Clinical Study
Differences in the infertility stress, subjective well-being and fertility quality of life among infertile couples and mediating role of psychological resilience
Cai Yanna, Dong Yuezhi, Zhou Feijing, Bai Ruimin, Li Yanan, Zhu Yanhong
Published 2020-08-25
Cite as Chin J Reprod Contracep, 2020, 40(8): 644-651. DOI: 10.3760/cma.j.cn101441-20190702-00285
Abstract
ObjectiveTo explore the differences in the infertility stress, subjective well-being and fertility quality of life among infertile couples and mediating role of psychological resilience.
MethodsA cross-sectional study and convenient sampling method were used to recruit the new diagnosed as infertility couples from April 2017 to April 2018 in the Reproductive Center of the First Affiliated Hospital of Zhengzhou University. The Resilience Scale (CD-RISC), the Fertility Problem Inventory (FPI), the Subjective Well-being Scale (SWBS) and the Fertility Quality of Life Questionnaire (FertiQoL) were used to investigate the 230 infertile couples.
ResultsInfertility couples had statistical differences in psychological resilience (P=0.034), infertility stress (P<0.001), and fertility quality of life (P=0.005), and there was no statistically significant difference in subjective well-being. The fitting degree of structural equation model of infertility stress and subjective well-being and fertility quality of life among infertility women was relatively ideal [χ2/df=1.437, goodness of fit index (GIF)=0.936, adjusted goodness of fit index (AGFI)=0.909, root mean square error of approximation (RMSEA)=0.043], and the mediating effects of psychological resilience on subjective well-being and fertility quality of life was significant. The fitting degree of structural equation model of infertility stress and subjective well-being and fertility quality of life among infertility men was relatively ideal [χ2/df=2.011, GFI=0.93, incremental fit index (IFI)=0.918, comparative fit index (CFI)=0.917, RMSEA=0.067], and psychological resilience had a mediating effect on fertility quality of life, but had no mediating effect on subjective well-being.
ConclusionThere are differences in infertility stress and fertility quality of life among infertile couples. psychological resilience has a mediating effect on the infertility stress and fertility quality of life among infertile couples.
Key words:
Infertility couple; Infertility stress; Subjective well-being; Psychological resilience; Fertility quality of life; Structural equation model
Contributor Information
Cai Yanna
The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Dong Yuezhi
The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Zhou Feijing
The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Bai Ruimin
The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Li Yanan
The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Zhu Yanhong
The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
