Psychosocial Vulnerability, Resilience Resources, and Coping with Infertility: A Longitudinal Model of Adjustment to Primary Ovarian Insufficiency
Psychosocial Vulnerability, Resilience Resources, and Coping with Infertility: A Longitudinal Model of Adjustment to Primary Ovarian Insufficiency
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DOI：
10.1007/s12160-015-9750-z
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发表时间：
2016-04-01
影响因子：
3.8
通讯作者：
Nelson, Lawrence M.
中科院分区：
文献类型：
--
作者：
Driscoll, Mary A.;Davis, Mary C.;Nelson, Lawrence M.
原发性卵巢功能不全（POI）相关的不孕症提出了重大的情感挑战，需要心理社会调整。很少有调查探讨了适应POI的纵向过程。本纵向调查测试了POI的调整模型，包括单独的心理社会脆弱性和弹性资源factors.Among 102名妇女与POI，个人属性反映的脆弱性和弹性进行了评估，在基线。4个月后评估应对策略，12个月后评估痛苦和幸福的措施。如假设的那样，验证性因素分析在基线时产生了独立的、负相关的脆弱性和弹性资源因素，在12个月时产生了痛苦和幸福因素。与预测相反，适应不良和适应性应对策略不是双因素的。此外，一个单一的独立战略，回避（即，拒绝承认压力），介导了基线脆弱性和12个月的痛苦之间的联系。
The infertility associated with primary ovarian insufficiency (POI) presents significant emotional challenges requiring psychosocial adjustment. Few investigations have explored the longitudinal process of adaptation to POI.This longitudinal investigation tests a model of adjustment to POI that includes separate psychosocial vulnerability and resilience resource factors.Among 102 women with POI, personal attributes reflective of vulnerability and resilience were assessed at baseline. Coping strategies were assessed 4 months later and measures of distress and well-being 12 months later.As hypothesized, confirmatory factor analysis yielded separate, inversely correlated vulnerability and resilience resource factors at baseline, and distress and well-being factors at 12 months. Contrary to predictions, maladaptive and adaptive coping strategies were not bi-factorial. Moreover, a single stand-alone strategy, avoidance (i.e., refusing to acknowledge stress), mediated the association between baseline vulnerability and 12-month distress.For women with POI, interventional studies targeted to reduce avoidance are indicated.