不孕不育夫婦情緒困擾及其影響因素的二元交互模型構(gòu)建
發(fā)布時間：2018-07-13 10:13
【摘要】：目的調(diào)查不孕不育夫婦情緒困擾狀況,探討人格特征、心理彈性、社會支持對其情緒困擾的預(yù)測作用以及二元交互作用,為提高該群體的心理健康提供理論依據(jù)。方法采用便利抽樣的方法,從山東省三家生殖醫(yī)院中抽取了 369對不孕不育夫婦為研究對象并對其進行問卷調(diào)查。調(diào)查工具包括人口社會學(xué)和疾病信息調(diào)查表、情緒困擾評定量表(K10量表)、心理彈性量表簡化版(CD-RISC 10)、大五人格問卷(BFI)及領(lǐng)悟社會支持量表。本研究共發(fā)放問卷900份(450對),回收有效問卷738份(369對),有效回收率82.0%。采用SPSS 22.0和AMOS 22.0統(tǒng)計軟件對資料進行錄入、整理和分析,統(tǒng)計方法包括描述性統(tǒng)計分析、獨立樣本t檢驗、方差分析、Pearson相關(guān)分析和多元線性回歸分析以及路徑分析等方法。結(jié)果1.不孕不育夫婦人口社會學(xué)和疾病信息分布情況369對不孕不育夫婦的年齡在22～49歲之間,男性平均年齡(31.15±4.56)歲,女性平均年齡(30.29±4.33)歲,婚齡在1～25年之間,平均婚齡(5.50 ±3.56)年,53.7%的患者來自農(nóng)村,76.7%的患者從事工作,48.5%的患者是初中及以下文化水平;46.3%的患者家庭月收入中等,85.4%的患者沒有子女,不孕不育時長平均為(4.36±2.83)年,治療總時長平均為(2.80±2.32)年,造成不孕不育原因中女方居多(35.6%)。2.不孕不育夫婦情緒困擾得分情況及在一般人口社會學(xué)、疾病資料上的差異比較本研究中,不孕不育夫婦情緒困擾得分范圍為10～45分,其中丈夫得分為(20.45 ±6.43)分,妻子得分為(21.98 ±6.44)分。不孕不育夫婦情緒困擾的總發(fā)生率為45.3%,其中丈夫情緒困擾發(fā)生率為41.4%,妻子情緒困擾發(fā)生率為49.3%(K10得分≥22分)。獨立樣本t檢驗和方差分析結(jié)果表明,不孕不育夫婦的情緒困擾在人口社會學(xué)上、疾病信息的差異未達到統(tǒng)計學(xué)意義。3.不孕不育夫婦的心理彈性、人格特征、社會支持得分與K10得分相關(guān)性不孕不育夫婦心理社會變量的得分為:丈夫心理彈性得分(28.16 ±6.50),妻子心理彈性得分(26.14±6.82);丈夫社會支持得分(60.96±10.21),妻子社會支持得分(61.85±10.44);丈夫神經(jīng)質(zhì)得分(22.24±5.25),妻子神經(jīng)質(zhì)得分(23.61 ± 5.35),丈夫外向性得分(24.95 ± 4.74),妻子外向性得分(25.47 ±4.53)。相關(guān)分析結(jié)果表明,妻子的情緒困擾與其心理彈性(r =-0.315,P0.01)、社會支持(r-=-0.273,P0.01)、外向性人格(r =-0.279,P0.01)均呈顯著負(fù)相關(guān);而與神經(jīng)質(zhì)人格(r = 0.478,P0.01)呈顯著正相關(guān)。同時,丈夫的情緒困擾與其心理彈性(r =-0.238,P0.01)、社會支持(r =-0.179,P0.01)、外向性人格(r=-0.354,P0.01)均呈顯著負(fù)相關(guān),而與神經(jīng)質(zhì)人格(r = 0.434,P0.01)呈顯著正相關(guān)。此外,妻子的情緒困擾得分與丈夫的情緒困擾得分呈顯著正相關(guān)(r = 0.220,P0.01)。心理彈性、社會支持、人格特征得分兩兩之間也均存在顯著性的正相關(guān)(r = 0.125～0.371,P0.01)或負(fù)相關(guān)(r =-0.115～-0.464,P0.01)。4.不孕不育夫婦情緒困擾影響因素的回歸分析分別以不孕不育夫婦的情緒困擾為因變量,分別將社會支持、人格特征、心理彈性作為自變量納入回歸方程,進行單因素回歸分析。結(jié)果顯示,妻子的心理彈性(β =-0.315,P0.001)、社會支持(β =-0.273,P0.001)、外向型人格(β =-0.279,P0.001)均能負(fù)向預(yù)測其情緒困擾狀況,而神經(jīng)質(zhì)人格能正向預(yù)測其情緒困擾狀況(β = 0.478,P0.001)。同時,丈夫的心理彈性(β =-0.238,P0.001)、社會支持(β =-0.179,P= 0.001)、外向型人格(β =-0.354,P0.001)能負(fù)向預(yù)測其情緒困擾狀況,而神經(jīng)質(zhì)人格(β = 0.434,P0.001)能正向預(yù)測其情緒困擾狀況。5.不孕不育夫婦情緒困擾影響因素的二元交互效應(yīng)分析分別以不孕不育夫婦的情緒困擾為因變量,將各自的社會支持、人格特征、心理彈性作為第一層納入回歸方程,然后將對方的社會支持、人格特征、心理彈性作為第二層納入回歸方程,進行多元分層回歸分析。結(jié)果顯示,當(dāng)以妻子情緒困擾作為因變量,妻子的社會支持(β =-0.126,P=0.010)和神經(jīng)質(zhì)人格(β = 0.380,P0.001)能預(yù)測其自身的情緒困擾狀況(R2 = 0.259);而丈夫的外向型人格(β =-0.111,P= 0.034)也能負(fù)向預(yù)測妻子的情緒困擾狀況(△R2 =0.020)。當(dāng)以丈夫的情緒困擾為因變量時,其外向型人格(β =-0.179,P= 0.001)和神經(jīng)質(zhì)人格(β = 0.323,P0.001)能預(yù)測其自身情緒困擾狀況(R2 = 0.211),而妻子的心理社會變量不能預(yù)測丈夫的情緒困擾(△R2 = 0.003)。進一步采用路徑分析的方法檢驗上述二元交互效應(yīng),將不孕不育夫婦的情緒困擾作為因變量,分別以他們的心理彈性、社會支持、人格特征作為自變量構(gòu)建結(jié)構(gòu)模型,結(jié)果顯示,妻子的心理彈性(β =-0.10,P0.05)、社會支持(β=-0.13,P0.05)、神經(jīng)質(zhì)人格(β = 0.40,P0.05)對其自身情緒困擾的預(yù)測路徑顯著,而對其丈夫情緒困擾不顯著(P0.05);丈夫的神經(jīng)質(zhì)(β = 0.34,P0.05)和外向型人格(β =-0.19,P0.05)不僅對其自身情緒困擾的預(yù)測路徑顯著,而且丈夫的神經(jīng)質(zhì)(β = 0.09,P0.05)和外向型人格(β =-0.12,P0.05)對妻子情緒困擾的預(yù)測路徑也顯著,其他變量的預(yù)測路徑均不顯著(P0.05)。結(jié)論1.不孕不育夫婦存在較高的情緒困擾水平,妻子發(fā)生率高于丈夫。2.不孕不育夫婦的心理彈性、外向型人格與社會支持水平分別能負(fù)向預(yù)測其各自的情緒困擾,而神經(jīng)質(zhì)人格能正向預(yù)測其各自的情緒困擾。3.不孕不育夫婦的人格特質(zhì)與其情緒困擾存在二元交互作用。
