基于主客体互倚模型的不孕不育夫妻正念与生育压力的关系  

Relationship between mindfulness and fertility problem of infertile couples based on the actor-partner interdependence model

作　　者：王婕妤 程静娴 王春艳[1] 王吟霜 庞晶晶 吴炫烨 王丹妮 袁爱群 罗桂英[1] WANG Jieyu;CHENG Jingxian;WANG Chunyan;WANG Yinshuang;PANG Jingjing;WU Xuanye;WANG Danni;YUAN Aiqun;LUO Guiying(Reproductive Medicine Center,Department of Obstetrics and Gynecology,The First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;Teaching Center for Preventive Medicine,School of Public Health,Anhui Medical University)

机构地区：[1]安徽医科大学第一附属医院妇产科生殖医学中心,合肥230022 [2]安徽医科大学公共卫生学院预防医学教学中心

出　　处：《中国健康心理学杂志》2023年第10期1453-1458,共6页China Journal of Health Psychology

基　　金：国家自然科学基金青年项目(编号:72004001);安徽高校自然科学研究项目(编号:KJ2020A0203)。

摘　　要：目的:不孕不育患者的生育压力相对较高,正念干预能否减少生育压力尚未知,特别是在二元视角下,本研究可为不孕不育成对夫妻的心理干预提供理论依据。通过调查不孕不育夫妻的正念和生育压力水平,采用成对数据分析方法,研究不孕不育夫妻的正念和生育压力的关系,为医护人员制定改善不孕不育夫妻生育压力的干预措施提供依据。方法:选取2020年10月-2021年2月在中国某医院生殖中心就诊的607对(1214名)不孕不育夫妻,运用一般资料问卷、临床资料问卷、正念注意觉知量表(Mindful Attention Awareness Scale, MAAS)、生育压力量表(Fertility Problem Inventory, FPI),通过主客体互倚模型分析夫妻双方正念与生育压力的相互影响的路径关系。结果:主体效应方面:妻子的正念对他们自身的生育压力有显著影响(β=-0.382,P<0.001),丈夫的正念对他们自身的生育压力也有显著影响(β=-0.295,P<0.001)。客体效应方面:妻子的正念对丈夫的生育压力有显著的影响(β=-0.120,P<0.05)。丈夫的正念对丈夫的生育压力没有显著的影响,通过平等约束检验,正念对生育压力的影响的主客体效应相似。结论:不孕不育夫妻的生育压力不仅受主体正念的影响,还受客体正念的影响。因此,提高不孕不育夫妻双方(尤其是妻子)的正念水平,会达到减轻双方生育压力的效果。Objective:The fertility problem of infertile patients is in high level.It is unknown whether mindfulness intervention can reduce the fertility problem,especially from the perspective of dyadic approch.This study can provide theoretical basis for psychological intervention of infertile couples.To study the relationship between the mindfulness and fertility problem of infertile couples by investigating the level of mindfulness and fertility stress of infertile couples and using dyadic data analysis method,which provides a basis for medical personnel to formulate intervention measures to reduce fertility peoblem of infertile couples.Methods:A total of 607 infertile couples(1214 participants)who visited the the first affiliated hospital of Anhui Medical UniversityHospital from October 2020 to February 2021 were selected.General information questionnaire,clinical information questionnaire,Mindful Attention Awareness Scale(MAAS)and Fertility Problem Inventory(FPI)were used;through the Actor-Partner Interdependence Model,this study analyzed the path relationship of the mutual influence between husbands’and wives’mindfulness and fertility problem.Results:In terms of actor effect,wives'mindfulness had a significant impact on their own fertility problem(β=-0.382,P<0.001),husbands’mindfulness also had a significant impact on their own fertility problem(β=-0.295,P<0.001).Wives’mindfulness had a significant impact on husbands’fertility problem(β=-0.120,P<0.05).The husbands’mindfulness had no significant impact on the husband's fertility problem.Through the equality constraint test,the actor-partner interdependence model effects of mindfulness on fertility problem were similar.Conclusion:The fertility problem of infertile couples is not only affected by the actor mindfulness,but also affected by the partner mindfulness.Therefore,improving the mindfulness level of both infertile couples(especially wives)will reduce the fertility problem of both partners.

关 键 词：不孕不育 夫妻 正念 生育压力 主客体互倚模型 

分 类 号：R395.9[哲学宗教—心理学]