Jia Yuedi, Wang Jieyu, Xu Qianhua, Luo Guiying, Chen Ren, Wang Danni
Department of Health Promotion and Behavioral Sciences, School of Public Health, Anhui Medical University, Hefei, Anhui, China.
Reproductive Medicine Centre, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Front Psychiatry. 2025 Apr 24;16:1538279. doi: 10.3389/fpsyt.2025.1538279. eCollection 2025.
Infertility has become one of the major public health problems, and assisted reproductive technology is the main treatment. Depressive symptoms are one of the most common mental illnesses treated with this technology. The aim of this study was to investigate the effects of partner self-disclosure, marital satisfaction and family decision-making power on depressive symptoms in assisted reproductive therapy patients.
A cross-sectional survey of self-disclosure, marital satisfaction, family decision-making power and depressive symptoms was performed in 1076 patients who underwent IVF/ICSI-ET treatment at the Reproductive Medicine Centre of the First Affiliated Hospital of Anhui Medical University.
(1) Age and power base were the influencing factors of depressive symptoms. (2) The results of mediation effect test showed that marital satisfaction had a significant suppressing effect on depressive symptoms in assisted reproductive therapy patients, accounting for 30.05% of the total effect; family decision-making power had a significant partial mediating effect on depressive symptoms in assisted reproductive therapy patients, accounting for 28.81% of the total effect.
Marital satisfaction and family decision-making power play a partial mediating role between self-disclosure and depressive symptoms. The score of marital satisfaction helps to reduce depressive symptoms, but the increase of family decision-making power predicts the increase of depressive symptoms. In addition, the results highlight gender differences in marital satisfaction and family decision-making power and the complexity of family relationships.
不孕症已成为主要的公共卫生问题之一，辅助生殖技术是主要治疗手段。抑郁症状是接受该技术治疗的最常见精神疾病之一。本研究旨在探讨伴侣自我表露、婚姻满意度和家庭决策权对辅助生殖治疗患者抑郁症状的影响。
对安徽医科大学第一附属医院生殖医学中心接受体外受精/卵胞浆内单精子注射-胚胎移植（IVF/ICSI-ET）治疗的1076例患者进行了关于自我表露、婚姻满意度、家庭决策权和抑郁症状的横断面调查。
（1）年龄和权力基础是抑郁症状的影响因素。（2）中介效应检验结果显示，婚姻满意度对辅助生殖治疗患者的抑郁症状有显著抑制作用，占总效应的30.05%；家庭决策权对辅助生殖治疗患者的抑郁症状有显著部分中介作用，占总效应的28.81%。
婚姻满意度和家庭决策权在自我表露与抑郁症状之间起部分中介作用。婚姻满意度得分有助于减轻抑郁症状，但家庭决策权的增加预示着抑郁症状的增加。此外，研究结果凸显了婚姻满意度和家庭决策权方面的性别差异以及家庭关系的复杂性。
