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不孕症的社会心理伴随因素:一项叙述性综述

Psychosocial Concomitants of Infertility: A Narrative Review.

作者信息

Jain Charu, Khan Waheeda

机构信息

Faculty of Social and Behavioural Sciences, Shree Guru Gobind Singh Tricentenary (SGT) University, Gurgaon, IND.

出版信息

Cureus. 2025 Mar 8;17(3):e80250. doi: 10.7759/cureus.80250. eCollection 2025 Mar.

DOI:10.7759/cureus.80250
PMID:40196078
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11975149/
Abstract

Infertility is a distressing and challenging condition that poses a significant social and public health concern. Among individuals of reproductive age, awareness of the factors associated with infertility is crucial. The prevalence of infertility has evolved over time, with distinct trends observable both globally and within India.  The primary objective of the study was to highlight the psychological and social factors associated with infertility. A comprehensive literature search was conducted to examine the psychological and social factors related to infertility. The electronic databases utilized for this search included PubMed and Google Scholar. The findings from the selected studies were synthesized into a narrative review. A total of 46 studies investigating the concomitants of infertility were analyzed. Among them, 32 studies focused on psychological aspects, while 14 addressed social factors. The psychological aspects covered in the studies included quality of life (QoL), anxiety and depression, gender differences, psychiatric disorders, coping mechanisms, and subjective well-being. The social factors examined included partner dynamics - further categorized into sociodemographic influences, marital adjustment, and violence against women - family cohesion, lack of awareness, and socio-environmental influences. This review provides an overview of the psychological and social dimensions of infertility, while also identifying gaps in existing research. It underscores the need for further studies, particularly focusing on rural populations, increasing awareness among men, and understanding the impact of infertility-related violence. Ultimately, the research highlights the complexity of infertility and emphasizes the importance of continued research and intervention efforts to address its multifaceted implications.

摘要

不孕症是一种令人痛苦且具有挑战性的状况,它引发了重大的社会和公共卫生问题。在育龄人群中,了解与不孕症相关的因素至关重要。不孕症的患病率随时间演变,在全球范围内以及印度国内都呈现出明显的趋势。本研究的主要目的是突出与不孕症相关的心理和社会因素。我们进行了全面的文献检索,以考察与不孕症相关的心理和社会因素。此次检索所使用的电子数据库包括PubMed和谷歌学术。从所选研究中得出的结果被综合成一篇叙述性综述。总共分析了46项调查不孕症相关因素的研究。其中,32项研究聚焦于心理方面,14项涉及社会因素。研究涵盖的心理方面包括生活质量(QoL)、焦虑和抑郁、性别差异、精神障碍、应对机制以及主观幸福感。所考察的社会因素包括伴侣关系动态——进一步细分为社会人口学影响、婚姻调适以及针对女性的暴力——家庭凝聚力、认知不足以及社会环境影响。本综述概述了不孕症的心理和社会层面,同时也指出了现有研究中的空白。它强调了进一步开展研究的必要性,特别是针对农村人口的研究、提高男性的认知以及了解与不孕症相关的暴力的影响。最终,该研究凸显了不孕症的复杂性,并强调了持续开展研究和干预工作以应对其多方面影响的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c5c/11975149/091cffb12657/cureus-0017-00000080250-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c5c/11975149/091cffb12657/cureus-0017-00000080250-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c5c/11975149/091cffb12657/cureus-0017-00000080250-i01.jpg

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引用本文的文献

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本文引用的文献

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Exploring depressive symptoms and coping strategies in Chinese women facing infertility: A cross-sectional observational study.探索面临不孕的中国女性的抑郁症状和应对策略:一项横断面观察性研究。
Medicine (Baltimore). 2024 Jul 26;103(30):e39069. doi: 10.1097/MD.0000000000039069.
2
Prevalence and correlates of infertility related psychological stress in women with infertility: a cross-sectional hospital based survey.不孕女性心理压力与相关因素:基于医院横断面调查。
BMC Psychol. 2022 Apr 7;10(1):91. doi: 10.1186/s40359-022-00804-w.
3
Changes in sexual behaviour, anxiety symptoms, and quality of couple relationship of patients with infertility during the COVID-19 lockdown.
疫情封锁期间不孕患者性行为、焦虑症状和夫妻关系质量的变化。
J Assist Reprod Genet. 2022 Feb;39(2):493-504. doi: 10.1007/s10815-021-02361-4. Epub 2022 Jan 30.
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The associations between infertility-related stress, family adaptability and family cohesion in infertile couples.不孕夫妇的不孕相关压力、家庭适应性和家庭凝聚力之间的关系。
Sci Rep. 2021 Dec 20;11(1):24220. doi: 10.1038/s41598-021-03715-9.
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Complement Ther Clin Pract. 2021 Feb;42:101264. doi: 10.1016/j.ctcp.2020.101264. Epub 2020 Nov 17.
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Association of depression and resilience with fertility quality of life among patients presenting to the infertility centre for treatment in Karachi, Pakistan.巴基斯坦卡拉奇不孕不育中心就诊患者的抑郁和韧性与生育生活质量的关系。
BMC Public Health. 2020 Oct 23;20(1):1607. doi: 10.1186/s12889-020-09706-1.
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Andrologia. 2020 Mar;52(2):e13460. doi: 10.1111/and.13460. Epub 2019 Nov 5.
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