尼日利亚一家三级医院不孕妇女的心理社会特征

A. Olarinoye, P. Ajiboye
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引用次数: 5

摘要

引言:在我们的社会中,生育被高度重视,尤其是婚后生育。众所周知,撒哈拉以南非洲地区的不孕症发病率很高,人们通常把这个问题归咎于女性。众所周知,压力对排卵和受孕有影响,从而形成一个恶性循环。该研究旨在确定不孕妇女的社会心理问题和精神发病率,并确定原发性和继发性不孕患者的社会心理问题的差异。方法:采用生活满意度问卷(SWLS)、一般健康问卷(GHQ-12)和医院焦虑抑郁量表(HADS)对111例患者进行调查。结果:调查对象平均年龄为33.6±5.8岁。继发性不孕58例(52.3%)高于原发性不孕53例(47.7%)。研究显示,受访者的心理患病率相当高,抑郁率为39.6%,焦虑率为48.6%,精神病学患病率为39.6%。在原发性和继发性不孕症患者中,这些发病率没有显著差异。结论:原发性和继发性不孕均与显著的社会心理和精神疾病相关。心理紧张本身也可能是导致或加重不孕症的原因,因此应鼓励进行心理评估并与精神科医生共同治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychosocial characteristics of infertile women in a Nigerian tertiary hospital
Introduction: High premium is placed on childbirth particularly after marriage in our society. Sub-Sahara Africa is known to have the high incidence of infertility and the woman is usually blamed for the problem. Stress is known to have effect on ovulation and therefore conception thereby forming a vicious cycle. The study was to determine the psychosocial problems and psychiatric morbidity among infertile women and to determine the difference in psychosocial problems in primary and secondary infertility patients. Method: The Satisfaction with Life Scale (SWLS) questionnaire, the 12 -item General Health Questionnaire (GHQ-12) and the HADS (Hospital Anxiety and Depression Scale) were administered to 111 patients. Result: The mean age for the respondents was 33.6 ± 5.8 years. There were more cases of secondary infertility 58 (52.3%) compared to primary fertility 53 (47.7%). The study revealed a fairly high degree of psychological morbidity among the respondents, a depressive rate of 39.6%, anxiety rate of 48.6% and psychiatry morbidity of 39.6%.There was no significant difference in prevalence of these morbidity between the patients with primary and secondary infertility. Conclusion: Both primary and secondary infertility are associated with significant psychosocial and psychiatric morbidity. Psychological strain itself can also be a cause or aggravate infertility therefore psychological assessment and co-management with the psychiatrist should be encouraged.
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