[Abstract]:Objective to investigate the emotional distress status of infertile couples and to explore the role of personality characteristics, mental resilience, and social support in predicting their emotional distress and two yuan interaction to provide theoretical basis for improving the mental health of the group. Methods 369 infertility cases were extracted from three reproductive hospitals in Shandong province by convenient sampling. The couples were investigated and investigated. The survey tools included demographic sociology and disease information questionnaire, emotional distress Rating Scale (K10 scale), simplified Mental Resilience Scale (CD-RISC 10), large Five Personality Questionnaire (BFI) and apperception social support scale. A total of 900 questionnaires were issued (450 pairs) and 738 valid questionnaires were recovered (3 69), the effective recovery rate 82.0%. used SPSS 22 and AMOS 22 statistical software to enter, organize and analyze the data. Statistical methods include descriptive statistical analysis, independent sample t test, variance analysis, Pearson correlation analysis and multivariate linear regression analysis and path analysis. Results 1. infertile couples are sociological and diseases. The distribution of disease information 369 couples aged 22~49 years old, male average age (31.15 + 4.56) years, female average age (30.29 + 4.33) years, marriage age between 1~25 years, average age of marriage (5.50 + 3.56) years, 53.7% of patients from rural areas, 76.7% patients engaged in work, 48.5% patients are junior and below cultural level; 46 The monthly income of the patients with.3% was moderate, 85.4% of the patients had no children, the average length of infertility was (4.36 + 2.83) years, the average length of the treatment was (2.80 + 2.32) years. The scores of emotional distress in the female infertility couples (35.6%) and the general population Sociology and the difference in disease data were compared. In the study, the score of emotional distress in infertility couples was 10~45 points, of which the scores of husbands were (20.45 + 6.43) and (21.98 + 6.44). The total incidence of emotional distress in infertility couples was 45.3%, of which the incidence of husbands' emotional distress was 41.4%, and the incidence of emotional distress of the wife was 49.3% (K10 score > 22). Independent sample t The results of test and variance analysis showed that the emotional distress of infertile couples in the population sociology, the difference of disease information was not statistically significant.3. infertility couples' psychological resilience, personality characteristics, social support scores and K10 scores correlated with the scores of psychosocial variables of infertile couples: the husbands' psychosocial score (28 .16 + 6.50), the score of the wife's mental resilience (26.14 + 6.82); the score of the social support (60.96 + 10.21) for the husband (60.96 + 10.21), the score of the wife's social support (61.85 + 10.44), the neuroticism score of the husband (22.24 + 5.25), the neuroticism score of the wife (23.61 + 5.35), the extrovert score of the husband (24.95 + 4.74), and the extrovert score of the wife (6.82). The emotional distress of the wife was significantly negatively correlated with R =-0.315 (P0.01), social support (r-=-0.273, P0.01), R =-0.279 (P0.01), and a significant positive correlation with the neurotic personality (r = 0.478, P0.01). R=-0.354 (P0.01) had a significant negative correlation, but a significant positive correlation with neuroticism (r = 0.434, P0.01). In addition, the score of the emotional distress of the wife was positively correlated with the score of the husband's emotional distress (r = 0.220, P0.01). There was a significant positive correlation between the scores of mental resilience, social support and personality traits (r = 0) (r = 0). .125 to 0.371, P0.01) or negative correlation (R =-0.115 to -0.464, P0.01) the regression analysis of emotional distress factors of infertility couples in.4. infertility couples, the emotional distress of infertile couples as the dependent variables, respectively, the social support, personality characteristics, psychological elasticity