Does Self-Compassion Play a Mediating Role Between Stress and Fertility Adjustment in Women Undergoing Infertility Treatment? A Structural Equation Analysis

IF 3.4 3区医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2025-03-03 DOI:10.1111/jan.16869

Gülşah Vural Aktan, Çiğdem Yücel Özçirpan, Fatma Uslu Şahan, Gülten Koç

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Abstract

Aim

This study aimed to investigate the relationship between stress, self-compassion, and fertility adjustment in women undergoing infertility treatment in Turkey and to determine whether stress influences fertility adjustment through the mediating effect of self-compassion.

Design

A cross-sectional and descriptive design was used in the study.

Method

The study was conducted with 290 women who applied to the in vitro fertilisation unit in a university hospital in Ankara, Turkey. Descriptive statistics, Pearson correlation, and structural equation analysis were used for statistical analysis.

Results

According to the results of structural equation modelling, self-compassion was found not to affect fertility adjustment, while infertility-related stress directly influenced both self-compassion and fertility adjustment. Additionally, self-compassion was not found to mediate the relationship between stress and fertility adjustment in women undergoing infertility treatment.

Conclusion

The findings suggest that different dynamics may contribute to women's infertility-related stress and fertility adjustment.

Implications for the Profession

This study highlights the importance of developing strategies to enhance fertility adjustment in women receiving infertility treatment and underscores the need for nurses working in this field to evaluate women's attitudes toward themselves to provide individualised care aimed at alleviating infertility-related stress.

Impact

The findings indicate that self-compassion does not have the expected effect in coping with infertility. Specifically, the lack of a direct effect of self-compassion on fertility adjustment, along with the strong influence of stress on both self-compassion and fertility adjustment, suggests that stress management-focused interventions may take precedence. These results indicate that approaches aimed at stress management during infertility treatment can play a critical role in supporting women's adjustment processes.

Reporting Method

STROBE guidelines were followed for this study.

Patient or Public Contribution

There is no patient or public contribution.

Abstract Image

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自我同情在接受不孕不育治疗的妇女的压力与生育适应之间是否起着调解作用：结构方程分析

目的：本研究旨在探讨土耳其不孕妇女的压力、自我同情和生育调节之间的关系，并确定压力是否通过自我同情的中介作用影响生育调节。设计：本研究采用横断面和描述性设计。方法：对土耳其安卡拉一所大学医院290名申请体外受精的妇女进行研究。采用描述性统计、Pearson相关和结构方程分析进行统计分析。结果：结构方程模型结果显示，自我同情不影响生育调节，而不孕相关压力直接影响自我同情和生育调节。此外，在接受不孕症治疗的女性中，自我同情并没有中介压力与生育调节之间的关系。结论：不同的生理动力可能对女性不孕压力和生育调节有影响。对专业的启示：本研究强调了制定策略以增强接受不孕症治疗的妇女的生育能力调整的重要性，并强调了在这一领域工作的护士需要评估妇女对自己的态度，以提供旨在减轻不孕症相关压力的个性化护理。影响：研究结果表明，自我同情在应对不孕症方面并没有预期的效果。具体来说，缺乏自我同情对生育调节的直接影响，以及压力对自我同情和生育调节的强烈影响，表明以压力管理为重点的干预措施可能优先。这些结果表明，在不孕症治疗过程中，针对压力管理的方法可以在支持女性调整过程中发挥关键作用。报告方法：本研究遵循STROBE指南。患者或公众贡献：没有患者或公众贡献。

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.