Wu Weili, Zhou Na, He Ying
Gynecology Department, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, People's Republic of China.
Int J Womens Health. 2025 Sep 2;17:2819-2832. doi: 10.2147/IJWH.S537423. eCollection 2025.
Ovarian hyperstimulation syndrome (OHSS) is a distressing complication of in vitro fertilization-embryo transfer (IVF-ET) that can amplify emotional and psychological burden. Fertility-related stress is influenced by individual psychological resources and the quality of marital communication. However, limited research has examined these associations in patients hospitalized with OHSS.
To examine the relationship between fertility stress, conjugal communication patterns, and psychological capital in hospitalized patients with OHSS following IVF-ET.
This cross-sectional study included 185 women admitted to the fertility ward of a tertiary hospital in China between June 2022 and December 2023. Participants completed the Fertility Problem Inventory (FPI), the Psychological Capital Questionnaire (PCQ), and the Chinese version of the Christensen Marital Communication Model Questionnaire. Descriptive statistics, Pearson correlation, and multiple linear regression analyses were conducted using SPSS version 26.0. Outcomes included the level of fertility stress and its associations with conjugal communication, psychological capital, and relevant demographic and clinical predictors.
Participants reported elevated fertility stress (mean ± SD: 155.08 ± 30.58), suboptimal conjugal communication (60.15 ± 24.06), and moderate psychological capital (120.05 ± 18.92). Fertility stress was positively correlated with total avoidance communication (r = 0.373, < 0.01) and negatively correlated with psychological capital (r = -0.322, < 0.01). Regression analysis revealed that embryo transfer cycles (β = 9.284, = 0.007), second pregnancy attempts (β = 11.398, = 0.049), total avoidance communication (β = 2.080, < 0.001), and psychological capital (β = -0.337, = 0.002) were significant predictors of fertility stress.
Maladaptive conjugal communication and diminished psychological capital are significantly associated with heightened fertility stress in OHSS patients undergoing IVF-ET. Integrating psychosocial support to enhance marital communication and psychological resilience may help alleviate stress and improve patient outcomes.
卵巢过度刺激综合征（OHSS）是体外受精-胚胎移植（IVF-ET）过程中令人苦恼的并发症，会加重患者的情绪和心理负担。生育相关压力受个体心理资源和婚姻沟通质量的影响。然而，针对因OHSS住院患者的这些关联研究较少。
探讨体外受精-胚胎移植后因OHSS住院患者的生育压力、夫妻沟通模式和心理资本之间的关系。
这项横断面研究纳入了2022年6月至2023年12月在中国一家三级医院生殖病房住院的185名女性。参与者完成了生育问题量表（FPI）、心理资本问卷（PCQ）以及中文版的克里斯滕森婚姻沟通模式问卷。使用SPSS 26.0进行描述性统计、Pearson相关性分析和多元线性回归分析。结果包括生育压力水平及其与夫妻沟通、心理资本以及相关人口统计学和临床预测因素的关联。
参与者报告生育压力升高（均值±标准差：155.08±30.58）、夫妻沟通欠佳（60.15±24.06）以及心理资本中等（120.05±18.92）。生育压力与完全回避沟通呈正相关（r = 0.373，P < 0.01），与心理资本呈负相关（r = -0.322，P < 0.01）。回归分析显示，胚胎移植周期（β = 9.284，P = 0.007）、第二次尝试怀孕（β = 11.398，P = 0.049）、完全回避沟通（β = 2.080，P < 0.001）和心理资本（β = -0.337，P = 0.002）是生育压力的显著预测因素。
在接受体外受精-胚胎移植的OHSS患者中，适应不良的夫妻沟通和心理资本降低与生育压力增加显著相关。整合心理社会支持以加强夫妻沟通和心理复原力可能有助于减轻压力并改善患者结局。