as a regression equation of independent variables and single factor regression analysis. The mental resilience (beta =-0.315, P0.001), social support (beta =-0.273, P0.001), export-oriented personality (beta =-0.279, P0.001) can negatively predict their emotional distress, while neuroticism can predict their emotional distress (beta = 0.478, P0.001). Meanwhile, the psychological resilience of husbands (beta =-0.238, P0.001), social support (beta =-0.179, P= 0.001). The extrovert personality (beta =-0.354, P0.001) can negatively predict their emotional distress, and the neuroticism (beta = 0.434, P0.001) can positively predict the emotional distress of their emotional distress and the two yuan interaction effect analysis of the emotional distress of infertile couples in.5.. Personality characteristics, psychological elasticity as the first layer into the regression equation, and then the other party's social support, personality characteristics, psychological elasticity as the second layer into the regression equation, multiple stratified regression analysis. The results show that when the wife's emotional distress as a dependent variable, the wife's social support (Beta =-0.126, P=0.010) and neuroticism (beta = 0) .380, P0.001) can predict their own emotional distress (R2 = 0.259); and the extroverted personality of the husband (beta =-0.111, P= 0.034) can also negatively predict his wife's emotional distress (delta R2 =0.020). When a husband's emotional distress is a dependent variable, its external personality (beta =-0.179, P= 0.001) and neurotic personality (beta = 0.323, P0.001) can be predisposed. The situation of their own emotional distress (R2 = 0.211) was measured, while the wife's psychosocial variables could not predict the emotional distress of their husbands (delta R2 = 0.003). The method of path analysis was used to test the above two yuan interaction effect, and the emotional distress of infertile couples was taken as the dependent variable, and their psychological resilience, social support and personality characteristics respectively. As a self variable structure model, the results showed that the psychological resilience of the wife (beta =-0.10, P0.05), social support (beta =-0.13, P0.05), neuroticism (beta = 0.40, P0.05) had a significant predictive path for their own emotional distress, but not to their husbands' emotional distress (P0.05), and the husbands' neuroticism (beta = 0.34, P0.05) and extroverted personality (beta =-0.1). 9, P0.05) not only has a significant prediction path for its own emotional distress, but also the prediction path of the husband's neuroticism (beta = 0.09, P0.05) and extrovert personality (beta =-0.12, P0.05) is also significant for the wife's emotional distress, and the prediction path of other variables is not significant (P0.05). There is a high level of emotional distress in the 1. infertility couples and the wife's hair. The rate of birth is higher than that of the husband.2. infertile couples. The extrovert personality and the social support level can negatively predict their respective emotional distress, while the neuroticism can predict the personality traits of the infertile couples with.3. infertility and their emotional distress in the two yuan interaction.
【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R473.71
