Center for Reproductive Medicine, Shandong University, Jinan, 250100, China.
Laboratory of Reproductive Endocrinology of Ministry of Education, Shandong University, Jinan, 250100, China.
BMC Psychiatry. 2024 Nov 6;24(1):772. doi: 10.1186/s12888-024-06236-7.
Couples undergoing artificial insemination by donor semen(AID) represent a unique group of infertility patients, the relationship between fertility pressure and attachment styles remains unclear. To investigate the fertility pressure and attachment dimensions in artificial insemination by donor semen(AID) couples, and develop an Actor-Partner Interdependence Model (APIM) for patient care.
This study is a cross-sectional study. From June to September 2021, couples who were about to receive AID treatment in our hospital were assessed using the Fertility Problem Inventory, and the Experiences in Close Relationships(ECR). Dyadic analysis applying the APIM was used.
A total of 448 valid questionnaires were recovered, the effective response rate was 94.9%. The average score of men's fertility pressure was higher than that of women's(P = 0.021). The score of male attachment anxiety was higher than that of females(P = 0.038). Attachment avoidance(β = 0.46) and attachment anxiety(β = 0.33) in wives significantly impacted their fertility pressure. Attachment avoidance(β = 0.17) and attachment anxiety(β = 0.52) in husbands significantly impacted their fertility pressure. The attachment avoidance of wives' had a significant impact on the husbands' fertility pressure(β = 0.11).
Overall, the study revealed that in the couples who use donor sperm to expect pregnancy, the male has higher fertility pressure. Insecure attachment can cause more severe fertility pressure, fertility pressure is also affected by one's partner.
接受供精人工授精（AID）的夫妇代表了一组独特的不孕患者群体，他们的生育压力与依恋类型之间的关系尚不清楚。本研究旨在调查接受供精人工授精（AID）夫妇的生育压力和依恋维度，并为患者护理制定 Actor-Partner Interdependence Model（APIM）。
本研究为横断面研究。2021 年 6 月至 9 月，采用生育问题量表和亲密关系体验量表（ECR）对我院即将接受 AID 治疗的夫妇进行评估。采用 Actor-Partner Interdependence Model（APIM）进行二元分析。
共回收有效问卷 448 份，有效回收率为 94.9%。男性的生育压力得分均高于女性（P=0.021），男性的依恋焦虑得分高于女性（P=0.038）。妻子的依恋回避（β=0.46）和依恋焦虑（β=0.33）显著影响其生育压力，丈夫的依恋回避（β=0.17）和依恋焦虑（β=0.52）显著影响其生育压力，妻子的依恋回避对丈夫的生育压力有显著影响（β=0.11）。
综上所述，在接受供精人工授精以期待妊娠的夫妇中，男性的生育压力更高。不安全的依恋会导致更严重的生育压力，生育压力也会受到伴侣的影响。
