Hassan Sehar-Un-Nisa, Zahra Aqeela, Parveen Nuzhat, Iqbal Naveed, Mumtaz Sarwat, Batool Asma
Department of Public Health, College of Public Health and Health Informatics, University of Ha'il, Ha'il, 81451, Kingdom of Saudi Arabia.
Department of Behavioral Sciences, School of Social Sciences and Humanities, National University of Sciences and Technology (NUST), Islamabad, Pakistan.
Psychol Res Behav Manag. 2022 May 9;15:1131-1146. doi: 10.2147/PRBM.S357301. eCollection 2022.
Treatment tolerability and treatment environment are two major spheres of infertility care that may associate with women's emotional health and coping mechanisms.
The present study aimed at assessing the relationship between infertility treatment quality and various aspects of emotion-focus coping, problem-focus coping, and avoidance coping mechanisms.
The study was completed by using standardized tools and data from this descriptive, cross-sectional, correlational study were collected from 350 women undergoing infertility treatments in private reproductive healthcare centers in Quetta, Pakistan.
Treatment tolerability was found to be positively associated with positive reframing (p < 0.02) and negatively associated with the use of emotional support (p < 0.03); acceptance (p < 0.01); humor (p < 0.03); behavioral disengagement (p < 0.01) and venting (p < 0.01). The quality of the treatment environment demonstrated a negative correlation between religious coping (p < 0.02) and behavioral disengagement (p < 0.01), whereas it showed a positive correlation with active coping (p < 0.03) and planning (p < 0.02). The linear regression analysis demonstrated that treatment tolerability significantly increased with positive reframing (R2 = 0.118, F(304) = 2.22, p < 0.03). Behavioral disengagement significantly decreased with better treatment environment (R2 = 0.111, F(304) = 2.09, p < 0.02).
We discussed the findings keeping in view the role of social, cultural, and economic factors related to infertility care in the context South-Asian culture, and recommendations are made to promote women's mental health and coping by improving some specific aspects of infertility treatment quality.
High treatment tolerability may associate with some useful aspects of emotion-focus coping, such as positive reframing, whereas low treatment tolerability may associate with avoidance coping, such as behavioral disengagement and venting. Besides, the quality of the infertility treatment environment enables women to use problem-focus coping mechanisms, such as planning and active coping.
治疗耐受性和治疗环境是不孕症护理的两个主要方面，可能与女性的情绪健康和应对机制相关。
本研究旨在评估不孕症治疗质量与情绪聚焦应对、问题聚焦应对及回避应对机制各方面之间的关系。
本研究采用标准化工具完成，该描述性横断面相关性研究的数据收集自巴基斯坦奎达私立生殖保健中心接受不孕症治疗的350名女性。
发现治疗耐受性与积极重新评价呈正相关（p < 0.02），与使用情感支持呈负相关（p < 0.03）；接受（p < 0.01）；幽默（p < 0.03）；行为脱离（p < 0.01）和发泄（p < 0.01）。治疗环境质量在宗教应对（p < 0.02）和行为脱离（p < 0.01）之间呈现负相关，而与积极应对（p < 0.03）和计划（p < 0.02）呈现正相关。线性回归分析表明，积极重新评价使治疗耐受性显著增加（R2 = 0.118，F(304) = 2.22，p < 0.03）。更好的治疗环境使行为脱离显著减少（R2 = 0.111，F(304) = 2.09，p < 0.02）。
我们结合南亚文化背景下与不孕症护理相关的社会、文化和经济因素的作用来讨论研究结果，并提出通过改善不孕症治疗质量的某些特定方面来促进女性心理健康和应对能力的建议。
高治疗耐受性可能与情绪聚焦应对的一些有益方面相关，如积极重新评价，而低治疗耐受性可能与回避应对相关，如行为脱离和发泄。此外，不孕症治疗环境质量使女性能够使用问题聚焦应对机制，如计划和积极应对。