[Abstract]:Objective to investigate the emotional distress status of infertile couples and to explore the role of personality characteristics, mental resilience, and social support in predicting their emotional distress and two yuan interaction to provide theoretical basis for improving the mental health of the group. Methods 369 infertility cases were extracted from three reproductive hospitals in Shandong province by convenient sampling. The couples were investigated and investigated. The survey tools included demographic sociology and disease information questionnaire, emotional distress Rating Scale (K10 scale), simplified Mental Resilience Scale (CD-RISC 10), large Five Personality Questionnaire (BFI) and apperception social support scale. A total of 900 questionnaires were issued (450 pairs) and 738 valid questionnaires were recovered (3 69), the effective recovery rate 82.0%. used SPSS 22 and AMOS 22 statistical software to enter, organize and analyze the data. Statistical methods include descriptive statistical analysis, independent sample t test, variance analysis, Pearson correlation analysis and multivariate linear regression analysis and path analysis. Results 1. infertile couples are sociological and diseases. The distribution of disease information 369 couples aged 22~49 years old, male average age (31.15 + 4.56) years, female average age (30.29 + 4.33) years, marriage age between 1~25 years, average age of marriage (5.50 + 3.56) years, 53.7% of patients from rural areas, 76.7% patients engaged in work, 48.5% patients are junior and below cultural level; 46 The monthly income of the patients with.3% was moderate, 85.4% of the patients had no children, the average length of infertility was (4.36 + 2.83) years, the average length of the treatment was (2.80 + 2.32) years. The scores of emotional distress in the female infertility couples (35.6%) and the general population Sociology and the difference in disease data were compared. In the study, the score of emotional distress in infertility couples was 10~45 points, of which the scores of husbands were (20.45 + 6.43) and (21.98 + 6.44). The total incidence of emotional distress in infertility couples was 45.3%, of which the incidence of husbands' emotional distress was 41.4%, and the incidence of emotional distress of the wife was 49.3% (K10 score > 22). Independent sample t The results of test and variance analysis showed that the emotional distress of infertile couples in the population sociology, the difference of disease information was not statistically significant.3. infertility couples' psychological resilience, personality characteristics, social support scores and K10 scores correlated with the scores of psychosocial variables of infertile couples: the husbands' psychosocial score (28 .16 + 6.50), the score of the wife's mental resilience (26.14 + 6.82); the score of the social support (60.96 + 10.21) for the husband (60.96 + 10.21), the score of the wife's social support (61.85 + 10.44), the neuroticism score of the husband (22.24 + 5.25), the neuroticism score of the wife (23.61 + 5.35), the extrovert score of the husband (24.95 + 4.74), and the extrovert score of the wife (6.82). The emotional distress of the wife was significantly negatively correlated with R =-0.315 (P0.01), social support (r-=-0.273, P0.01), R =-0.279 (P0.01), and a significant positive correlation with the neurotic personality (r = 0.478, P0.01). R=-0.354 (P0.01) had a significant negative correlation, but a significant positive correlation with neuroticism (r = 0.434, P0.01). In addition, the score of the emotional distress of the wife was positively correlated with the score of the husband's emotional distress (r = 0.220, P0.01). There was a significant positive correlation between the scores of mental resilience, social support and personality traits (r = 0) (r = 0). .125 to 0.371, P0.01) or negative correlation (R =-0.115 to -0.464, P0.01) the regression analysis of emotional distress