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二元压力源是否会让双方伴侣都感到同样痛苦?以感知到的生育问题为例。

Is a dyadic stressor experienced as equally distressing by both partners? The case of perceived fertility problems.

作者信息

McQuillan Julia, Greil Arthur L, Rybińska Anna, Tiemeyer Stacy, Shreffler Karina M, Colaner Colleen Warner

机构信息

University of Nebraska-Lincoln, USA.

Alfred University, USA.

出版信息

J Soc Pers Relat. 2021 Jan;38(1):342-362. doi: 10.1177/0265407520953903. Epub 2020 Oct 5.

DOI:10.1177/0265407520953903
PMID:38486941
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10939084/
Abstract

Using data from a population survey, this article explores whether perceptions of having a fertility problem among 926 U.S. couples in heterosexual relationships (women aged 25-45 and male partners) are associated with distress. Most couples did not perceive a fertility problem (58%). In almost a third (30%) of the couples, only women perceived a fertility problem; in 4%, only the men; and in nearly a fifth (19%), both perceived a problem. Adjusted for characteristics associated with fertility problems and depressive symptoms, those who perceived a problem exhibited significantly more depressive symptoms than those who did not. Fertility problems are sometimes experienced as individual because in some couples only one partner perceives a problem or has higher distress in response to their own rather than to their partners' perceived problems. For women, fertility problems are experienced as a couple phenomenon because women were more distressed when both partners perceive a problem. The perception of fertility problems is gendered in that women were more likely to perceive a problem than men. Furthermore, men are most distressed when they perceive a problem and their partner does not.

摘要

本文利用一项人口调查的数据,探讨了926对处于异性恋关系中的美国夫妇(女性年龄在25至45岁之间,男性为伴侣)对生育问题的认知是否与困扰相关。大多数夫妇并未察觉到生育问题(58%)。在近三分之一(30%)的夫妇中,只有女性察觉到生育问题;4%的夫妇中只有男性察觉到;近五分之一(19%)的夫妇双方都察觉到问题。在对与生育问题和抑郁症状相关的特征进行调整后,察觉到问题的夫妇比未察觉到问题的夫妇表现出明显更多的抑郁症状。生育问题有时被视为个体问题,因为在一些夫妇中只有一方察觉到问题,或者一方对自身而非伴侣察觉到的问题有更高的困扰。对于女性而言,生育问题被视为一种夫妻现象,因为当双方都察觉到问题时,女性会更苦恼。生育问题的认知存在性别差异,即女性比男性更有可能察觉到问题。此外,当男性察觉到问题而其伴侣未察觉到问题时,男性最为苦恼。

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本文引用的文献

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Medically Defined Infertility Versus Self-Perceived Fertility Problem: Implications of Survey Wording for Assessing Associations with Depressive Symptoms.医学定义的不孕症与自我认知的生育问题:调查措辞对评估与抑郁症状关联的影响
Womens Health Rep (New Rochelle). 2020 Aug 12;1(1):232-240. doi: 10.1089/whr.2020.0032. eCollection 2020.
2
Perceived Subfecundity and Contraceptive Use Among Young Adult U.S. Women.美国年轻成年女性感知的生育力低下和避孕措施使用情况。
Perspect Sex Reprod Health. 2018 Sep;50(3):119-127. doi: 10.1363/psrh.12072. Epub 2018 Jul 3.
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Fertility and infertility: Definition and epidemiology.生育与不孕:定义及流行病学
Clin Biochem. 2018 Dec;62:2-10. doi: 10.1016/j.clinbiochem.2018.03.012. Epub 2018 Mar 16.
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A Dyadic Approach to Infertility Stress, Marital Adjustment, and Depression on Quality of Life in Infertile Couples.一种二元方法对不孕压力、婚姻调适及抑郁对不孕夫妇生活质量的影响
J Holist Nurs. 2018 Mar;36(1):6-14. doi: 10.1177/0898010116675987. Epub 2016 Nov 10.
5
Responding to Infertility: Lessons From a Growing Body of Research and Suggested Guidelines for Practice.应对不孕症:来自不断增长的研究成果的经验教训及实践建议指南
Fam Relat. 2017 Oct;66(4):644-658. doi: 10.1111/fare.12281.
6
Whose fault is it? Blame predicting psychological adjustment and couple satisfaction in couples seeking fertility treatment.是谁的错?在寻求生育治疗的夫妇中,责备预测心理调整和夫妻满意度。
J Psychosom Obstet Gynaecol. 2018 Mar;39(1):64-72. doi: 10.1080/0167482X.2017.1289369. Epub 2017 Feb 9.
7
Spirituality and Religiosity and Its Role in Health and Diseases.灵性与宗教信仰及其在健康和疾病中的作用。
J Relig Health. 2017 Aug;56(4):1282-1301. doi: 10.1007/s10943-015-0100-z.
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10
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