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越南不孕患者的应对方式:与不孕相关的压力类型真的重要吗?

Coping styles among Vietnamese people with infertility diagnosis: does type of infertility-related stress really matter?

机构信息

Vietnam National University, Faculty of Psychology, University of Social Sciences and Humanities, Hanoi, Vietnam.

Vietnam National University, Faculty of Sociology, University of Social Sciences and Humanities, Hanoi, Vietnam.

出版信息

J Reprod Infant Psychol. 2024 Mar;42(2):353-364. doi: 10.1080/02646838.2022.2101046. Epub 2022 Jul 19.

DOI:10.1080/02646838.2022.2101046
Abstract

OBJECTIVES

The present study aims to investigate whether each coping style used by Vietnamese people living with infertility diagnosis is associated with specific types of infertility-related stress (IRS).

METHODS

In this cross-sectional design study, 997 patients with primary infertility diagnosis from three hospitals and two clinics in three regions of Vietnam completed questionnaire that consisted of Fertility Problem Inventory, the Copenhagen Multi-Centre Psychosocial Infertility and other questions. Four different linear regression analyses were performed on four coping styles. The five types of IRS and covariates were included in these models.

FINDINGS

The results show that participants who experience all five types of IRS reported the dominant use of active-avoidance coping, while having four types of IRS, except for social concern, was associated with higher use of meaning-based coping. Utilising active-confronting coping was reported to be the outcome of experiencing increasing need for parenthood and decreasing rejection of child-free lifestyle. Choice of passive-avoidance coping was more common among those with increasing social concern and need for parenthood. Age and educational level impacted infertile people's choice of avoidance coping strategies.

CONCLUSIONS

The results provide evidence to understand the direct impact of each type of IRS on infertile people's choice of coping styles to better support them during their individual and family therapy.

摘要

目的

本研究旨在调查越南不孕患者使用的每种应对方式是否与特定类型的不孕相关应激(IRS)有关。

方法

在这项横断面设计研究中,来自越南三个地区的三家医院和两家诊所的 997 名原发性不孕患者完成了一份问卷,其中包括生育问题清单、哥本哈根多中心心理社会不孕不育问卷和其他问题。对四种应对方式进行了四种不同的线性回归分析。这些模型中包含了五种 IRS 类型和协变量。

结果

结果表明,报告经历所有五种 IRS 的参与者更倾向于使用积极回避应对方式,而经历四种 IRS(除了社会关注)与更高的基于意义的应对方式使用有关。体验到越来越强烈的生育需求和对无子女生活方式的接受度提高,会导致更倾向于使用积极应对方式。选择被动回避应对方式在社会关注和生育需求增加的人群中更为常见。年龄和教育水平影响着不孕患者对回避应对策略的选择。

结论

这些结果为理解每种 IRS 类型对不孕患者应对方式选择的直接影响提供了证据,以便在他们进行个体和家庭治疗时更好地支持他们。

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