Variation in distress among women with infertility: evidence from a population-based sample
Variation in distress among women with infertility: evidence from a population-based sample
复制标题
DOI：
10.1093/humrep/der148
复制
发表时间：
2011-08-01
影响因子：
6.1
通讯作者：
McQuillan, Julia
中科院分区：
文献类型：
--
作者：
Greil, Arthur L.;Shreffler, Karina M.;McQuillan, Julia
背景技术背景：我们研究的变化，生育特异性的困扰（FSD）和一般的困扰，根据不同的经验，不孕不育的1027名美国妇女谁经历了不孕不育在过去10 years.METHODS：一般的困扰是由流行病学中心抑郁症的一个简短的形式。多元回归分析进行自我报告的数据（基于电话采访），从概率为基础的样本，美国妇女年龄在25-45岁。我们比较了既往有过妊娠史的不孕症妇女（继发性不孕，n = 628）和既往无妊娠史的不孕症妇女（原发性不孕，n = 399）。我们进一步区分不孕症妇女谁实际上是'试图'成为怀孕（有意图的不孕）与那些符合不孕医学定义但不描述自己试图怀孕的人（无意图不孕）。结果：两种类型的不孕症（原发性与继发性）（β = 0.31*）和意向性（有意图和无意图的不孕症）（β = 0.08*）都与FSD相关。当我们控制了资源和人口变量、生命历程变量、社会支持和社会压力变量时，这些关联仍然存在。一般的困扰不因不孕症类型或intentionality.CONCLUSIONS：结果揭示了妇女的不孕症的回忆的经验和FSD的变化是更敏感的不同的经验比一般的困扰的影响。在不孕症发作时明确试图怀孕的原发性不孕症妇女是一个特别痛苦的群体。照顾者应该意识到，原发性不孕症妇女的情感需求可能与继发性不孕症妇女不同。
BACKGROUND: We examine variation in fertility-specific distress (FSD) and general distress according to different experiences of infertility among 1027 US women who have experienced infertility within the previous 10 years.METHODS: General distress was measured by a short form of the Center for Epidemiological Studies-Depression. Multiple regression analysis was conducted on self-report data (based on a telephone interview) from a probability-based sample of US women aged 25-45 years. We compare women with infertility who have had a prior pregnancy (secondary infertility, n = 628) to women with infertility with no prior pregnancies (primary infertility, n 399). We further distinguish between women with infertility who were actually 'trying' to become pregnant (the infertile with intent) with those who met the medical definition of infertile but did not describe themselves as trying to become pregnant (infertile without intent).RESULTS: Both types of infertility (primary versus secondary) (beta = 0.31*) and intentionality (infertile with and without intent) (beta = 0.08*) are associated with FSD. These associations persist when we control for resource and demographic variables, life course variables, social support and social pressure variables. General distress does not vary by infertility type or intentionality.CONCLUSIONS: Results reveal variation in women's recalled experiences of infertility and that FSD is more sensitive to effects of different experiences than general distress. Women with primary infertility who were explicitly trying to become pregnant at the time of the infertility episode stand out as a particularly distressed group. Caregivers should be aware that the emotional needs of women with primary infertility may differ from those with secondary infertility.