国际生殖健康/计划生育杂志 ›› 2026, Vol. 45 ›› Issue (3): 242-246.doi: 10.12280/gjszjk.20260126

• 综述 • 上一篇    下一篇

感恩干预在不孕症心理调适中的机制及应用

孙宁, 杨金姬, 胡春秀()   

  1. 300162 天津, 中国人民武装警察部队特色医学中心生殖医学科
  • 收稿日期:2026-03-16 出版日期:2026-05-15 发布日期:2026-06-02
  • 通讯作者: 胡春秀,E-mail:yuanmenghcx@163.com
  • 作者简介:审校者

Mechanism and Application of Gratitude Intervention in Psychological Adjustment of Infertile Individuals

SUN Ning, YANG Jin-ji, HU Chun-xiu()   

  1. Department of Reproductive Medicine, The Characteristic Medicine Center of the Chinese People's Armed Police Forces, Tianjin 300162, China
  • Received:2026-03-16 Published:2026-05-15 Online:2026-06-02
  • Contact: HU Chun-xiu, E-mail: yuanmenghcx@163.com

摘要:

不孕症患者普遍伴随焦虑、抑郁及病耻感等多维度心理应激反应。此类心理问题不仅会显著降低患者的生活质量和治疗依从性,还可能通过神经内分泌、炎症反应等通路损伤生殖功能,进而影响辅助生殖技术(assisted reproductive technology,ART)助孕结局。当前临床常用的心理干预方式对于不孕症的干预效果多以被动支持为主,缺乏对患者主动情绪调适能力的系统培养,其在缓解不孕症患者心理困扰、改善ART助孕结局方面的效果均较为有限。感恩干预作为积极心理学领域的重要干预方式,可通过提升正性情绪、增强社会支持及自我效能感等心理行为机制发挥独特优势,且其神经生物学基础正逐步被揭示,已在多种疾病人群中展现出良好的应用前景。尽管初步研究表明,感恩干预在促进不孕症患者心理调适方面具有潜在价值,但现有证据基础仍较薄弱,未来研究需进一步验证其临床疗效及内在作用机制。

关键词: 不育, 情绪适应, 生殖技术, 辅助, 积极心理学, 感恩干预

Abstract:

Infertile individuals frequently suffer from multidimensional psychological distress, such as anxiety, depression, and stigma. These psychological disturbances not only markedly impair their quality of life and treatment compliance, but also may compromise reproductive function via neuroendocrine and inflammatory pathways, thereby adversely affecting the outcomes of assisted reproductive technology (ART). Most clinical psychological interventions rely primarily on passive support and lack the structured training to strengthen the capacity of active emotional regulation. Accordingly, the efficacy in relieving psychological distress and improving ART outcomes remains limited in infertile patients. Gratitude intervention, as a vital intervention in positive psychology, exerts unique advantages by enhancing positive affect, strengthening social support, and boosting self-efficacy, while its neurobiological underpinnings are progressively being elucidated. It has exhibited promising application prospects across diverse patient groups. Although preliminary studies have indicated that gratitude interventions hold potential value in promoting psychological adjustment among infertile patients, the current evidence base remains limited. Future research is warranted to further validate its clinical efficacy and elucidate the underlying mechanisms.

Key words: Infertility, Emotional adjustment, Reproductive techniques, assisted, Psychology, positive, Gratitude intervention