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2
The effect of couple supportive counseling on self-efficacy in women with insulin-treated gestational diabetes: A randomized clinical trial.夫妻支持性咨询对接受胰岛素治疗的妊娠期糖尿病女性自我效能的影响:一项随机临床试验。
J Educ Health Promot. 2023 Feb 28;12:56. doi: 10.4103/jehp.jehp_1064_21. eCollection 2023.
3
Paramedical counselling in infertility treatment: its effects on anxio-depressive symptom severity, perceived stress and self-esteem.辅助医疗咨询在不孕症治疗中的作用:对焦虑抑郁症状严重程度、感知压力和自尊的影响
Heliyon. 2022 Jun 29;8(7):e09827. doi: 10.1016/j.heliyon.2022.e09827. eCollection 2022 Jul.
4
Effects of Self-Esteem on the Associations Between Infertility-Related Stress and Psychological Distress Among Infertile Chinese Women: A Cross-Sectional Study.自尊对中国不孕女性不孕相关压力与心理困扰之间关联的影响:一项横断面研究。
Psychol Res Behav Manag. 2021 Aug 10;14:1245-1255. doi: 10.2147/PRBM.S326994. eCollection 2021.
5
Effect of Hope-oriented group counseling on mental health of infertile women with failed IVF cycles: a randomized controlled trial.希望导向团体心理咨询对体外受精失败女性心理健康的影响:一项随机对照试验。
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6
Relationship between coping/attachment styles and infertility-specific distress in Iranian infertile individuals: A cross-sectional study.伊朗不孕个体应对/依恋风格与不孕特异性困扰之间的关系:一项横断面研究。
Int J Reprod Biomed. 2021 Apr 22;19(4):347-360. doi: 10.18502/ijrm.v19i4.9061. eCollection 2021 Apr.
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Infertility-Related Stress and Psychological Health Outcomes in Infertile Couples Undergoing Medical Treatments: Testing a Multi-dimensional Model.不孕相关压力与接受医学治疗的不孕夫妇的心理健康结局:检验多维模型。
J Clin Psychol Med Settings. 2020 Dec;27(4):662-676. doi: 10.1007/s10880-019-09653-z.
8
Effectiveness of infertility counseling on pregnancy rate in infertile patients undergoing assisted reproductive technologies: A systematic review and meta-analysis.不孕不育咨询对接受辅助生殖技术的不孕患者妊娠率的有效性:一项系统评价和荟萃分析。
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Pregnancy and birth outcomes in couples with infertility with and without assisted reproductive technology: with an emphasis on US population-based studies.有或无辅助生殖技术的不孕夫妇的妊娠和分娩结局:重点关注美国基于人群的研究。
Am J Obstet Gynecol. 2017 Sep;217(3):270-281. doi: 10.1016/j.ajog.2017.03.012. Epub 2017 Mar 18.
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Dyadic dynamics of perceived social support in couples facing infertility.不孕夫妇感知社会支持的对偶动态。
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支持性咨询对体外受精(IVF)失败后不孕妇女自尊的影响:一项随机对照试验研究。

The effect of supportive counseling on self-esteem of infertile women after in vitro fertilization (IVF) failure: a randomized controlled trial study.

机构信息

School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

BMC Psychol. 2024 Jul 26;12(1):408. doi: 10.1186/s40359-024-01914-3.

DOI:10.1186/s40359-024-01914-3
PMID:39061102
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11282814/
Abstract

BACKGROUND

The unsuccessful treatment of infertility can lead to heightened levels of negative emotions, which are often associated with various psychological consequences. These consequences may include a decrease in self-confidence, feelings of loneliness, reduced self-esteem, and even discontinuation of treatment. Therefore, it is crucial to implement interventions that can help improve these consequences for women who have experienced IVF failure. The present study aimed to examine the effect of supportive counseling on self-esteem of infertile women after IVF failure.

METHODS

this randomized clinical trial study was conducted on 63 infertile women after IVF failure, referred to Milad Infertility Center in Mashhad in 2021. In the intervention group, the researcher provided individual supportive counseling sessions. These sessions took place over a span of four weeks, with each session lasting 60 min (One session every week). Data collection was conducted both before and one month after the study using Eysenck self-esteem Questionnaire. Data were analyzed using SPSS25, as well as statistical tests such as chi-square, independent t-test, Paired t-test and Mann-Whitney tests. A significance level of less than 5% was considered.

RESULTS

The study found no significant difference in mean scores of self-esteem between the two groups before the study (p = 0.823). However, after one month, the intervention group had significantly higher self-esteem scores (24.3 ± 18.55) compared to the control group (21.74 ± 5.62) (p = 0.043) Moreover, Based on the Within-group comparison, there was a 2.43 ± 3.24 point increase in self-esteem scores of the intervention group after one month, while the control group showed a -0.33 ± 3.72 point decrease.

CONCLUSION

Supportive counseling was found to be effective in improving self-esteem following IVF failure. As a result, it can be recommended as an effective, affordable, and low-risk counseling approach for women who have experienced IVF failure. By offering supportive counseling, it is possible to help prevent and alleviate the psychological consequences associated with IVF failure.

TRIAL REGISTRATION

This research project was registered at the Iranian Registry of Clinical Trials with code IRCT20210407050883N1- Date of registration 2021-05-25.

摘要

背景

不孕不育治疗的失败可能导致负面情绪加剧,而这些情绪往往与各种心理后果相关。这些后果可能包括自信心下降、孤独感、自尊心降低,甚至停止治疗。因此,对于经历试管婴儿失败的女性,实施可以改善这些后果的干预措施至关重要。本研究旨在探讨支持性咨询对试管婴儿失败后不孕女性自尊的影响。

方法

这是一项 2021 年在马什哈德 Milad 不孕不育中心进行的随机临床试验,共纳入 63 名试管婴儿失败后的不孕女性。在干预组中,研究人员提供了个体支持性咨询。这些咨询在四周内进行,每周一次,每次 60 分钟。在研究前后(研究后一个月)使用艾森克自尊问卷进行数据收集。采用 SPSS25 进行数据分析,同时还使用了卡方检验、独立 t 检验、配对 t 检验和曼-惠特尼检验等统计检验。显著性水平设为 5%。

结果

研究发现,两组在研究前的自尊平均得分没有显著差异(p=0.823)。然而,在一个月后,干预组的自尊得分显著更高(24.3±18.55),而对照组为(21.74±5.62)(p=0.043)。此外,基于组内比较,干预组在一个月后自尊得分增加了 2.43±3.24 分,而对照组则下降了 0.33±3.72 分。

结论

支持性咨询被证明可以有效改善试管婴儿失败后的自尊。因此,它可以作为一种有效、经济实惠且低风险的咨询方法推荐给经历试管婴儿失败的女性。通过提供支持性咨询,可以帮助预防和减轻与试管婴儿失败相关的心理后果。

试验注册

本研究项目在伊朗临床试验注册中心注册,注册号为 IRCT20210407050883N1,注册日期为 2021 年 5 月 25 日。