Psychosocial and contextual determinants of health among infertile women: A cross-cultural study
Psychosocial and contextual determinants of health among infertile women: A cross-cultural study
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DOI：
10.1080/13548506.2014.880492
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发表时间：
2014-01-01
影响因子：
3.8
通讯作者：
de Visser, Richard Oliver
中科院分区：
文献类型：
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作者：
Batool, Shahida Syeda;de Visser, Richard Oliver
本研究的目的是评估情绪智力、社会支持和环境因素对不孕妇女总体健康的影响。生活在英国（n = 148）和巴基斯坦（n = 164）的25-45岁非自愿无子女的妇女完成了一份自我管理的问卷。尽管在一般健康问卷（GHQ）的总分上没有显著差异，英国妇女报告了更多的焦虑、失眠和社交功能障碍，而巴基斯坦妇女报告了更多的抑郁和躯体症状。在样本之间发现了假定的GHQ评分相关因素的重要差异。英国妇女报告的情感满意度、对医疗信息的满意度、对医疗护理的满意度和实际得到的支持明显更高。巴基斯坦妇女报告的情商更高。回归分析表明，在英国和巴基斯坦女性中，获得更多的社会支持与更高的GHQ分数有共同的关联。英国女性GHQ得分较高的另一个相关因素是更高的情商和人际关系中更多的情感满意度（总体R-2 = 0.41）。巴基斯坦妇女之间的其他相关因素是更高的教育程度、更多的社会支持和核心家庭制度而不是大家庭（总体R-2 = 0）。40)。结果表明，不孕不育的心理方面应解决作为不孕妇女护理的整体方法的一部分。他们强调需要改善社会支持，并将情商训练纳入治疗干预措施，以改善不孕妇女的心理健康。
The purpose of this study was to assess the impact of emotional intelligence, social support and contextual factors on the general health of infertile women. A sample of involuntarily childless women aged 25-45 living in the UK (n = 148) and Pakistan (n = 164) completed a self-administered questionnaire. Although there were no significant differences in total scores on the General Health Questionnaire (GHQ), British women reported greater anxiety, insomnia and social dysfunction, and Pakistani women reported greater depression and somatic symptoms. Important differences in putative correlates of GHQ scores were found between the samples. British women reported significantly greater emotional satisfaction, greater satisfaction with medical information, greater satisfaction with medical care, and greater actual received support Pakistani women reported greater emotional intelligence. Regression analysis to identify correlates of higher GHQ scores revealed that greater received social support was a common correlate of better GHQ scores among British and Pakistani women. Additional correlates of better GHQ scores among British women were greater emotional intelligence and more emotional satisfaction in their relationships (overall R-2 = 0.41). Additional correlates among Pakistani women were greater education, greater perceived available social support and a nuclear family system rather than an extended family (overall R-2 = 0. 40). Results suggest that psychological facets of infertility should be addressed as part of a holistic approach to the care of infertile women. They highlight a need to improve social support and to incorporate emotional intelligence training in therapeutic interventions to improve the psychological well-being of infertile women.