摘要
目的:探讨不同性别不孕症患者的情绪和应对方式特点及其相关性。方法:对就诊拟行辅助生殖技术助孕的不孕症患者164人(不孕症女性95名,不孕症男性69名,其中包括69对夫妻)进行问卷调查,包括一般情况调查表,抑郁自评量表(SDS)和焦虑自评量表(SAS),应付方式问卷。结果:女性SDS、SAS总分高于男性。应付方式问卷评分中仅幻想因子评分女性高于男性(P<0.05)。女性和男性的SDS得分与应付方式问卷中解决问题因子得分呈负相关(r=-0.30,-0.25;Ps<0.05),与自责、幻想、退避和合理化因子得分呈正相关(r=0.28～0.47,P<0.05);女性的SAS得分与自责、幻想、退避和合理化因子得分呈正相关(r=0.33～0.41,P<0.05);男性的SAS得分与求助因子得分呈负相关(r=-0.24,P<0.05),而与自责、退避和合理化因子得分呈正相关(r=0.20～0.31,P<0.05)。多元逐步回归分析显示,解决问题因子得分与女性和男性的SDS总分呈负相关(β=-0.33,-0.31,P<0.05),自责因子得分与女性的SDS、SAS总分呈正相关(β=0.29,0.25;P<0.05),合理化因子分与男性的SDS、SAS总分呈正相关(β=0.49,0.18;P<0.05)。结论:本研究发现提示不孕症女性采取不成熟的应对方式,而不孕症男性采取的是混合型的应对方式,不孕症女性心理状况可能要比不孕症男性差。
Objective： To explore emotion and coping styles characteristics of infertile patients with different gender and their relationship. Methods： Totally 164 infertile patients （95 infertile women, 69 infertile men, including 69 couples） receiving assisted reproduction technology completed the self-made demographic information questionnaire, Self-Rating Depression Scale （SDS）, Self-Rating Anxiety Scale （SAS）, and Coping Style Questionnaire （CSQ）. Results： The SDS and SAS total scores were higher in the females than the males [（43.2 ±8. 5） vs. （40. 4± 8.4）, （39. 3 ± 8.4） vs. （36. 7 ± 7. 1）, Ps 〈 0. 05]. The score of CSQ ＂fantasy＂ factor was higher in the females than in the males [ （0. 5 ± 0. 2） vs. （ 0. 4 ± 0. 2）, P 〈 0. 05 ]. The SDS total scores in both females and males were negatively correlated with the CSQ ＂problem-solving＂ scores （r = -0. 30, -0. 25; Ps 〈 0. 05）, while positively correlated with the scores of CSQ ＂self-accusation＂, ＂fantasy＂, ＂avoidance＂, and ＂rationalization＂ （ r = 0. 28 -0. 47, Ps 〈 0.05）. The SAS total scores in females was positively correlated with the scores of ＂self-accusation＂, ＂fantasy＂, ＂avoidance＂, and ＂rationalization＂ （ r = 0. 33 - 0. 41; P 〈 0. 05）. The SAS total scores of males was negatively correlated with the scores of CSQ ＂help-seeking＂ （r = -0. 24, P 〈 0. 05）, while positively correlated with the scores of CSQ ＂self-accusation＂, ＂avoidance＂, and ＂rationalization＂ （ r =0. 20 - 0. 31, P 〈0. 05）. The regression analysis indicated that the CSQ ＂problem-solving＂ of was negatively correlated with SDS total scores in females and males （fl = -0. 33, - 0. 31; P 〈 0. 05）. The score of CSQ ＂self-accusation＂ was positively correlated with total scores of SDS and SAS in female （β =0. 29, 0. 25; P 〈0. 05）. The score of CSQ ＂rationalization＂ was positively correlated with scores of SDS and SAS in females （β=0. 49, 0. 18; P 〈0. 05）. Conclusion： It suggets that the infertile females are more likely to adopt immature coping styles, while infertile males adopt mixture coping styles, and females may have lower psychological condition than males.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2011年第11期806-809,共4页
Chinese Mental Health Journal
基金
国家自然科学基金(基金编号:81060051)
宁夏回族自治区科技攻关项(2007GG071-SY200803)
关键词
不孕症
情绪
应对方式
性别
相关性分析
横断面研究
infertility
emotion
coping styles
gender
correlation analysis
cross-sectional studies
