Influencing Factors of Psychological Resilience in Infertile Patients with Obese Polycystic Ovary Syndrome

doi:10.12280/gjszjk.20220181

Abstract

Abstract:

Objective: To investigate the psychological resilience and its influencing factors in infertile patients with obese polycystic ovary syndrome (PCOS). Methods: A total of 235 infertile patients with obese PCOS from the Affiliated Hospital of Shandong University of Traditional Chinese Medicine (our hospital), from January 2019 to August 2021, were selected as the observation group, and 100 healthy adult women who underwent physical examination in our hospital were selected as the control group. The Connor-Davidson Resilience Scale (CD-RISC) was used to assess the psychological resilience. The Fertility Problem Inventory (FPI) was used to assess the infertility-related stress level. The Social Support Rating Scale (SSRS) was used to evaluate the degree of social support of the subjects. The influencing factors of mental toughness were analyzed by the binary Logistic regression. Results: The total scores of CD-RISC and SSRS in the observation group was lower than those in the control group, and the total score of FPI was higher than that in the control group (P<0.05). There were significant differences in CD-RISC score in terms of years of infertility, educational level, and per capita monthly income between the two groups (all P<0.05). The Logistic regression analysis showed that infertility years ≥5, the education level of junior college or below, FPI score<37 were independent risk factors leading to psychological resilience (all P<0.05), while menthly income≥6 000, total SSRS score≥39 were protective factors of psychological resilience (all P<0.05). Conclusions: The psychological resilience of obese PCOS infertility patients is lower than that of the normal population. The PCOS infertility patients with low education level, low monthly income level, low social support level, long infertility years and high infertility related pressure should be actively given psychological intervention.

Key words: Polycystic ovary syndrome, Obesity, Infertility, female, Root cause analysis, Psychological resilience

LYU Xiang-yang, REN Xiao-shuang, ZHANG Liang, XU Ji-qun, WU Hai-cui. Influencing Factors of Psychological Resilience in Infertile Patients with Obese Polycystic Ovary Syndrome[J]. Journal of International Reproductive Health/Family Planning, 2022, 41(6): 452-455.

Figures/Tables 4

References 20

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项目	对照组（n=100）	观察组（n=235）	t	P
CD-RISC评分
坚韧性	27.19±5.09	23.09±5.77	6.158	0.000
适应性	19.93±5.51	17.82±4.66	3.353	0.001
控制力	11.69±2.85	8.72±3.19	8.043	0.000
目标实现	7.35±2.84	6.24±2.61	3.468	0.001
总分	66.16±8.71	55.87±8.51	10.057	0.000
FPI评分
社会关注	27.6±11.0	30.17±7.39	2.140	0.034
性关注	18.4±7.9	22.61±8.32	4.310	0.000
夫妻关注	21.6±9.3	28.42±8.34	6.609	0.000
父母角色的需要	39.2±9.8	44.17±10.82	3.940	0.000
有无子女生活方式的取舍	27.3±8.2	33.15±9.73	5.239	0.000
总分	134.4±33.8	158.52±38.58	5.423	0.000
SSRS评分
客观支持	18.39±3.83	17.17±3.25	2.787	0.006
主观支持	13.54±1.82	10.41±2.17	13.575	0.000
对社会支持的利用度	10.66±2.31	8.36±2.74	7.354	0.000
总分	42.59±7.34	37.34±3.29	6.865	0.000

项目	对照组（n=100）	观察组（n=235）	t	P
CD-RISC评分
坚韧性	27.19±5.09	23.09±5.77	6.158	0.000
适应性	19.93±5.51	17.82±4.66	3.353	0.001
控制力	11.69±2.85	8.72±3.19	8.043	0.000
目标实现	7.35±2.84	6.24±2.61	3.468	0.001
总分	66.16±8.71	55.87±8.51	10.057	0.000
FPI评分
社会关注	27.6±11.0	30.17±7.39	2.140	0.034
性关注	18.4±7.9	22.61±8.32	4.310	0.000
夫妻关注	21.6±9.3	28.42±8.34	6.609	0.000
父母角色的需要	39.2±9.8	44.17±10.82	3.940	0.000
有无子女生活方式的取舍	27.3±8.2	33.15±9.73	5.239	0.000
总分	134.4±33.8	158.52±38.58	5.423	0.000
SSRS评分
客观支持	18.39±3.83	17.17±3.25	2.787	0.006
主观支持	13.54±1.82	10.41±2.17	13.575	0.000
对社会支持的利用度	10.66±2.31	8.36±2.74	7.354	0.000
总分	42.59±7.34	37.34±3.29	6.865	0.000

特征	n	CD-RISC评分	t或F	P
年龄			0.854	0.394
18~29岁	141	55.52±7.90
30~40岁	94	54.73±6.23
不孕年限			19.116	0.000
≤3年	113	58.77±8.34
4~6年	67	55.21±6.55
≥7年	55	50.73±8.51
文化程度			19.454	0.000
初中及以下	87	52.38±7.64
高中及专科	71	55.72±6.97
本科及以上	77	59.96±9.03
户籍			1.214	0.226
城市	123	56.27±6.21
农村	112	57.27±6.41
民族			0.306	0.760
汉族	184	56.72±6.29
少数民族	51	56.41±6.75
人均月收入			21.211	0.000
<3 000元	63	51.62±7.39
3 000~6 000元	118	55.69±7.95
>6 000元	54	61.24±8.10

特征	n	CD-RISC评分	t或F	P
年龄			0.854	0.394
18~29岁	141	55.52±7.90
30~40岁	94	54.73±6.23
不孕年限			19.116	0.000
≤3年	113	58.77±8.34
4~6年	67	55.21±6.55
≥7年	55	50.73±8.51
文化程度			19.454	0.000
初中及以下	87	52.38±7.64
高中及专科	71	55.72±6.97
本科及以上	77	59.96±9.03
户籍			1.214	0.226
城市	123	56.27±6.21
农村	112	57.27±6.41
民族			0.306	0.760
汉族	184	56.72±6.29
少数民族	51	56.41±6.75
人均月收入			21.211	0.000
<3 000元	63	51.62±7.39
3 000~6 000元	118	55.69±7.95
>6 000元	54	61.24±8.10

变量	具体赋值
年龄	<30岁=0，≥30岁=1
不孕年限	<5年=0，≥5年=1
文化程度	本科及以上=0，专科及以下=1
户籍	城市=0，农村=1
民族	汉族=0，少数民族=1
人均月收入	<6 000元=0；≥6 000元=1
FPI总分	<137分=0；≥137分=1
社会支持SSRS总分	<39分=0；≥39分=1