The impact of shame and self-judgment on psychopathology in infertile patients
The impact of shame and self-judgment on psychopathology in infertile patients
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DOI：
10.1093/humrep/der209
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发表时间：
2011-09-01
影响因子：
6.1
通讯作者：
Matos, M.
中科院分区：
文献类型：
--
作者：
Galhardo, A.;Pinto-Gouveia, J.;Matos, M.
背景技术背景：与有生育能力的夫妇和也患有不孕症但不寻求医疗帮助的收养候选人相比，对寻求医疗的不孕夫妇的心理过程知之甚少。本研究的目的是有助于更好地了解这些人的心理过程（如外部羞耻、内部羞耻和自我判断）及其与精神病理学的关系，也注意到性别差异。100对无已知生育问题的对照夫妇[生育组（FG）]，100对诊断为不孕并寻求药物治疗的夫妇[不孕组（IG）]，和40对申请收养的不孕不育夫妇[收养组（AG）]完成了以下工具：贝克抑郁量表，Spielberger状态-特质焦虑量表，其他人作为羞辱者，羞耻体验量表和自我同情量表。采用单因素方差分析比较三组人口学和研究变量。采用Pearson相关分析和多元线性回归分析，探讨羞耻感、自我判断、抑郁和焦虑之间的关系。结果：IG组在抑郁、焦虑、外部羞耻感、内部羞耻感和自我判断方面的得分高于FG组和AG组。在不育夫妇中，自我判断，外部羞耻和内部羞耻成为抑郁症的重要预测因子。与不孕症诊断的妇女往往呈现出较高水平的抑郁和焦虑症状相比，生育控制和通过candides.CONCLUSIONS：这项研究强调了情绪调节过程的重要性，如内部和外部的羞耻，自我判断，与不孕症相关的精神病理学的理解。我们的研究结果表明，这些问题应该在治疗的背景下与这些夫妇。然而，不孕症组的异质性，在医学诊断和治疗的不同阶段，可能代表了我们的研究结果的解释的局限性。
BACKGROUND: Little is known about psychological processes of infertile couples pursuing medical treatment in comparison with fertile couples and adoption candidates who also suffer from infertility but are not seeking medical help. This study aims to contribute to a better understanding of these individuals in terms of psychological processes (such as external shame, internal shame and self-judgment) and their association with psychopathology, also attending to gender differences.METHODS: One hundred control couples without known fertility problems [fertile group (FG)], 100 couples with an infertility diagnosis and pursuing medical treatment [infertile group (IG)], and 40 couples with an infertility diagnosis who are applying for adoption [adoption group (AG)] completed the instruments: Beck Depression Inventory, Spielberger State-Trait Anxiety Inventory, Others as Shamer, Experience of Shame Scale and the Self-compassion Scale. One-way analysis of variances were used to compare the three groups demographic and study variables. Pearson correlations and linear multiple regression analysis were performed to investigate the associations between shame, self-judgment, depression and anxiety. To explore gender differences, T-tests were used.RESULTS: The IG group scored higher than FG and AG in measures of depression, anxiety, external shame, internal shame and self-judgment. In infertile couples, self-judgment, external shame and internal shame emerged as significant predictors of depressive symptomatology. Women with an infertility diagnosis tend to present higher levels of depressive and anxiety symptoms in comparison with fertile controls and adoption candidates.CONCLUSIONS: This study highlights the importance of emotional regulation processes such as internal and external shame, and self-judgment, to the understanding of psychopathological symptomatology associated with infertility. Our results suggest that these issues should be addressed in a therapeutic context with these couples. Nevertheless, the heterogeneity of the infertile group, in what concerns different stages of medical diagnosis and treatment, might represent a limitation in the interpretation of our findings.