mental health, and 44.1% (n = 857) of respondents sought mental health support. More patients reported mental health impacts (70.1%, n = 727) than partners (49.3%, n = 447). One in three respondents indicated that their relationship had suffered due to the infertility diagnosis. Of these respondents, 55.0% (n = 409) strongly agreed that infertility caused an emotional strain. Patients more often than partners reported a detrimental impact on daily activities. Respondents most commonly agreed with statements regarding an 'effect on work-life balance'.

CONCLUSION

Treatment journey stages are defined by their impact profile, which differs between infertile patients and partners of infertile patients. Negative impacts are diverse (mental health, relational, daily activities). There was disparity between the number of respondents reporting mental health issues and the number seeking mental health support. This indicates the need for support services tailored to different treatment stages.

摘要

研究问题

不孕对不孕患者及其配偶的心理影响是什么?

设计

本线上国际定量调查评估了 1944 名受访者的不孕对心理健康、人际关系和日常生活的影响。受访者为男性或女性不孕患者(n=1037)或不孕患者的伴侣(n=907;不一定是患者样本的伴侣),并在治疗过程的不同阶段招募。

结果

最常见的情绪是不孕诊断时的“悲伤”和治疗期间的“焦虑”。情绪在整个治疗过程中性质和强度都有所不同。女性经常报告对怀孕的他人感到羡慕。超过一半的受访者(60.4%;n=1174)认为不孕治疗过程对他们的心理健康产生了影响,而 44.1%(n=857)的受访者寻求心理健康支持。报告心理健康影响的患者多于伴侣(70.1%,n=727;49.3%,n=447)。三分之一的受访者表示,他们的关系因不孕诊断而受到影响。在这些受访者中,55.0%(n=409)强烈同意不孕导致了情绪紧张。患者比伴侣更经常报告对日常生活的不利影响。受访者最常同意有关“对工作与生活平衡的影响”的说法。

结论

治疗过程阶段由其影响特征定义,这在不孕患者及其配偶之间有所不同。负面影响是多样的(心理健康、人际关系、日常生活)。报告心理健康问题的受访者人数与寻求心理健康支持的人数之间存在差距。这表明需要针对不同治疗阶段量身定制支持服务。

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