The impact of partner coping in couples experiencing infertility
The impact of partner coping in couples experiencing infertility
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DOI：
10.1093/humrep/den067
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发表时间：
2008-05-01
影响因子：
6.1
通讯作者：
Schmidt, L.
中科院分区：
文献类型：
--
作者：
Peterson, B. D.;Pirritano, M.;Schmidt, L.
背景：大多数研究应对不孕症的研究都以个体为分析单位。这些研究虽然有价值，但未能表明伴侣应对方式对个人痛苦的影响。由于不孕不育是一种共同的压力源，因此检查伴侣应对方式的影响尤为重要。方法：数据基于在开始辅助生殖治疗之前对 1169 名丹麦女性和 1081 名丹麦男性进行连续抽样的调查问卷。使用演员伙伴相互依赖模型的多层次建模和后续方差分析被用来检查作为分析单位的夫妇。结果：伴侣使用主动回避应对方式与男性和女性个人、婚姻和社会痛苦的增加有关。女性采取主动应对的方式与男性婚姻困扰的增加有关。伴侣使用基于意义的应对方式与男性婚姻困扰的减少和女性社交困扰的增加有关。结论：尽管研究不足，但伴侣应对模式在伴侣应对不孕经历的能力中发挥着关键作用。医生和心理健康提供者可以帮助夫妻了解导致伴侣痛苦增加和减少的应对策略。
BACKGROUND: Most studies examining coping with infertility use the individual as the unit of analysis. Although valuable, these studies fail to show the impact that partner coping has on individual distress. Since infertility is a shared stressor, examining the impact of partner coping is particularly relevant. METHODS: Data were based on a questionnaire in a consecutive sample of 1169 women and 1081 Danish men prior to beginning assisted reproduction treatment. Multilevel modeling using the Actor Partner Interdependence Model and follow-up analysis of variance were used to examine the couple as the unit of analysis. RESULTS: A partner's use of active-avoidance coping was related to the increased personal, marital and social distress for men and women. A woman's use of active-confronting coping was related to increased male marital distress. And a partner's use of meaning-based coping was associated with decreased marital distress in men and increased social distress in women. CONCLUSIONS: Although understudied, partner coping patterns play a key role in a partner's ability to cope with the infertility experience. Physicians and mental health providers can help couples to understand the coping strategies that lead to increased and decreased partner distress.