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题名	正念在不孕女性生育压力与PTSD间的中介及调节作用
作者	白璐
答辩日期	2021-07
文献子类	硕士
授予单位	中国科学院心理研究所
授予地点	中国科学院心理研究所
其他责任者	张雨青
关键词	不孕症 生育压力 正念水平 创伤后应激障碍
学位名称	理学硕士（同等学力硕士）
其他题名	Infertility stress and posttraumatic stress disorder in infertile women: mindfulness as a mediator and moderator
学位专业	健康心理学
中文摘要	Objective:This study aims to investigate the current status of posttraumatic stress disorder in infertile women, analysis the relationship between infertility stress, mindfulness level and posttraumatic stress disorder, and explore the mediating role and regulatory mechanism of mindfulness level between reproductive stress and posttraumatic stress disorder, to provide a theoretical basis for the later intervention from the perspective of positive psychology.Methods:This study adopted a convenient sampling method, and selected female patients who attended the infertility clinic of a reproductive medicine center in Shandong Province from August to September 2020 as the research subjects. After screening patients with strict inclusion and exclusion criteria, totally 362 patients are enrolled in this study. The questionnaire mainly includes self-developed general demographic data, Fertility Problem Inventory (FPI), Mindful Attention Awareness Scale (MAAS), posttraumatic stress disorder. All survey data were checked by two researchers and analyses were performed with SPSS (SPSS Inc., Version 22.0, Chicago, USA). The statistical methods mainly contain independent sample t test, one-way ANOVA test, correlation analysis and regression analysis.Results:1. The average score of posttraumatic stress disorder of infertile women was 31.27±11.68, and 24.2% of patients had score ≥38. The average score of posttraumatic stress disorder of three dimensions was re-experience symptom (9.27±3.75)，avoid/numbness symptom was (11.91±5.10), increased alertness symptom was (10.09±4.14).2. The single factor analysis showed that ages, educational backgrounds, family monthly incomes, have or not of children and urban-rural differences in residence have an impact on posttraumatic stress disorder. There are differences in posttraumatic stress disorder scores in different groups, and the differences are statistically significant3. Pearson correlation analysis demonstrated that infertility stress was negatively correlated with mindfulness level (r=-0.437, P＜0.01), posttraumatic stress disorder was positively correlated with infertility stress (r=0.569, P＜0.01) and negatively correlated with mindfulness level (r=-0.598, P<0.01). The scores of all dimensions of posttraumatic stress disorder were positively correlated with infertility stress (r=0.477~0.545, P＜0.01), and negatively correlated with mindfulness level (r=-0.505~0.547, P＜0.01).4. After controlling for general data, logistic regression analysis showed that infertility stress and mindfulness level have a significant predictive effect on the score of posttraumatic stress disorder. Mindfulness partially mediated the effect of infertility stress on posttraumatic stress disorder, with a mediating effect of 0.188, accounting for 33.04% of the total effect. Mindfulness also moderated the association between infertility stress and posttraumatic stress disorder.Conclusions：1.The infertility women have high rate of posttraumatic stress disorder. Women are more worthy of attention especially in women with lower age, lower income, lower education level, without child and from rural areas.2.Posttraumatic stress disorder was positively correlated with infertility stress and negatively correlated with mindfulness level. Infertility stress and mindfulness level can better predict the occurrence of symptoms related to posttraumatic stress disorder in infertility women.3.Infertility stress may be a factor influencing PTSD symptoms in infertile patients and may also be indirectly influenced by mindfulness on posttraumatic stress disorder. Mindfulness buffers the effect of infertility stress on PTSD and is a protective factor of PTSD in infertile women.
英文摘要	研究目的：调查不孕症患者创伤后应激障碍的现状，分析生育压力、正念水平及创伤后应激障碍间的关系，并探讨正念水平在生育压力与创伤后应激障碍间的中介作用及调节机制，为后期从积极心理学的角度开展干预提供理论基础。 研究方法：本研究采用方便抽样的方法，选取2020年8月至9月在山东省某生殖医学中心不孕不育门诊就诊的女性患者为研究对象，根据纳入及排除标准严格控制入组，最终有362名患者纳入本次研究。主要研究工具包括：一般人口学资料、生育相关压力量表、正念水平量表及创伤后应激障碍量表-平民版。所有数据经双人审核后应用SPSS22.0进行统计学分析，统计方法主要包括独立样本t检验、方差分析、相关分析及回归分析。 研究结果： 1. 不孕症患者创伤后应激障碍得分为（31.27±11.68）分，其中≥38分者共88人，阳性率为24.3%。三个维度的得分分别为：重新体验总分为（9.27±3.75）分；回避麻痹总分为（11.91±5.10）分；高度警觉性症状群总得分为（10.09±4.14）分。2. 单因素分析显示：差异的年龄、学历状况、家庭人均月收入、有无子女及居住地城乡差异对创伤后应激障碍均有影响，不孕症患者创伤后应激障碍得分在不同组间水平上存在统计学差异（P＜0.05）。3. Pearson相关分析：不孕症患者生育相关压力总得分与正念水平呈显著负相关(r=-0.437，P＜0.01)。创伤后应激障碍总分与生育压力总分呈正相关(r=0.569，P＜0.01)。创伤后应激障碍总分与正念水平呈负相关(r=-0.598，P＜0.01)。创伤后应激障碍各维度得分均与生育压力总分呈正相关（r=0.477~0.545，P＜0.01），与正念水平均呈负相关（r=-0.505~0.547，P＜0.01）。4. 回归分析显示：在控制了一般资料后，生育压力及正念水平对创伤后应激障碍的得分有显著预测作用。正念在不孕症患者生育压力和创伤后应激障碍间存在中介作用，其中介效应为0.188，占总效应的33.04%；且正念在不孕症患者生育压力和创伤后应激障碍间存在调节作用。研究结论： 1. 不孕症患者的创伤后应激障碍阳性率较高，其中年龄较低的患者、收入较低、学历低的患者、无孩子的患者、来自农村地区的患者更值得关注。 2. 不孕症患者生育相关压力、正念水平均与创伤后应激障碍存在显著相关性，生育压力及正念水平均能够较好的预测患者创伤后应激障碍相关症状的产生3. 生育压力可能是影响不孕症患者的创伤后应激障症状的因素，还可能通过正念间接影响；正念水平能够缓冲生育压力对创伤后应激障碍的影响，对不孕症患者的创伤后应激障碍的发生具有保护作用。
语种	中文
内容类型	学位论文
源URL	[http://ir.psych.ac.cn/handle/311026/41578]
专题	心理研究所_健康与遗传心理学研究室
推荐引用方式 GB/T 7714	白璐. 正念在不孕女性生育压力与PTSD间的中介及调节作用[D]. 中国科学院心理研究所. 中国科学院心理研究所. 2021.

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