A qualitative study of the impact of endometriosis on male partners.

A qualitative study of the impact of endometriosis on male partners.
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DOI:
10.1093/humrep/dex221
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发表时间:
2017-08-01
期刊:
Human reproduction (Oxford, England)
影响因子:
--
通讯作者:
Raine-Fenning N
Raine-Fenning N
中科院分区:
其他
文献类型:
--
作者:
Culley L;Law C;Hudson N;Mitchell H;Denny E;Raine-Fenning N

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子宫内膜异位症对女性男性伴侣有何影响?子宫内膜异位症严重影响男性的几个生活领域,并可能对情绪健康产生负面影响。已有研究表明,子宫内膜异位症会对女性的生活质量产生负面影响,并可能导致亲密关系紧张。关于这对男性伴侣的影响,人们知之甚少。EndoPART研究是对英国(2012-2013)22名患有子宫内膜异位症的女性及其男性伴侣(n=44)进行的横断面定性研究。纳入标准:腹腔镜诊断为子宫内膜异位症;出现症状至少一年;伴侣同居。数据是通过对单独采访的合作伙伴进行的面对面、半结构化访谈收集的。在NVivo 10的协助下,对数据进行了主题分析。男性报告说,子宫内膜异位症影响了许多生活领域,包括性和亲密关系、计划和生育、工作生活和家庭收入。它还要求他们承担额外的支持任务和角色。子宫内膜异位症对男性的情绪也有影响,其反应包括无助、沮丧、担忧和愤怒。缺乏对男性伴侣的影响的专业或更广泛的社会承认,以及缺乏对男性的支持,导致男性伴侣在子宫内膜异位症护理中处于边缘地位。参与者的自我选择可能导致了代表那些症状更严重的人的样本。因此,研究结果可能低估了子宫内膜异位症对婚姻破裂的影响。这项研究通过提供关于子宫内膜异位症如何影响男性伴侣的新见解,扩展了关于子宫内膜异位症对人际关系的影响的知识,到目前为止,这一知识主要来自对女性的研究。医疗从业者需要采取更多以夫妇为中心的生物心理社会方法来治疗子宫内膜异位症,包括伴侣和关系问题。调查结果表明,需要针对伴侣和夫妇的信息和支持资源。这项研究由经济及社会研究理事会资助(参考文件ES/J003662/1)。两位作者没有利益冲突。
What is the impact of endometriosis on male partners of women with the condition? Endometriosis significantly impacts men across several life domains and can negatively impact emotional well-being. Endometriosis has been shown to negatively impact women's quality of life and may strain intimate relationships. Little is known about the impact on male partners. The ENDOPART study was a cross-sectional, qualitative study of 22 women with endometriosis and their male partners (n = 44) in the UK (2012–2013). Inclusion criteria: laparoscopic diagnosis of endometriosis; the presence of symptoms for at least a year; partners living together. Data were collected via face to face, semi structured interviews with partners interviewed separately. Data were analysed thematically, assisted by NVivo 10. Men reported that endometriosis affected many life domains including sex and intimacy, planning for and having children, working lives and household income. It also required them to take on additional support tasks and roles. Endometriosis also had an impact on men's emotions, with responses including helplessness, frustration, worry and anger. The absence of professional or wider societal recognition of the impact on male partners, and a lack of support available to men, results in male partners having a marginalized status in endometriosis care. Self-selection of participants may have resulted in a sample representing those with more severe symptoms. Couples included are in effect ‘survivors’ in relationship terms, therefore, findings may underestimate the contribution of endometriosis to relationship breakdown. The study extends knowledge about the impact of endometriosis on relationships, which thus far has been drawn largely from studies with women, by providing new insights about how this condition affects male partners. Healthcare practitioners need to take a more couple-centred, biopsychosocial approach toward the treatment of endometriosis, inclusive of partners and relationship issues. The findings demonstrate a need for information and support resources aimed at partners and couples. This study was funded by the Economic and Social Research Council (reference ES/J003662/1). The authors have no conflicts of interest.
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作者:
De Graaff, A. A.;Van Lankveld, J.;Dunselman, G. A. J.
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