Influence of illness representations on coping strategies and psychosocial outcomes of infertility: Systematic review and meta-analysis

IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL British Journal of Health Psychology Pub Date : 2023-06-29 DOI:10.1111/bjhp.12676
Julie Deninotti, Sarah Le Vigouroux, Corentin J. Gosling, Elodie Charbonnier
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引用次数: 1

Abstract

Background

This systematic review and meta-analysis was based on the Common Sense Model, applied to infertility.

Aims

The aim was to examine the relationships between cognitive (i.e. cause, coherence, consequences, controllability, identity and timeline) or emotional representations of infertility and both coping (i.e. maladaptive and adaptive) and psychosocial outcomes (i.e. distress, anxiety, depressive symptoms, social isolation, low well-being and poor quality of life), reporting followed PRISMA guidelines.

Materials & Methods

Five databases (PubMed, PsycINFO, PsycARTICLES, PubPsych and CINAHL) were searched, and 807 articles were initially identified.

Results

Seven cross-sectional studies (N = 1208 participants) were retained in qualitative and quantitative analyses. These studies assessed the associations of seven types of representations with either maladaptive or adaptive coping (20 effect sizes), or with psychosocial outcomes (131 effect sizes). A multivariate meta-analysis revealed that none (0/2) of the associations between the sole type of representation considered (i.e. controllability) and coping strategies were statistically significant, whereas three (3/7) of the associations between representations of infertility and psychosocial outcomes were statistically significant. Regardless of p-values, pooled estimates ranged from low (r = .03) to very high (r = .59).

Discussion

Future studies should validate specific measurement tools for measuring cognitive and emotional representations of infertility.

Conclusion

Our results highlight the influence of representations of infertility (particularly cognitive representations of consequences and emotional representations) on the psychosocial outcomes of infertility.

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疾病表征对不孕不育应对策略和心理社会结果的影响:系统综述和荟萃分析。
背景:本系统综述和荟萃分析基于常识模型,适用于不孕不育。目的:研究不孕不育的认知(即原因、连贯性、后果、可控性、身份和时间线)或情绪表征与应对(即适应不良和适应性差)和心理社会结果(即痛苦、焦虑、抑郁症状、社会孤立、幸福感低和生活质量差)之间的关系,报告遵循PRISMA指南。材料与方法:检索PubMed、PsycINFO、PsycARTICLES、PubPsych和CINAHL 5个数据库,初步鉴定出807篇文章。结果:七项横断面研究(N = 1208名参与者)被保留在定性和定量分析中。这些研究评估了七种类型的表征与适应不良或适应性应对(20种效应大小)或心理社会结果(131种效应大小。一项多变量荟萃分析显示,所考虑的唯一表现类型(即可控性)与应对策略之间的关联没有统计学意义,而不孕表现与心理社会结果之间的关联有三(3/7)个具有统计学意义。不管p值如何,合并估计值的范围从低(r = .03)至非常高(r = .59).讨论:未来的研究应该验证用于测量不孕不育的认知和情绪表征的特定测量工具。结论:我们的研究结果强调了不孕不育的表征(特别是后果的认知表征和情绪表征)对不孕不育的心理社会结果的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
British Journal of Health Psychology
British Journal of Health Psychology PSYCHOLOGY, CLINICAL-
CiteScore
14.10
自引率
1.30%
发文量
58
期刊介绍: The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.
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