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通过结构方程模型探究有堕胎经历女性的感知社会支持、婚姻满意度和心理韧性

Perceived social support, marital satisfaction, and resilience in women with abortion experience through structural equation modeling.

作者信息

Yadollahi Parvin, Doostfatemeh Marziyah, Khalajinia Zohre, Karimi Zahra, Ghavi Fatemeh

机构信息

Maternal-fetal Medicine Research Center, Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Biostatistics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Sci Rep. 2025 Jan 2;15(1):332. doi: 10.1038/s41598-024-83485-2.

Abstract

Abortion can be a very stressful experience for women, and many social and psychological factors can influence this stress. The present study aims to investigate the impact of perceived social support on the marital satisfaction of women who have undergone an abortion. The study also explored whether resilience played a mediating role in this relationship. Data were analyzed from the cross-sectional study. The Perceived Social Support (including Social support, friend support, and other support subscales), ENRICH marital satisfaction, and Connor-Davidson Resilience questionnaire were completed by 150 women who had undergone an abortion and were referred to hospitals and clinics of Jahrom University of Medical Sciences from April 2021 to June 2021. The structural equation modeling (SEM) approach was used to obtain the direct and indirect effects of Perceived Social Support subscales and Resilience on marital satisfaction. The study found that the women who participated had high marital satisfaction and social support scores, while their resilience scores were moderate. The results indicated a positive correlation between social support dimensions and marital satisfaction and resilience. The study also revealed that family support (β = 0.41, p < 0.001), other supports (β = 0.46, p < 0.001), and resilience as a mediating variable (β = 0.15, p < 0.001) had a direct and significant positive impact on marital satisfaction. However, none of the three domains of perceived social support showed any indirect significant relationship with marital satisfaction. The study's findings demonstrate that the perception of social support from family members and other individuals can significantly impact the level of satisfaction in a marriage. Appropriate social support can increase resilience and help couples better cope with the stress associated with abortion. This study suggests that educating families, healthcare providers, and other individuals can help women experiencing this issue by providing them with counseling and support. This can ultimately help women maintain their mental and sexual health.

摘要

堕胎对女性来说可能是一段压力极大的经历,许多社会和心理因素都会影响这种压力。本研究旨在调查感知到的社会支持对堕胎女性婚姻满意度的影响。该研究还探讨了心理韧性在这种关系中是否起到中介作用。数据来自横断面研究。2021年4月至2021年6月期间,150名堕胎女性完成了感知社会支持量表(包括社会支持、朋友支持和其他支持子量表)、ENRICH婚姻满意度量表以及康纳-戴维森心理韧性问卷,这些女性均被转诊至贾赫罗姆医科大学的医院和诊所。采用结构方程模型(SEM)方法来获取感知社会支持子量表和心理韧性对婚姻满意度的直接和间接影响。研究发现,参与研究的女性婚姻满意度和社会支持得分较高,而她们的心理韧性得分中等。结果表明,社会支持维度与婚姻满意度和心理韧性之间存在正相关。研究还表明,家庭支持(β = 0.41,p < 0.001)、其他支持(β = 0.46,p < 0.001)以及作为中介变量的心理韧性(β = 0.15,p < 0.001)对婚姻满意度有直接且显著的正向影响。然而,感知社会支持的三个领域与婚姻满意度均未显示出任何间接显著关系。该研究的结果表明,家庭成员和其他个体给予的社会支持感知会对婚姻满意度水平产生显著影响。适当的社会支持可以增强心理韧性,帮助夫妻更好地应对与堕胎相关的压力。本研究表明,对家庭、医疗服务提供者和其他个体进行教育,通过为经历这一问题的女性提供咨询和支持,能够帮助她们。这最终有助于女性维持其心理和性健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a0/11696088/eb9fd2121e17/41598_2024_83485_Fig2_HTML.jpg

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