Jiang Lingjun, Yang Liu, Yao Juan, Yang Juan, Wu Meiliyang, Yuan Mengmei, Zhang Ke, Chen Ye, Hu Zhenjing, Zhu Zining, Zhang Qian, Zhao Meizhen, Zeng Tieying, Jiang Ningjing
Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Wuhan, 430030, China.
School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan, 430030, China.
BMC Psychol. 2025 Jul 1;13(1):667. doi: 10.1186/s40359-025-02991-8.
China currently does not have a suitable tool to measure infertility-related psychological distress in a culturally relevant manner. Therefore, this study sought to develop and validate a scale specifically designed for the Chinese context, focusing on the unique cultural and psychological experiences of Chinese women undergoing IVF-ET treatment.
A mixed-methods approach was used for scale development. The preliminary scale was based on a previous Grounded theory study and existing literature. Content validity was assessed using the Delphi method. Psychometric testing involved 600 women undergoing IVF-ET treatment in Hubei, China. Item analysis, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA) were conducted for scale refinement and validity assessment.
The final scale consists of 25 items across 2 dimensions and 6 sub-dimensions: Distress of disrupting the former self (distress of self-worth questioning, distress of strained family relationships, distress of female image deficit) and Distress linked to the struggling present self (distress of inadequate reproductive self-efficiency, distress of maintaining family relationships, distress of social identity expansion). CFA confirmed a good fit for the 6-factor model. Cronbach's alpha was 0.944 for the total scale, and 0.856 to 0.925 for the dimensions. Content validity was strong (I-CVI = 0.80-1.0, S-CVI = 0.98). The scale showed good criterion-related validity with a significant correlation (r = 0.528, p < 0.001) to the Kessler-6.
The Infertility Psychological Distress Scale demonstrates strong reliability and validity, accurately capturing the psychological distress experienced by women undergoing assisted reproduction in the Chinese cultural context.
Not applicable.
中国目前没有一种以文化相关方式测量不孕症相关心理困扰的合适工具。因此，本研究旨在开发并验证一种专门为中国情境设计的量表，重点关注接受体外受精-胚胎移植（IVF-ET）治疗的中国女性独特的文化和心理体验。
采用混合方法进行量表开发。初步量表基于先前的扎根理论研究和现有文献。使用德尔菲法评估内容效度。心理测量测试涉及中国湖北600名接受IVF-ET治疗的女性。进行项目分析、探索性因素分析（EFA）和验证性因素分析（CFA）以完善量表并评估效度。
最终量表由25个项目组成，分为2个维度和6个子维度：扰乱从前自我的困扰（自我价值质疑困扰、家庭关系紧张困扰、女性形象缺失困扰）和与挣扎的当下自我相关的困扰（生殖自我效能不足困扰、维持家庭关系困扰、社会身份扩展困扰）。CFA证实六因素模型拟合良好。总量表的Cronbach's alpha为0.944，各维度为0.856至0.925。内容效度较强（I-CVI = 0.80 - 1.0，S-CVI = 0.98）。该量表与Kessler-6具有显著相关性（r = 0.528，p < 0.001），显示出良好的效标关联效度。
不孕症心理困扰量表具有较强的信效度，准确地捕捉了中国文化背景下接受辅助生殖的女性所经历的心理困扰。
不适用。