factors of infertility couples in.4. infertility couples, the emotional distress of infertile couples as the dependent variables, respectively, the social support, personality characteristics, psychological elasticity as a regression equation of independent variables and single factor regression analysis. The mental resilience (beta =-0.315, P0.001), social support (beta =-0.273, P0.001), export-oriented personality (beta =-0.279, P0.001) can negatively predict their emotional distress, while neuroticism can predict their emotional distress (beta = 0.478, P0.001). Meanwhile, the psychological resilience of husbands (beta =-0.238, P0.001), social support (beta =-0.179, P= 0.001). The extrovert personality (beta =-0.354, P0.001) can negatively predict their emotional distress, and the neuroticism (beta = 0.434, P0.001) can positively predict the emotional distress of their emotional distress and the two yuan interaction effect analysis of the emotional distress of infertile couples in.5.. Personality characteristics, psychological elasticity as the first layer into the regression equation, and then the other party's social support, personality characteristics, psychological elasticity as the second layer into the regression equation, multiple stratified regression analysis. The results show that when the wife's emotional distress as a dependent variable, the wife's social support (Beta =-0.126, P=0.010) and neuroticism (beta = 0) .380, P0.001) can predict their own emotional distress (R2 = 0.259); and the extroverted personality of the husband (beta =-0.111, P= 0.034) can also negatively predict his wife's emotional distress (delta R2 =0.020). When a husband's emotional distress is a dependent variable, its external personality (beta =-0.179, P= 0.001) and neurotic personality (beta = 0.323, P0.001) can be predisposed. The situation of their own emotional distress (R2 = 0.211) was measured, while the wife's psychosocial variables could not predict the emotional distress of their husbands (delta R2 = 0.003). The method of path analysis was used to test the above two yuan interaction effect, and the emotional distress of infertile couples was taken as the dependent variable, and their psychological resilience, social support and personality characteristics respectively. As a self variable structure model, the results showed that the psychological resilience of the wife (beta =-0.10, P0.05), social support (beta =-0.13, P0.05), neuroticism (beta = 0.40, P0.05) had a significant predictive path for their own emotional distress, but not to their husbands' emotional distress (P0.05), and the husbands' neuroticism (beta = 0.34, P0.05) and extroverted personality (beta =-0.1). 9, P0.05) not only has a significant prediction path for its own emotional distress, but also the prediction path of the husband's neuroticism (beta = 0.09, P0.05) and extrovert personality (beta =-0.12, P0.05) is also significant for the wife's emotional distress, and the prediction path of other variables is not significant (P0.05). There is a high level of emotional distress in the 1. infertility couples and the wife's hair. The rate of birth is higher than that of the husband.2. infertile couples. The extrovert personality and the social support level can negatively predict their respective emotional distress, while the neuroticism can predict the personality traits of the infertile couples with.3. infertility and their emotional distress in the two yuan interaction.
【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R473.71
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10 李雨t，
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