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近期流产后夫妻性健康的主题分析。

A Thematic Analysis of Couples' Sexual Well-Being Following a Recent Pregnancy Loss.

作者信息

Schwenck Gracielle C, Allsop David B, Cohen Eva, Rosen Natalie O

机构信息

Department of Psychology and Neuroscience, Dalhousie University.

Department of Obstetrics and Gynaecology, IWK Health Centre.

出版信息

J Sex Res. 2024 Dec 20:1-16. doi: 10.1080/00224499.2024.2441835.

Abstract

Pregnancy loss has been linked to poorer mental and relationship well-being. Given that strong sexual well-being is associated with better mental and physical health, understanding sexual well-being following a recent pregnancy loss may contribute to education and treatment models. Yet, little research has examined the effects of pregnancy loss on both couple members' sexual well-being. Accordingly, using Marks' team-based method for inductive thematic analysis, this qualitative study examined three open-ended questions regarding how individuals' ( = 255 individuals, across 133 couples) sexual well-being reportedly changed - positively and negatively - and was supported following a recent pregnancy loss (i.e. within 5 months). We also considered if the identified themes differed in frequency between women and gender-diverse individuals who were pregnant when the loss occurred, and men, women, and gender-diverse partners who were not pregnant. Across participants, we found three themes regarding positive changes (e.g. ; ), five themes related to negative changes (e.g. ; ), four themes pertaining to support factors (e.g. ; Offering support and respecting ), and three themes reflecting: , , and . Results of this study may guide psychoeducation to increase awareness of potential changes following pregnancy loss and encourage supportive behaviors to benefit couple members' sexual well-being.

摘要

妊娠丢失与较差的心理和人际关系幸福感有关。鉴于强烈的性幸福感与更好的身心健康相关,了解近期妊娠丢失后的性幸福感可能有助于教育和治疗模式。然而,很少有研究探讨妊娠丢失对夫妻双方性幸福感的影响。因此,本定性研究采用马克斯基于团队的归纳主题分析法,研究了三个开放式问题,即个体(255人,来自133对夫妻)的性幸福感据报道如何发生了积极和消极的变化,以及在近期妊娠丢失后(即5个月内)是如何得到支持的。我们还考虑了在妊娠丢失发生时怀孕的女性和性别多样化个体,以及未怀孕的男性、女性和性别多样化伴侣之间,所确定的主题在频率上是否存在差异。在所有参与者中,我们发现了三个关于积极变化的主题(例如;),五个与消极变化相关的主题(例如;),四个与支持因素有关的主题(例如;提供支持和尊重),以及三个反映、和的主题。本研究结果可能会指导心理教育,以提高对妊娠丢失后潜在变化的认识,并鼓励支持性行为,以促进夫妻双方的性幸福感。

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