不孕不育夫妇情绪困扰及其影响因素的二元交互模型构建
发布时间：2018-07-13 10:13
【摘要】：目的调查不孕不育夫妇情绪困扰状况,探讨人格特征、心理弹性、社会支持对其情绪困扰的预测作用以及二元交互作用,为提高该群体的心理健康提供理论依据。方法采用便利抽样的方法,从山东省三家生殖医院中抽取了 369对不孕不育夫妇为研究对象并对其进行问卷调查。调查工具包括人口社会学和疾病信息调查表、情绪困扰评定量表(K10量表)、心理弹性量表简化版(CD-RISC 10)、大五人格问卷(BFI)及领悟社会支持量表。本研究共发放问卷900份(450对),回收有效问卷738份(369对),有效回收率82.0%。采用SPSS 22.0和AMOS 22.0统计软件对资料进行录入、整理和分析,统计方法包括描述性统计分析、独立样本t检验、方差分析、Pearson相关分析和多元线性回归分析以及路径分析等方法。结果1.不孕不育夫妇人口社会学和疾病信息分布情况369对不孕不育夫妇的年龄在22～49岁之间,男性平均年龄(31.15±4.56)岁,女性平均年龄(30.29±4.33)岁,婚龄在1～25年之间,平均婚龄(5.50 ±3.56)年,53.7%的患者来自农村,76.7%的患者从事工作,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%的患者没有子女,不孕不育时长平均为(4.36±2.83)年,治疗总时长平均为(2.80±2.32)年,造成不孕不育原因中女方居多(35.6%)。2.不孕不育夫妇情绪困扰得分情况及在一般人口社会学、疾病资料上的差异比较本研究中,不孕不育夫妇情绪困扰得分范围为10～45分,其中丈夫得分为(20.45 ±6.43)分,妻子得分为(21.98 ±6.44)分。不孕不育夫妇情绪困扰的总发生率为45.3%,其中丈夫情绪困扰发生率为41.4%,妻子情绪困扰发生率为49.3%(K10得分≥22分)。独立样本t检验和方差分析结果表明,不孕不育夫妇的情绪困扰在人口社会学上、疾病信息的差异未达到统计学意义。3.不孕不育夫妇的心理弹性、人格特征、社会支持得分与K10得分相关性不孕不育夫妇心理社会变量的得分为:丈夫心理弹性得分(28.16 ±6.50),妻子心理弹性得分(26.14±6.82);丈夫社会支持得分(60.96±10.21),妻子社会支持得分(61.85±10.44);丈夫神经质得分(22.24±5.25),妻子神经质得分(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)。相关分析结果表明,妻子的情绪困扰与其心理弹性(r =-0.315,P0.01)、社会支持(r-=-0.273,P0.01)、外向性人格(r =-0.279,P0.01)均呈显著负相关;而与神经质人格(r = 0.478,P0.01)呈显著正相关。同时,丈夫的情绪困扰与其心理弹性(r =-0.238,P0.01)、社会支持(r =-0.179,P0.01)、外向性人格(r=-0.354,P0.01)均呈显著负相关,而与神经质人格(r = 0.434,P0.01)呈显著正相关。此外,妻子的情绪困扰得分与丈夫的情绪困扰得分呈显著正相关(r = 0.220,P0.01)。心理弹性、社会支持、人格特征得分两两之间也均存在显著性的正相关(r = 0.125～0.371,P0.01)或负相关(r =-0.115～-0.464,P0.01)。4.不孕不育夫妇情绪困扰影响因素的回归分析分别以不孕不育夫妇的情绪困扰为因变量,分别将社会支持、人格特征、心理弹性作为自变量纳入回归方程,进行单因素回归分析。结果显示,妻子的心理弹性(β =-0.315,P0.001)、社会支持(β =-0.273,P0.001)、外向型人格(β =-0.279,P0.001)均能负向预测其情绪困扰状况,而神经质人格能正向预测其情绪困扰状况(β = 0.478,P0.001)。同时,丈夫的心理弹性(β =-0.238,P0.001)、社会支持(β =-0.179,P= 0.001)、外向型人格(β =-0.354,P0.001)能负向预测其情绪困扰状况,而神经质人格(β = 0.434,P0.001)能正向预测其情绪困扰状况。5.不孕不育夫妇情绪困扰影响因素的二元交互效应分析分别以不孕不育夫妇的情绪困扰为因变量,将各自的社会支持、人格特征、心理弹性作为第一层纳入回归方程,然后将对方的社会支持、人格特征、心理弹性作为第二层纳入回归方程,进行多元分层回归分析。结果显示,当以妻子情绪困扰作为因变量,妻子的社会支持(β =-0.126,P=0.010)和神经质人格(β = 0.380,P0.001)能预测其自身的情绪困扰状况(R2 = 0.259);而丈夫的外向型人格(β =-0.111,P= 0.034)也能负向预测妻子的情绪困扰状况(△R2 =0.020)。当以丈夫的情绪困扰为因变量时,其外向型人格(β =-0.179,P= 0.001)和神经质人格(β = 0.323,P0.001)能预测其自身情绪困扰状况(R2 = 0.211),而妻子的心理社会变量不能预测丈夫的情绪困扰(△R2 = 0.003)。进一步采用路径分析的方法检验上述二元交互效应,将不孕不育夫妇的情绪困扰作为因变量,分别以他们的心理弹性、社会支持、人格特征作为自变量构建结构模型,结果显示,妻子的心理弹性(β =-0.10,P0.05)、社会支持(β=-0.13,P0.05)、神经质人格(β = 0.40,P0.05)对其自身情绪困扰的预测路径显著,而对其丈夫情绪困扰不显著(P0.05);丈夫的神经质(β = 0.34,P0.05)和外向型人格(β =-0.19,P0.05)不仅对其自身情绪困扰的预测路径显著,而且丈夫的神经质(β = 0.09,P0.05)和外向型人格(β =-0.12,P0.05)对妻子情绪困扰的预测路径也显著,其他变量的预测路径均不显著(P0.05)。结论1.不孕不育夫妇存在较高的情绪困扰水平,妻子发生率高于丈夫。2.不孕不育夫妇的心理弹性、外向型人格与社会支持水平分别能负向预测其各自的情绪困扰,而神经质人格能正向预测其各自的情绪困扰。3.不孕不育夫妇的人格特质与其情绪困扰存在二元交互作用。
[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.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：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.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.71
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