Department of Midwifery, School of Health and Care Sciences, University of West Attica, Athens, Greece.
Laboratory of Epidemiology, Health Determinants and Well-Being, Division of Epidemiology, Prevention and Quality of Life, Department of Public Health Policy, School of Public Health, University of West Attica, Athens, Greece.
J Mother Child. 2024 Jul 23;28(1):61-69. doi: 10.34763/jmotherandchild.20242801.d-24-00013. eCollection 2024 Feb 1.
The aim of this systematic review was to reveal which of the coping strategies used by one partner are protective of and which pose a risk to the other partner's psychological adjustment during the treatment of infertility.
A systematic search of four electronic databases (PubMed, APA PsycINFO, SCOPUS, ScienceDirect), as well as the references of the retrieved articles, was performed between May and September 2023 for studies published from 1990 until 2023, using appropriate MeSH terms and associated text words. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Using an a priori developed pilot data extraction form, authors performed an independent extraction of articles. Information on participants, coping mechanisms, and psychological adjustment was extracted from each study. Relevant articles were critically appraised, and a narrative synthesis was conducted based on the different designs and outcome measures among the included studies.
A total of 194 articles were retrieved, and 187 were excluded for not meeting the inclusion criteria. After duplicates had been removed, five studies were included in the review. The results revealed that the psychological adaptation of infertile couples at an interpersonal level may be correlated with both the type of coping and the stage of the stressor (infertility treatment or in vitro fertilisation - IVF).
This systematic review suggests that health professionals could design and apply interventions based on modifying the coping mechanisms of infertile spouses to increase levels of well-being and decrease levels of distress.
本系统评价的目的是揭示在治疗不孕期间，伴侣使用的哪种应对策略对另一方的心理调整具有保护作用，而哪种应对策略对另一方的心理调整构成风险。
2023 年 5 月至 9 月，我们对四个电子数据库（PubMed、APA PsycINFO、SCOPUS、ScienceDirect）进行了系统检索，并对检索到的文章的参考文献进行了检索，使用了适当的 MeSH 术语和相关的文本词。我们遵循了系统评价和荟萃分析的首选报告项目（PRISMA）指南。作者使用预先制定的试点数据提取表格，独立地对文章进行了提取。从每项研究中提取参与者、应对机制和心理调整信息。根据纳入研究的不同设计和结果测量标准，对相关文章进行了批判性评价，并进行了叙述性综合。
共检索到 194 篇文章，其中 187 篇因不符合纳入标准而被排除。去除重复项后，有 5 篇研究被纳入综述。结果表明，不孕夫妇在人际层面的心理适应可能与应对方式的类型和应激源的阶段（不孕治疗或体外受精 - IVF）相关。
本系统评价表明，卫生专业人员可以设计和应用干预措施，通过改变不孕配偶的应对机制来提高幸福感水平，降低痛苦感水平。
