Zhang Lihong, Gu Wei, Jing Xiaoyu, Zhi Shihan, Zhou Nan, Zhang Lu, Wang Wenru, Jiang Ying
School of Nursing, Health Science Center, Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Gynecologic & Reproductive Ward, Northwest Women's and Children's Hospital, Xi'an, Shaanxi, China.
Front Psychol. 2023 Aug 7;14:1127464. doi: 10.3389/fpsyg.2023.1127464. eCollection 2023.
The population of infertile couples receiving fertilization and embryo transfer in China is increasing gradually. The association of self-esteem and dyadic coping of infertile couples undergoing fertilization and embryo transfer has not been reported. This investigation aimed to examine the predictive effect of self-esteem of infertile couples undergoing fertilization and embryo transfer on coping strategies at the dyadic level.
A cross-sectional study involving 283 infertile couples was conducted at the Reproductive Center of Northwest Women and Children's Hospital in China. Participants were asked to complete two self-administered questionnaires, to assess self-esteem (Rosenberg Self-Esteem Scale) and dyadic coping (Dyadic Coping Inventory). Paired -test and Pearson correlation were used to analyze the difference and correlation of variables between wife and husband. The actor-partner interdependence model was used to test the predictive effect of each individual's self-esteem on their own and their partners' dyadic coping.
Infertile couples' self-esteem and dyadic coping are in the medium range. The self-esteem of wives and husbands can fully predict their own dyadic coping. Meanwhile, the husband's self-esteem can predict the wife's stress communication ( = 0.135, = 0.025), support dyadic coping ( = 0.142, = 0.019), and negative dyadic coping ( = 0.133, = 0.024), and the wife's perceived partners' supportive dyadic coping ( = 0.147, = 0.014) and negative dyadic coping ( = 0.144, = 0.016). Similarly, the wife's self-esteem can predict the husband's supportive dyadic coping ( = 0.195, < 0.001), and the husband's perceived partners' stress communication ( = 0.184, = 0.003) and supportive dyadic coping ( = 0.180, = 0.002).
The actor-partner analyses revealed insight into how infertile couples undergoing fertilization and embryo transfer interact and highlighted the importance of self-esteem in dyadic coping styles. Future psychological interventions can enhance self-esteem as an effective way to improve dyadic coping of infertile couples.
在中国，接受受精和胚胎移植的不孕夫妇数量正逐渐增加。关于接受受精和胚胎移植的不孕夫妇的自尊与二元应对之间的关联尚未见报道。本研究旨在探讨接受受精和胚胎移植的不孕夫妇的自尊对二元应对策略的预测作用。
在中国西北妇女儿童医院生殖中心对283对不孕夫妇进行了一项横断面研究。参与者被要求完成两份自填式问卷，以评估自尊（罗森伯格自尊量表）和二元应对（二元应对量表）。采用配对t检验和Pearson相关性分析来分析夫妻之间变量的差异和相关性。使用行为者-伴侣相互依赖模型来检验个体自尊对其自身及伴侣二元应对的预测作用。
不孕夫妇的自尊和二元应对处于中等水平。妻子和丈夫的自尊能够充分预测他们自己的二元应对。同时，丈夫的自尊能够预测妻子的压力沟通（β = 0.135，P = 0.025）、支持性二元应对（β = 0.142，P = 0.019）和消极二元应对（β = 0.133，P = 0.024），以及妻子感知到的伴侣的支持性二元应对（β = 0.147，P = 0.014）和消极二元应对（β = 0.144，P = 0.016）。同样，妻子的自尊能够预测丈夫的支持性二元应对（β = 0.195，P < 0.），以及丈夫感知到的伴侣的压力沟通（β = 0.184，P = 0.003）和支持性二元应对（β = 0.180，P = 0.002）。
行为者-伴侣分析揭示了接受受精和胚胎移植的不孕夫妇如何相互作用，并突出了自尊在二元应对方式中的重要性。未来的心理干预可以通过增强自尊来有效改善不孕夫妇的二元应对。
