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与不孕相关的心理问题。

Psychological Problems Related to Infertility.

作者信息

Sharma Aanchal, Shrivastava Deepti

机构信息

Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

出版信息

Cureus. 2022 Oct 15;14(10):e30320. doi: 10.7759/cureus.30320. eCollection 2022 Oct.

DOI:10.7759/cureus.30320
PMID:36407201
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9661871/
Abstract

Infertility is a problem of great significance among millions of couples. In our society, to have a child means living a fulfilled life. Thus, couples who cannot do so feel barren and incomplete. Therefore, infertility is more than just a medical problem. It affects all aspects of life, the most important being mental health. For many years, a person's mental health has been overlooked, but in the past few years, it has gained importance that mental health is as significant as physical health, which has also been stated in the WHO definition of health. This article discusses the mental toll that infertility takes on a person's life. A person may experience a myriad of psychological problems, of which stress for extended periods is one. Furthermore, it may cause feelings of guilt, emptiness, anxiety, and depression. The article mainly focuses on the need for counseling for couples dealing with infertility and under treatment because of the long waiting periods accompanying it. Although both men and women can contribute to infertility in India, women are exclusively held responsible, leading to more significant stress while undergoing treatment. The paper also provides an overview of infertility, the factors responsible, and the treatments currently available. Various studies have shown that delivering psychological support through psychiatric clinical specialists may accentuate the results of IVF (In-vitro fertilization) and ART (Assisted Reproductive Technology). This review sheds light on the effects of infertility on quality of life and how it can be prevented or reduced through psychotherapy.

摘要

不孕不育是数百万夫妇面临的一个重大问题。在我们的社会中,拥有一个孩子意味着过上充实的生活。因此,无法生育的夫妇会感到贫瘠和不完整。所以,不孕不育不仅仅是一个医学问题。它影响生活的方方面面,其中最重要的是心理健康。多年来,一个人的心理健康一直被忽视,但在过去几年里,心理健康与身体健康同样重要这一点已受到重视,世界卫生组织对健康的定义中也提到了这一点。本文探讨了不孕不育给一个人的生活带来的精神负担。一个人可能会经历无数的心理问题,长期压力就是其中之一。此外,它还可能导致内疚、空虚、焦虑和抑郁情绪。本文主要关注为正在接受不孕不育治疗的夫妇提供咨询的必要性,因为治疗过程伴随着漫长的等待期。在印度,虽然男性和女性都可能导致不孕不育,但女性却被单独归咎于此,这导致她们在接受治疗时承受更大的压力。本文还概述了不孕不育、其成因以及目前可用的治疗方法。各种研究表明,通过精神科临床专家提供心理支持可能会提高体外受精(IVF)和辅助生殖技术(ART)的治疗效果。这篇综述揭示了不孕不育对生活质量的影响,以及如何通过心理治疗来预防或减轻这种影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d93/9661871/5e370275b873/cureus-0014-00000030320-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d93/9661871/5e370275b873/cureus-0014-00000030320-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d93/9661871/5e370275b873/cureus-0014-00000030320-i01.jpg

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本文引用的文献

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The complex relationship between infertility and psychological distress (Review).不孕症与心理困扰之间的复杂关系(综述)
Exp Ther Med. 2021 Apr;21(4):306. doi: 10.3892/etm.2021.9737. Epub 2021 Feb 1.
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Role of Mental Health Practitioner in Infertility Clinics: A Review on Past, Present and Future Directions.心理健康从业者在不孕不育诊所中的作用:对过去、现在和未来方向的综述
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The relationship between stress and infertility.压力与不孕之间的关系。
BMC Psychol. 2025 Aug 6;13(1):871. doi: 10.1186/s40359-025-03235-5.
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Validation and dyadic invariance of the Infertility Concerns Questionnaire among Brazilian couples.巴西夫妇不育问题问卷的效度及二元不变性
Front Psychol. 2025 Jun 27;16:1504554. doi: 10.3389/fpsyg.2025.1504554. eCollection 2025.
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Using Social Media Data to Assess the Impact of Infertility on French Patients' Quality of Life: Retrospective Observational Study.利用社交媒体数据评估不孕症对法国患者生活质量的影响:回顾性观察研究。
J Med Internet Res. 2025 Jun 13;27:e68094. doi: 10.2196/68094.
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Systematic Review of the Use of the WHO-5 Well-Being Index Across Different Disease Areas.世界卫生组织-5福祉指数在不同疾病领域应用的系统评价。
Adv Ther. 2025 Aug;42(8):3657-3677. doi: 10.1007/s12325-025-03266-9. Epub 2025 Jun 12.
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Gender differences in psychological status of infertile couples: a systematic review and meta-analysis.不孕夫妇心理状态的性别差异:一项系统综述和荟萃分析。
BMC Public Health. 2025 Jun 7;25(1):2131. doi: 10.1186/s12889-025-23314-x.
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Gender Biases in Male Infertility and Its Impact on Women: A Qualitative Exploration.男性不育中的性别偏见及其对女性的影响:一项定性探索
Nurs Res Pract. 2025 May 24;2025:8103777. doi: 10.1155/nrp/8103777. eCollection 2025.
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Am J Mens Health. 2025 May-Jun;19(3):15579883251338483. doi: 10.1177/15579883251338483. Epub 2025 May 24.
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