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首页> 外文期刊>Human Reproduction >Predictors of psychological distress in patients starting IVF treatment: infertility-specific versus general psychological characteristics.
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Predictors of psychological distress in patients starting IVF treatment: infertility-specific versus general psychological characteristics.

机译：开始IVF治疗的患者的心理困扰预测因素：特定于不育的心理特征与一般的心理特征。

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BACKGROUND: The distress that couples experience in IVF treatment is well-documented though research exploring factors that might contribute to the distress is scarce and the role of infertility-specific versus more general psychological characteristics in predicting psychological distress remains unexplored. This exploratory study aimed to describe, explore and test a self-constructed conceptual framework designed to understand the relative impact of infertility-specific and general psychological characteristics, in predicting psychological distress. METHODS: Validated self-report questionnaires that measured the concepts of the encompassing framework (personality characteristics self-criticism and dependency, attachment in the partner relationship, child wish, coping, intrusiveness, infertility-related stress and general psychological distress) were completed by 106 women and 102 men before starting the first IVF/ICSI treatment at a university hospital-based fertility centre. Data were analysed by hierarchical multivariate linear regression analysis and path analysis. RESULTS: The overall conceptual psychological framework explained 55% of the variance in psychological distress. The strongest predictors of psychological distress were general psychological characteristics: passive and active coping, self-criticism and dependency and intrusiveness. A path analysis confirmed the framework and highlighted the mediating role of coping and intrusiveness. In the final analysis, none of the infertility-specific variables significantly predicted psychological distress. CONCLUSIONS: The current study of patients starting IVF-treatment demonstrated that general psychological characteristics, specifically active and passive coping, personality characteristics, dependency and self-criticism and intrusiveness, are more important in predicting the variability in psychological distress than infertility-specific concerns. The results raise important questions for infertility counselling. However, the cross-sectional nature of the study only allows for insight into baseline measurement (before starting the first IVF-treatment) and therefore this area of research could benefit from additional longitudinal studies.
机译：背景：尽管在探索可能导致这种困扰的因素方面的研究很少，并且不育特定的心理特征与更普遍的心理特征在预测心理困扰中的作用仍未得到研究，但是夫妻在试管婴儿治疗中所经历的痛苦却有充分的文献记载。这项探索性研究旨在描述，探索和测试一个自我构建的概念框架，旨在理解不育特定和一般心理特征在预测心理困扰方面的相对影响。方法：106项调查问卷完成了验证性自我报告调查问卷，这些调查问卷测量了涵盖框架的概念（人格特征自我批评和依赖，对伴侣关系的依恋，孩子的愿望，应对，侵入性，与不育相关的压力和一般性心理困扰）。妇女和102名男性，然后在大学医院的生育中心开始首次IVF / ICSI治疗。通过分层多元线性回归分析和路径分析对数据进行分析。结果：总体概念性心理框架解释了55％的心理困扰差异。心理困扰的最强预测因子是一般的心理特征：被动和主动应对，自我批评以及依赖性和侵入性。路径分析证实了该框架，并强调了应对和介入的中介作用。归根结底，没有任何一个不育特定的变量能显着预测心理困扰。结论：目前对开始进行IVF治疗的患者的研究表明，一般的心理特征，特别是主动和被动应对，人格特征，依赖性以及自我批评和侵入性，比不孕症引起的关注更重要的是预测心理困扰的变化。结果为不孕症咨询提出了重要问题。但是，研究的横断面性质仅允许洞悉基线测量（在开始首次IVF治疗之前），因此该研究领域可以从其他纵向研究中受益。

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