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不孕症的精神科考量

Psychiatric Considerations of Infertility.

作者信息

Hwang Yoon Jung, Lee Junhee, Hwang Jihyun, Sim Hyeonhee, Kim Namwoo, Kim Tae-Suk

机构信息

Department of Psychiatry, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

出版信息

Psychiatry Investig. 2024 Nov;21(11):1175-1182. doi: 10.30773/pi.2024.0239. Epub 2024 Nov 18.

Abstract

OBJECTIVE

Infertility, the inability to achieve pregnancy within a year despite normal attempts to conceive without contraception, causes psychosocial burden for individuals and couples. This review summarized the interrelationship between infertility and psychological stress and suggested various forms of psychological intervention for infertility.

METHODS

The PubMed, Google Scholar, and Korean Studies Information Service System databases were searched for English- and Korean-language articles published from 1990 to 2024.

RESULTS

Infertility leads to emotional distress from diagnosis to treatment. Also, psychological stress affects the trajectory of infertility. This distress may cause psychiatric illnesses, negatively affecting pregnancy. Psychotherapies, psychopharmacotherapies, and biological treatments can be used for the management of psychiatric illnesses in infertile patients. Digital therapeutics also have the potential to be a competitive treatment option.

CONCLUSION

Regular assessment and management of psychological stress in infertile couples are essential during the course of infertility treatment. Psychological intervention of infertile patients should be implemented according to a personalized plan that completely reflects the individual clinical characteristics.

摘要

目的

不孕症是指在无避孕措施的正常受孕尝试下,一年内仍无法怀孕,这给个人和夫妻带来了心理社会负担。本综述总结了不孕症与心理压力之间的相互关系,并提出了针对不孕症的各种心理干预形式。

方法

在PubMed、谷歌学术和韩国研究信息服务系统数据库中检索1990年至2024年发表的英文和韩文文章。

结果

不孕症从诊断到治疗都会导致情绪困扰。此外,心理压力会影响不孕症的发展轨迹。这种困扰可能会引发精神疾病,对怀孕产生负面影响。心理治疗、心理药物治疗和生物治疗可用于管理不孕患者的精神疾病。数字疗法也有可能成为一种有竞争力的治疗选择。

结论

在不孕症治疗过程中,对不孕夫妇的心理压力进行定期评估和管理至关重要。应根据完全反映个体临床特征的个性化计划对不孕患者实施心理干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4322/11611468/bfc1e4bbef70/pi-2024-0239f1.jpg

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