背景:现在影响加拿大六分之一的夫妇,不孕症被定义为12个月或更长时间后缺乏受孕,无保护的异性恋性交。不孕与巨大的心理负担有关,特别是对于出生时被指定为女性的个人。然而,现有的心理干预措施并不专门针对该人群,并且已被证明仅在缓解与不孕症有关的痛苦方面效果不大。因此,一个新的在线自我指导的心理干预是与一个患有不孕症的女性小组共同创建的,最终由六个10分钟的视频模块组成,解决认知问题,情感,和人际关系方面的不孕症相关的困扰。
方法:在目前的研究中,招募了21名与不孕症相关的生活质量下降的妇女,参加了一项单臂的试点前测试可行性,可接受性,和方案的初步功效。监测参与者的依从性和保留率,参与者对程序的可信度和每个模块的帮助进行了评估,并对程序的内容和格式提供了反馈。生育生活质量的前后变化,焦虑症状,抑郁症状,和关系满意度进行了检查。
结果:参与者对程序模块的评价很高,平均帮助等级从7.5到8.2/10。两名参与者怀孕,因此过早停止,其余79%的参与者完成了所有六个模块,参与者报告每周完成52.8(SD=82.0)分钟的作业。与会者认为干预措施非常可信,并普遍认可该格式,长度,和速度;然而,68%的参与者建议在干预中包含更多内容。虽然关系满意度并没有随着时间的推移而显著变化,生育生活质量的前到后大幅改善,抑郁症,并观察到焦虑(p<.001;科恩的ds=0.9-1.3)。
结论:这种自我指导的干预措施广受好评,并有可能非常有效地减少与不孕症相关的痛苦,通知未来的发展和优化。
背景:ClinicalTrials.gov,NCT05103982。
BACKGROUND: Now affecting one in six couples in Canada, infertility is defined as a lack of conception after 12 or more months of regular, unprotected heterosexual intercourse. Infertility is associated with immense psychological burden, particularly for individuals assigned female at birth. Yet existing psychological interventions are not specialized to this population and have been shown to be only marginally effective at relieving
distress related to infertility. Thus, a new online self-directed psychological intervention was co-created with a panel of women experiencing infertility, and ultimately consisted of six 10-min video modules addressing the cognitive, emotional, and interpersonal aspects of infertility-related
distress.
METHODS: In the current study, 21 women experiencing reduced quality of life related to infertility were recruited to participate in a one-arm pre-post pilot testing the feasibility, acceptability, and preliminary efficacy of the program. Participant adherence and retention were monitored, and participants rated the credibility of the program and the helpfulness of each module as well as provided feedback on the content and format of the program. Pre-to-post changes in fertility quality of life, anxious symptoms, depressive symptoms, and relationship satisfaction were examined.
RESULTS: The program modules were highly rated by participants, with average helpfulness ratings ranging from 7.5 to 8.2/10. Two participants became pregnant and therefore stopped prematurely, 79% of the remaining participants completed all six modules, and participants reported completing 52.8 (SD = 82.0) min of homework per week. Participants perceived the intervention as highly credible and generally approved of the format, length, and speed; however, 68% of participants had recommendations for additional content to be included in the intervention. While relationship satisfaction did not change significantly over time, large pre-to-post improvements in fertility quality of life, depression, and anxiety were observed (p < .001; Cohen\'s ds = 0.9-1.3).
CONCLUSIONS: This self-directed intervention was well received and has the potential to be highly effective in reducing infertility-related
distress, informing future development and optimization.
BACKGROUND: ClinicalTrials.gov, NCT05103982.