体外受精-胚胎移植妇女感知到的社会支持对焦虑和抑郁的影响:心理复原力的作用。

IF 3.2 3区 医学 Q2 GENETICS & HEREDITY Journal of Assisted Reproduction and Genetics Pub Date : 2024-11-06 DOI:10.1007/s10815-024-03308-1
Yuying Yan, Ya Ma, Lidan Xu, Yuehong Lv
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引用次数: 0

摘要

目的:本研究旨在分析试管婴儿-ET 过程中女性对社会支持水平、心理复原力、焦虑和抑郁水平的感知现状,并探讨感知到的社会支持和心理复原力对试管婴儿-ET 女性焦虑和抑郁水平的影响以及心理复原力在这一过程中的中介作用:本研究采用便利抽样法,对 433 名接受 IVF-ET 的妇女进行了问卷调查。然后,应用多元线性回归模型确定焦虑和抑郁的影响因素。最后,进行中介效应分析,探讨心理复原力的中介作用:焦虑和抑郁的发生率分别为 42% 和 46.4%。感知社会支持量表(PSSS)的平均得分表明支持程度为中高水平,而康纳-戴维森复原力量表(CD-RISC)的平均得分表明心理复原力为中等水平。感知的社会支持与心理复原力呈正相关,二者与焦虑和抑郁呈负相关。感知到的社会支持和心理复原力被认为是焦虑和抑郁的影响因素(P 结论):这些结果突出表明,医疗服务提供者在制定心理健康干预措施时,有必要评估患者的心理复原力和感知的社会支持水平,以降低焦虑和抑郁的风险,同时提高生育率。
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Impact of perceived social support on anxiety and depression in women undergoing in vitro fertilization-embryo transfer: the role of psychological resilience.

Purpose: This study aimed to analyze the current status of women's perception of social support levels, psychological resilience, anxiety, and depression levels during IVF-ET, as well as investigate the influence of perceived social support and psychological resilience on the anxiety and depression levels of women undergoing IVF-ET and the mediating role of psychological resilience in this process.

Methods: In this study, a convenience sampling method was used to administer a questionnaire survey among 433 women undergoing IVF-ET. Then, multivariate linear regression models were applied to identify factors influencing anxiety and depression. Lastly, mediation effect analysis was conducted to explore the mediating role of psychological resilience.

Results: The incidence of anxiety and depression was 42% and 46.4%, respectively. The mean score of the Perceived Social Support Scale (PSSS) indicated a high to moderate level of support, while the mean score of the Conner-Davidson Resilience Scale (CD-RISC) suggested moderate psychological resilience. Perceived social support was positively correlated with psychological resilience, and both were negatively correlated with anxiety and depression. Perceived social support and psychological resilience were identified as influencing factors of anxiety and depression (P < 0.001). Moreover, there was a partial mediating effect of psychological resilience between perceived social support and both anxiety and depression (P < 0.01).

Conclusions: These results highlight the need for healthcare providers to assess patients' levels of psychological resilience and perceived social support when developing mental health interventions in order to mitigate the risk of anxiety and depression and concomitantly enhance fertility outcomes.

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来源期刊
CiteScore
5.70
自引率
9.70%
发文量
286
审稿时长
1 months
期刊介绍: The Journal of Assisted Reproduction and Genetics publishes cellular, molecular, genetic, and epigenetic discoveries advancing our understanding of the biology and underlying mechanisms from gametogenesis to offspring health. Special emphasis is placed on the practice and evolution of assisted reproduction technologies (ARTs) with reference to the diagnosis and management of diseases affecting fertility. Our goal is to educate our readership in the translation of basic and clinical discoveries made from human or relevant animal models to the safe and efficacious practice of human ARTs. The scientific rigor and ethical standards embraced by the JARG editorial team ensures a broad international base of expertise guiding the marriage of contemporary clinical research paradigms with basic science discovery. JARG publishes original papers, minireviews, case reports, and opinion pieces often combined into special topic issues that will educate clinicians and scientists with interests in the mechanisms of human development that bear on the treatment of infertility and emerging innovations in human ARTs. The guiding principles of male and female reproductive health impacting pre- and post-conceptional viability and developmental potential are emphasized within the purview of human reproductive health in current and future generations of our species. The journal is published in cooperation with the American Society for Reproductive Medicine, an organization of more than 8,000 physicians, researchers, nurses, technicians and other professionals dedicated to advancing knowledge and expertise in reproductive biology.
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