Margaret Xi Can Yin, Xuan-Yu Chen, Xiao-Lu Shen, Hai-Duo Lin, Hai-Tao Xi, Lin Qiu
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The questionnaire contained the Mandarin version of the Fertility Problem Inventory, the Resilient Trait Scale for Chinese Adults and the Whiteley Index, measuring infertility stress, resilience and IA, respectively.</p><p><strong>Results: </strong>An incidence rate of 44.1% of IA among infertile people undergoing ART treatment in China was determined, and 30.2% of men and 46.6% of women had severe IA (<i>χ</i><sup>2</sup> = 4.05, <i>p</i> < 0.05). The risk of severe IA in women was around twice that in men (OR = 2.01, 95% CI: 1.01-4.01). Women's IA level was significantly associated with their TSH level (<i>β</i> = 0.27, <i>p</i> < 0.01). Resilience played a moderating role in the relationship between parenthood importance and illness anxiety.</p><p><strong>Conclusion: </strong>This study highlighted the importance and urgency of providing holistic care for illness anxiety of infertile people undergoing ART treatment in China, especially women. 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引用次数: 0
摘要
目的：在中国接受辅助生殖技术（ART）治疗的不孕症患者可能会经历严重的不孕相关压力和疾病焦虑（IA）。然而，迄今为止，相关的研究还很少。设计：本研究调查了中国温州市2所三级综合公立医院340例接受ART治疗的不孕症患者的IA，其中男性43例，女性292例，不愿回答的5例。主要观察指标：从107名妇女中获取促甲状腺激素（TSH）水平的血液样本，以探讨IA与TSH之间的关系。调查问卷包括中文版的生育问题量表、中国成人弹性性状量表和Whiteley指数，分别测量不育压力、弹性和IA。结果：中国接受ART治疗的不孕症患者中IA的发生率为44.1%，其中30.2%的男性和46.6%的女性存在严重IA （χ2 = 4.05, p β = 0.27, p）。结论：本研究突出了对中国接受ART治疗的不孕症患者，特别是女性患者提供疾病焦虑整体护理的重要性和紧迫性。本研究结果表明，心身疗法和弹性赋权工作坊有助于不育患者的整体健康。
Illness anxiety, infertility stress, resilience and thyroid-stimulating hormone among infertile people undergoing ART treatment in China.
Objective: Infertile people undergoing assisted reproductive technology (ART) treatment in China may experience severe infertility-related stress and illness anxiety (IA). However, little relevant research has been conducted until now.
Design: This study investigated the IA of 340 infertile people undergoing ART treatment, including 43 males, 292 females and 5 who preferred not to answer, in 2 tertiary general public hospitals in Wen Zhou, China.
Main outcome measures: Blood samples for thyroid-stimulating hormone (TSH) levels were obtained from 107 women to explore the relationship between IA and TSH. The questionnaire contained the Mandarin version of the Fertility Problem Inventory, the Resilient Trait Scale for Chinese Adults and the Whiteley Index, measuring infertility stress, resilience and IA, respectively.
Results: An incidence rate of 44.1% of IA among infertile people undergoing ART treatment in China was determined, and 30.2% of men and 46.6% of women had severe IA (χ2 = 4.05, p < 0.05). The risk of severe IA in women was around twice that in men (OR = 2.01, 95% CI: 1.01-4.01). Women's IA level was significantly associated with their TSH level (β = 0.27, p < 0.01). Resilience played a moderating role in the relationship between parenthood importance and illness anxiety.
Conclusion: This study highlighted the importance and urgency of providing holistic care for illness anxiety of infertile people undergoing ART treatment in China, especially women. The findings of this study indicated that mind-body therapies and resilience empowerment workshops could be conducive to infertile people's holistic health.
期刊介绍：
Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.
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