Male infertile couples: an actor-partner interdependence model of attachment styles and fertility pressure.

IF 3.4 2区医学 Q2 PSYCHIATRY

BMC Psychiatry Pub Date : 2024-11-06 DOI:10.1186/s12888-024-06236-7

Huiling Qu, Guyu Liu, Xi Zhang, Xinmei Han, Lei Yan, Li Ge, Yuying Fang

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引用次数: 0

Abstract

Background: Couples undergoing artificial insemination by donor semen(AID) represent a unique group of infertility patients, the relationship between fertility pressure and attachment styles remains unclear. To investigate the fertility pressure and attachment dimensions in artificial insemination by donor semen(AID) couples, and develop an Actor-Partner Interdependence Model (APIM) for patient care.

Methods: This study is a cross-sectional study. From June to September 2021, couples who were about to receive AID treatment in our hospital were assessed using the Fertility Problem Inventory, and the Experiences in Close Relationships(ECR). Dyadic analysis applying the APIM was used.

Results: A total of 448 valid questionnaires were recovered, the effective response rate was 94.9%. The average score of men's fertility pressure was higher than that of women's(P = 0.021). The score of male attachment anxiety was higher than that of females(P = 0.038). Attachment avoidance(β = 0.46) and attachment anxiety(β = 0.33) in wives significantly impacted their fertility pressure. Attachment avoidance(β = 0.17) and attachment anxiety(β = 0.52) in husbands significantly impacted their fertility pressure. The attachment avoidance of wives' had a significant impact on the husbands' fertility pressure(β = 0.11).

Conclusion: Overall, the study revealed that in the couples who use donor sperm to expect pregnancy, the male has higher fertility pressure. Insecure attachment can cause more severe fertility pressure, fertility pressure is also affected by one's partner.

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男性不育夫妇：依恋方式和生育压力的演员-伴侣相互依存模型。

背景：接受供精人工授精（AID）的夫妇是不孕症患者中的一个特殊群体，生育压力与依恋方式之间的关系仍不清楚。目的：研究供精人工授精（AID）夫妇的生育压力和依恋维度，并建立行为者-伴侣相互依赖模型（APIM），用于患者护理：本研究为横断面研究。方法：本研究是一项横断面研究。2021年6月至9月，我们使用生育问题量表（Fertility Problem Inventory）和亲密关系体验量表（Experiences in Close Relationships，ECR）对本院即将接受AID治疗的夫妇进行了评估。结果：共回收有效问卷 448 份，有效回收率为 94.9%。男性生育压力的平均得分高于女性（P = 0.021）。男性依恋焦虑得分高于女性（P = 0.038）。妻子的依恋回避（β = 0.46）和依恋焦虑（β = 0.33）对其生育压力有显著影响。丈夫的依恋回避（β = 0.17）和依恋焦虑（β = 0.52）对其生育压力有明显影响。妻子的依恋回避对丈夫的生育压力有明显影响（β = 0.11）：总之，研究表明，在使用捐精者精子怀孕的夫妇中，男性的生育压力较高。不安全的依恋会导致更严重的生育压力，生育压力也会受到伴侣的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Psychiatry 医学-精神病学

CiteScore

5.90

自引率

4.50%

发文量

716

审稿时长

3-6 weeks

期刊介绍： BMC Psychiatry is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of psychiatric disorders, as well as related molecular genetics, pathophysiology, and epidemiology.