Psychological distress among men suffering from couple infertility in South Africa: a quantitative assessment
Psychological distress among men suffering from couple infertility in South Africa: a quantitative assessment
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DOI：
10.1093/humrep/dep278
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发表时间：
2009-11-01
影响因子：
6.1
通讯作者：
Van der Spuy, Zephne
中科院分区：
文献类型：
--
作者：
Dyer, Silke;Lombard, Carl;Van der Spuy, Zephne
背景：近年来，人们越来越关注不孕症对发展中国家生殖健康的影响。大多数针对非洲国家不孕症的心理社会后果的研究都是定性的，并以妇女为重点。这是本研究的目的，以评估心理困扰的男性患有夫妇不孕症生活在城市communityinSouthAfrica.METHODS：症状自评量表-90-R，一个标准化的工具，用于测量目前的心理症状状态，被管理到120名男子首次介绍到公共卫生部门不孕不育诊所（研究组）在三级转诊中心。对照组由120名与伴侣一起去产前诊所的男性组成。所有的男人都可能有过孩子。原始测试成绩转换成标准区T分数和analyzedfurther.RESULTS：在研究组的参与者在他们的心理症状状态不同时，与对照组相比。不育夫妇的男性伴侣有显着升高的平均T分数的所有9个主要症状的尺寸，以及三个全球性的标志物的困扰（P < 0.0001与对照组），但这些都没有超过上限范围normal.CONCLUSIONS：当与对照组相比，不育夫妇的男性伴侣经历了升高水平的心理困扰，但没有，平均而言，患有精神病理学。与非洲国家的定性研究和西方工业化世界的定量研究相比，既有相似之处，也有不同之处。了解和解决男性不育的观点是不育管理的重要组成部分。
BACKGROUND: Recent years have seen a growing interest in the impact of infertility on reproductive health in developing countries. Most of the research which has addressed the psychosocial consequences of infertility in African countries has been qualitative in nature and focused on women. It was the aim of this study to assess psychological distress quantitatively in men suffering from couple infertility living in an urban community in South Africa.METHODS: The Symptom Checklist-90-R, a standardized instrument for the measurement of current psychological symptom status, was administered to 120 men upon first presentation to a public health sector infertility clinic (study group) in a tertiary referral centre. The control group comprised 120 men who attended an antenatal clinic with their partner. All men may have previously fathered a child. Raw test scores were converted into standard area T scores and analyzed further.RESULTS: Participants in the study group differed in their psychological symptom status when compared with controls. Male partners of infertile couples had significantly elevated mean T scores for all nine primary symptom dimensions as well as the three global markers of distress (P < 0.0001 versus control), but these did not exceed the upper range of normal.CONCLUSIONS: When compared with controls, male partners of infertile couples experienced elevated levels of psychological distress, but without, on average, suffering from psychopathology. A comparison with qualitative studies from African countries and with quantitative studies from the Western industrialized world revealed both similarities and differences. Understanding and addressing the male perspective of infertility is an important component of infertility management.