国际生殖健康/计划生育杂志2026，Vol.45Issue(3)：190-195,6.DOI:10.12280/gjszjk.20260039
异地不孕不育夫妇IVF-ET治疗期间二元应对与焦虑、抑郁的主客体互倚模型研究
Research on Dyadic Coping and Anxiety/Depression in Separated Couples with Infertility Undergoing IVF-ET Based on Actor-Partner Interdependence Model
摘要
Abstract
Objective:The psychological health status of infertile couples is affected by the dyadic coping.This study was designed to explore the impact patterns of dyadic coping on the anxiety and depression in non-cohabiting infertile couples undergoing in vitro fertilization-embryo transfer(IVF-ET),based on the actor-partner interdependence model(APIM).Methods:A total of 187 non-cohabiting infertile couples undergoing IVF-ET at the reproductive medicine department of our hospital from March to August 2024 were selected.Data on age,duration of infertility,self-rating anxiety scale(SAS),self-rating depression scale(SDS)and dyadic coping inventory(DCI)were collected.Correlation analysis and APIM were used to investigate the effects of dyadic coping on their negative emotions.Results:The prevalences of anxiety and depression were 19.25％(36/187)and 26.74％(50/187)in female partners,while 1.07％(2/187)and 15.51％(29/187)in male partners,respectively.In both male and female partners,the statistically significant differences were observed in SAS and SDS standard scores across different long-distance relationship duration groups,with the group of>5 years showing the highest scores(P<0.05).Standard scores of SAS and SDS in both spouses were negatively correlated with their own and their partners'total DCI scores(P<0.05).The APIM indicated that the negative emotions of the male partners were significantly influenced by both actor and partner effects(P<0.05).The negative emotions of female partners were only significantly influenced by their own actor effects(P<0.05),and the partner effects were not significant(P=0.128).Conclusions:Dyadic coping in non-cohabiting infertile couples exerts distinct actor and partner effects on the negative emotions,highlighting the need for tailored and evidence-based nursing interventions.关键词
体外受精/胚胎移植/焦虑/抑郁/二元应对/主客体互倚模型Key words
Fertilization in vitro/Embryo transfer/Anxiety/Depression/Dyadic coping/Actor-partner interdependence model引用本文复制引用
杜超,程旭,于鑫桐,孙凯旋,张倩,周静..异地不孕不育夫妇IVF-ET治疗期间二元应对与焦虑、抑郁的主客体互倚模型研究[J].国际生殖健康/计划生育杂志,2026,45(3):190-195,6.基金项目
军队护理创新与培育专项计划(2023HL070) （2023HL070）
