Psychological distress and postponed fertility care during the COVID-19 pandemic.
Psychological distress and postponed fertility care during the COVID-19 pandemic.
复制标题
DOI：
10.1007/s10815-020-02023-x
复制
发表时间：
2021-03
影响因子：
3.1
通讯作者：
Pavone ME
中科院分区：
文献类型：
--
作者：
Lawson AK;McQueen DB;Swanson AC;Confino R;Feinberg EC;Pavone ME
评估对COVID-19大流行继发的延迟生育护理的看法。这是一项横断面匿名调查，N = 787/2，287例患者（应答率= 42.6%）来自单一学术生育中心。参与者以1：1的比例随机接受补充教育，解释因COVID-19大流行而推迟生育治疗的建议背后的理由。通过个人健康问卷抑郁量表、广泛性焦虑症-7、应对方式修订版、生活事件评估量表以及补充教育对ASRM COVID-19工作组建议的一致性和相关痛苦的影响，对幸福感进行评估。教育组与无教育组的参与者分别为35.51（SD = 4.06）和37.24（SD = 5.34）岁，已婚（90.8%对89.8%），拥有研究生学位（53.9% v. 55.4%），> 1年不孕（73.4% v. 74.4%），未生育（69.0% v. 72.6%），中度至高度窘迫（64.9% v. 64.2%）（ns）。抑郁与年龄、不孕年限、寻求社会支持和回避应对方式有关（P <0.001）。接受补充教育、流产史和使用认知应对方式与建议的一致性相关（P = 0.001）。大多数参与者对治疗的延误感到痛苦。补充教育增加了对建议的接受，但并没有减少痛苦。未来的治疗延迟应包括与建议相关的教育和对建议理解的评估，以及将精神卫生专业人员纳入患者护理。在线版本包含补充材料，可通过10.1007/s10815 - 020 - 02023-x获取。
To evaluate perceptions of delayed fertility care secondary to the COVID-19 pandemic. This was a cross-sectional anonymous survey of N = 787/2,287 patients (response rate = 42.6%) from a single academic fertility center. Participants were randomized 1:1 to receive supplemental educational explaining the rationale behind recommendations to delay fertility treatments due to the COVID-19 pandemic. Assessment of well-being was conducted via the Personal Health Questionnaire Depression Scale, the Generalized Anxiety Disorder-7, the Ways of Coping-Revised, the Appraisal of Life Events Scale, and influence of supplemental education on agreement with ASRM COVID-19 Taskforce recommendations and associated distress. Participants in the education v. no education groups were 35.51 (SD = 4.06) and 37.24 (SD = 5.34) years old, married (90.8% v. 89.8%), had a graduate degree (53.9% v. 55.4%), > 1 year of infertility (73.4% v. 74.4%), and were nulliparous (69.0% v. 72.6%), with moderate to high distress (64.9% v. 64.2%) (ns). Distress was related to age, duration of infertility, and engagement in social support seeking and avoidant coping strategies (P < 0.001). Agreement with recommendations was related to receipt of supplemental education, history of pregnancy loss, and use of cognitive coping (P = 0.001). Most participants were distressed by the delay of treatments. Supplemental education increased acceptance of recommendations but did not decrease distress. Future treatment delays should include education related to and assessment of understanding of recommendations, and inclusion of mental health professionals in patient care. The online version contains supplementary material available at 10.1007/s10815-020-02023-x.
登录
查看更多内容
影响因子：
11.3
作者：
Cao, Wenjun;Fang, Ziwei;Zheng, Jianzhong
通讯作者：
Zheng, Jianzhong
影响因子：
3.6
作者：
Omani-Samani, Reza;Ghaheri, Azadeh;Maroufizadeh, Saman
通讯作者：
Maroufizadeh, Saman
影响因子：
3.7
作者：
Gordon JL;Balsom AA
通讯作者：
Balsom AA
影响因子：
6.1
作者：
Boivin, J.;Harrison, C.;Gameiro, S.
通讯作者：
Gameiro, S.
DOI：
10.3390/ijerph17103740
发表时间：
2020-05-01
影响因子：
--
作者：
Choi, Edmond Pui Hang;Hui, Bryant Pui Hung;Wan, Eric Yuk Fai
通讯作者：
Wan, Eric Yuk Fai