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[不孕女性的心理状态与个性]

[Mental status and personality of infertile women].

作者信息

Lu Y, Yang L, Lu G

机构信息

Second Affiliated Hospiteal Clinical College of Hunan Medical University, Changsha.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 1995 Jan;30(1):34-7.

PMID:7750406
Abstract

Mental status and personality were investigated in 130 infertile women from November 1992 to May 1993 in the infertility clinic of The Second Hospital of Hunan Medical University. Causes of their infertility attributed to female (n = 65), male (n = 53), unexplained infertility (n = 12). Fifty four fertile women were recruited as normal control. A women consulting questionnaire, Eysenck personality questionnaire (EPQ), symptom checklist-90 (SCL-90), self-rating anxiety scale (SAS) and Hamilton depressive scale (HDS) were used in this study. The result showed that any level of mental pressure were found in 83.8% of infertile women, and moderate and severe in 52%. In comparison with the control, the prevalence of psychiatric symptoms were significantly higher in infertile than fertile women (P < 0.01). Infertile women were more likely to suffer from severe depression and anxiety. Their mental status were more unstable than fertile women and correlated with their personality traits. Authors emphasized that not only the somatic treatment, but also the psychological consultation and mental support should be provided in the program of the infertility management.

摘要

1992年11月至1993年5月,在湖南医科大学附属第二医院不孕不育门诊对130名不孕女性的心理状态和性格进行了调查。她们不孕的原因归因于女性因素(n = 65)、男性因素(n = 53)、不明原因不孕(n = 12)。招募了54名有生育能力的女性作为正常对照。本研究使用了女性咨询问卷、艾森克人格问卷(EPQ)、症状自评量表90(SCL - 90)、自评焦虑量表(SAS)和汉密尔顿抑郁量表(HDS)。结果显示,83.8%的不孕女性存在不同程度的心理压力,其中中度和重度心理压力者占52%。与对照组相比,不孕女性的精神症状患病率显著高于有生育能力的女性(P < 0.01)。不孕女性更容易出现严重的抑郁和焦虑。她们的心理状态比有生育能力的女性更不稳定,且与性格特征相关。作者强调,在不孕不育治疗方案中不仅应提供躯体治疗,还应提供心理咨询和心理支持。

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