Psychological adjustment and psychosocial stress among Japanese couples with a history of recurrent pregnancy loss
Psychological adjustment and psychosocial stress among Japanese couples with a history of recurrent pregnancy loss
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DOI：
10.1093/humrep/der441
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发表时间：
2012-03-01
影响因子：
6.1
通讯作者：
Yoshimura, Y.
中科院分区：
文献类型：
--
作者：
Kagami, M.;Maruyama, T.;Yoshimura, Y.
关于反复流产对夫妻心理调适的影响知之甚少。本研究的目的是阐明心理调整和RPL相关的心理社会压力影响日本夫妇的历史RPL，侧重于性别差异和质量的婚姻关系。他们完成了自填式问卷，评估与RPL相关的压力，他们的婚姻关系质量（质量婚姻指数，QMI），抑郁（贝克抑郁指数）和焦虑（状态-特质焦虑量表）。与男性相比，女性表现出更高水平的抑郁，焦虑和与RPL相关的个人和社会压力。虽然有没有差异，在QMI分数和RPL相关的婚姻压力的男性和女性之间，低感知的婚姻关系质量（低QMI）的女性有显着较高的抑郁和焦虑水平相比，妇女与中度或高QMI。相比之下，抑郁和焦虑的得分并没有根据男性之间的婚姻关系的质量而有所不同。在76对夫妇中，26名男性（34名）和45名女性（59名）曾考虑过就其RPL状况进行专业心理健康咨询，但尚未开始这一过程，他们比从未考虑过此类咨询的48名男性和24名女性分别更抑郁和焦虑。婚姻关系质量差与女性心理适应能力受损显著相关，但与男性无关。这些性别差异可能会促使退休人员夫妇的心理适应和婚姻关系相互恶化。需要寻求帮助，不仅在妇女，而且在很大一部分的男子表明，以夫妇为基础的心理护理在管理RPL的重要性。
Little is known about the effects of recurrent pregnancy loss (RPL) on the psychological adjustment of couples. The aim of this study was to elucidate psychological adjustment and RPL-associated psychosocial stress affecting Japanese couples with a history of RPL, focusing on gender differences and quality of the marital relationship.The study included 76 RPL couples who visited the outpatient clinic of a tertiary hospital. They completed self-administered questionnaires that assessed RPL-associated stress, quality of their marital relationship (Quality Marriage Index, QMI), depression (Beck Depression Index) and anxiety (State-Trait Anxiety Inventory).Women showed significantly higher levels of depression, anxiety and RPL-associated personal and social stress compared with men. Although there were no differences in QMI scores and RPL-associated marital stress between men and women, women with a low perception of marital relationship quality (low QMI) had significantly higher levels of depression and anxiety compared with women with a moderate or high QMI. In contrast, depression and anxiety scores did not differ according to the quality of the marital relationship among men. Of 76 couples, 26 men (34) and 45 women (59) who had considered professional mental health consultations regarding their RPL status but had not yet initiated the process were more depressed and anxious than 48 men and 24 women, respectively, who had never considered such consultation.Women were significantly more distressed than men. Poor quality of the marital relationship was significantly associated with impaired psychological adjustment among women, but not among men. These gender discrepancies may foster a mutual worsening of psychological adjustment and marital relationships in RPL couples. The need to seek help not only in women but also in a substantial portion of men suggests the importance of couple-based psychological care in the management of RPL.