婚姻调整在35岁以上体外受精-胚胎移植女性情绪抑制与自我同情之间的中介作用：一项横断面观察研究

IF 4.7 2区医学 Q1 PSYCHIATRY

Depression and Anxiety Pub Date : 2025-07-15 DOI:10.1155/da/2100969

Mingxiang Zheng, Hengxu Wang, Chaofeng Li, Yan Ouyang, Liyuan Yan, Fei Gong, Li Li, Xihong Li

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引用次数: 0

摘要

目的：探讨35岁及以上体外受精-胚胎移植（IVF-ET）女性情绪抑制的途径，为制定个性化的情绪抑制方案提供理论依据。方法：选取2023年5月1日至9月30日在某生殖中心接受IVF-ET治疗的225名年龄≥35岁的女性作为方便样本。参与者完成了自我设计的一般信息问卷、情绪抑制量表（EIS）、洛克-华莱士婚姻适应测验（MAT）和自我同情量表（SCS）。采用SPSS 27.0和AMOS 24.0对数据进行分析。评估方差的正态性和齐性，用正态分布的数据描述为平均值±标准差（SD）。采用Pearson相关、结构方程模型（SEM）和自举重抽样（5000次迭代，95%置信区间[ci]）来检验中介效应，并通过重复抽样采用自举分析来评估间接效应的稳定性和显著性。结果：该队列主要由汉族（82.2%）、初婚（60.9%）、城市居住（60.4%）、继发性不孕症（68.0%）妇女组成。超过40.0%的人具有高等教育水平，67.1%的人报告家庭人均月收入（3001 - 10000元）。平均情绪抑制评分为28.65±6.74。情绪压抑与婚姻调整呈负相关(r = - 0.442, p <；0.01)和自我同情(r = - 0.393, p <；0.01)。经bootstrap验证的SEM显示，婚姻调节在情绪抑制与自我同情之间起中介作用（中介效应比例为24.89%，95% CI为- 0.115 ~ - 0.027）。结论：婚姻调整对35岁以上IVF-ET患者的情绪抑制和自我同情有调节作用。培养积极的婚姻动力可以减轻情绪压抑，增强自我同情，促进治疗期间的心理弹性。这些发现支持有针对性的干预措施，以提高患者满意度和治疗成功率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Marital Adjustment as a Mediator Between Emotional Suppression and Self-Compassion in Women Aged 35+ Undergoing In Vitro Fertilization-Embryo Transfer: A Cross-Sectional Observational Study

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Marital Adjustment as a Mediator Between Emotional Suppression and Self-Compassion in Women Aged 35+ Undergoing In Vitro Fertilization-Embryo Transfer: A Cross-Sectional Observational Study

Objective: This study aimed to investigate the pathways of emotional suppression among women aged 35 years and older undergoing in vitro fertilization-embryo transfer (IVF-ET) and to provide a theoretical basis for developing personalized programs to reduce emotional suppression.

Methods: A convenience sample of 225 women aged ≥35 years undergoing IVF-ET at a reproductive centre between May 1st and September 30th, 2023, was selected. The participants completed a self-designed general information questionnaire, the Emotional Inhibition Scale (EIS), the Locke-Wallace Marriage Adjustment Test (MAT), and the Self-Compassion Scale (SCS). Data were analysed using SPSS 27.0 and AMOS 24.0. Normality and homogeneity of variance were assessed, with normally distributed data described as mean ± standard deviation (SD). Pearson correlation, structural equation modeling (SEM), and bootstrap resampling (5000 iterations, 95% confidence intervals [CIs]) were employed to test the mediation effects, with a bootstrap analysis used to assess the stability and significance of indirect effects through repeated sampling.

Results: The cohort comprised predominantly Han Chinese (82.2%), first-married (60.9%), urban-dwelling (60.4%) women with secondary infertility (68.0%). Over 40.0% of the total held a tertiary educational level, and 67.1% reported per capita monthly income of the family (3001–10,000 RMB). The mean emotional suppression score was 28.65 ± 6.74. Emotional suppression was negatively correlated with marital adjustment (r = −0.442, p < 0.01) and self-compassion (r = −0.393, p < 0.01). SEM with bootstrap validation demonstrated that marital adjustment mediated the relationship between emotional suppression and self-compassion (mediating effect proportion: 24.89%, 95% CI: −0.115 to −0.027).

Conclusion: Marital adjustment mediates emotional suppression and self-compassion in women aged ≥35 years undergoing IVF-ET. Fostering positive marital dynamics may alleviate emotional suppression and enhance self-compassion, promoting psychological resilience during treatment. These findings support targeted interventions to improve patient satisfaction and treatment success rates.

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来源期刊

Depression and Anxiety 医学-精神病学

CiteScore

15.00

自引率

1.40%

发文量

审稿时长

4-8 weeks

期刊介绍： Depression and Anxiety is a scientific journal that focuses on the study of mood and anxiety disorders, as well as related phenomena in humans. The journal is dedicated to publishing high-quality research and review articles that contribute to the understanding and treatment of these conditions. The journal places a particular emphasis on articles that contribute to the clinical evaluation and care of individuals affected by mood and anxiety disorders. It prioritizes the publication of treatment-related research and review papers, as well as those that present novel findings that can directly impact clinical practice. The journal's goal is to advance the field by disseminating knowledge that can lead to better diagnosis, treatment, and management of these disorders, ultimately improving the quality of life for those who suffer from them.