Abstract：
This systematic review and meta-analysis was based on the Common Sense Model, applied to infertility.
The aim was to examine the relationships between cognitive (i.e. cause, coherence, consequences, controllability, identity and timeline) or emotional representations of infertility and both coping (i.e. maladaptive and adaptive) and psychosocial outcomes (i.e. distress, anxiety, depressive symptoms, social isolation, low well-being and poor quality of life), reporting followed PRISMA guidelines.
Five databases (PubMed, PsycINFO, PsycARTICLES, PubPsych and CINAHL) were searched, and 807 articles were initially identified.
Seven cross-sectional studies (N = 1208 participants) were retained in qualitative and quantitative analyses. These studies assessed the associations of seven types of representations with either maladaptive or adaptive coping (20 effect sizes), or with psychosocial outcomes (131 effect sizes). A multivariate meta-analysis revealed that none (0/2) of the associations between the sole type of representation considered (i.e. controllability) and coping strategies were statistically significant, whereas three (3/7) of the associations between representations of infertility and psychosocial outcomes were statistically significant. Regardless of p-values, pooled estimates ranged from low (r = .03) to very high (r = .59).
Future studies should validate specific measurement tools for measuring cognitive and emotional representations of infertility.
Our results highlight the influence of representations of infertility (particularly cognitive representations of consequences and emotional representations) on the psychosocial outcomes of infertility.
The aim was to examine the relationships between cognitive (i.e. cause, coherence, consequences, controllability, identity and timeline) or emotional representations of infertility and both coping (i.e. maladaptive and adaptive) and psychosocial outcomes (i.e. distress, anxiety, depressive symptoms, social isolation, low well-being and poor quality of life), reporting followed PRISMA guidelines.
Five databases (PubMed, PsycINFO, PsycARTICLES, PubPsych and CINAHL) were searched, and 807 articles were initially identified.
Seven cross-sectional studies (N = 1208 participants) were retained in qualitative and quantitative analyses. These studies assessed the associations of seven types of representations with either maladaptive or adaptive coping (20 effect sizes), or with psychosocial outcomes (131 effect sizes). A multivariate meta-analysis revealed that none (0/2) of the associations between the sole type of representation considered (i.e. controllability) and coping strategies were statistically significant, whereas three (3/7) of the associations between representations of infertility and psychosocial outcomes were statistically significant. Regardless of p-values, pooled estimates ranged from low (r = .03) to very high (r = .59).
Future studies should validate specific measurement tools for measuring cognitive and emotional representations of infertility.
Our results highlight the influence of representations of infertility (particularly cognitive representations of consequences and emotional representations) on the psychosocial outcomes of infertility.
摘要：
背景：这项系统评价和荟萃分析基于常识模型，适用于不孕症。
目的：目的是检查认知之间的关系(即原因，连贯性,后果,可控性，身份和时间表)或不孕症的情绪表现以及应对(即适应不良和适应)和社会心理结果(即痛苦，焦虑,抑郁症状,社会孤立,幸福感低，生活质量差)，报告遵循PRISMA指南。
方法：五个数据库(PubMed，PsycINFO,心术,搜索了PubPsych和CINAHL)，并初步确定了807篇文章。
结果：在定性和定量分析中保留了7项横断面研究（N=1208名参与者）。这些研究评估了七种表征与适应不良或适应性应对(20种效应大小)的关联，或具有心理社会结果(131个效应大小)。多元荟萃分析显示，所考虑的唯一代表类型（即可控性）与应对策略之间的关联没有（0/2）具有统计学意义，而不孕症表现与社会心理结局之间的3项(3/7)关联具有统计学意义.不管p值如何，汇总估计范围从低(r=.03)到非常高(r=.59)。
结论：未来的研究应该验证用于测量不孕症的认知和情绪表征的特定测量工具。
结论：我们的结果强调了不孕症的表征（尤其是后果的认知表征和情绪表征）对不孕症的社会心理结果的影响。
目的：目的是检查认知之间的关系(即原因，连贯性,后果,可控性，身份和时间表)或不孕症的情绪表现以及应对(即适应不良和适应)和社会心理结果(即痛苦，焦虑,抑郁症状,社会孤立,幸福感低，生活质量差)，报告遵循PRISMA指南。
方法：五个数据库(PubMed，PsycINFO,心术,搜索了PubPsych和CINAHL)，并初步确定了807篇文章。
结果：在定性和定量分析中保留了7项横断面研究（N=1208名参与者）。这些研究评估了七种表征与适应不良或适应性应对(20种效应大小)的关联，或具有心理社会结果(131个效应大小)。多元荟萃分析显示，所考虑的唯一代表类型（即可控性）与应对策略之间的关联没有（0/2）具有统计学意义，而不孕症表现与社会心理结局之间的3项(3/7)关联具有统计学意义.不管p值如何，汇总估计范围从低(r=.03)到非常高(r=.59)。
结论：未来的研究应该验证用于测量不孕症的认知和情绪表征的特定测量工具。
结论：我们的结果强调了不孕症的表征（尤其是后果的认知表征和情绪表征）对不孕症的社会心理结果的影响。
