The Relationship Among Dyadic Coping、 Anxiety And Depression Of Infertility Couples

ObjectiveTo understand the current situation of dyadic coping,anxiety,and depression in infertile couples,and construct actor-partner interdependence model to further explore the relationship between dyadic coping,anxiety and depression in infertile couples.This provides a theoretical basis for scientifically conducting intervention studies with couples as a whole in clinical practice,improving the dyadic coping ability of infertile couples,and alleviating their anxiety and depression emotions.MethodsThe method of convenience sampling was adopted to select infertility couples who received assisted reproductive treatment in the reproductive center of a third-class hospital in Gansu Province from November 2021 to November 2022 as research objects.The general data questionnaire of,the dyadic coping scale,the anxiety scale and the depression scale were used to investigate.Statistical analysis was conducted using SPSS 25.0 using descriptive statistics,paired sample t-test,chi square test,and Pearson correlation analysis.In addition,Actor-partner interdependence model was constructed using AMOS 26.0 to analyze the pathway of action of dyadic coping in infertile couples on anxiety and depression.Results(1)The current situation and differences of anxiety and depression between infertile couplesThe anxiety standard scores of 288 female infertility patients and their spouses in this study were(47.82 ± 3.20)and(43.61 ± 4.71),while the depression standard scores were(49.73 ± 10.14)and(46.57 ± 10.93).The anxiety detection rates of infertility patients and their spouses were 35.07% and 25.00%,respectively,with a statistically significant difference(P<0.05).The depression detection rates of infertility patients and their spouses were 38.54% and 31.60%,respectively,with no statistically significant difference(P>0.05).(2)The influencing factors of anxiety and depression in infertile couplesThe results of multiple linear regression analysis showed that there were statistical differences in the effects of age,education level,and average monthly household income on anxiety and depression in infertile couples.There were also statistical differences in the effects of occupational status on patient anxiety,and fertility history on spouse anxiety,with statistical significance(P<0.05).(3)Comparison of dyadic coping status and differences between infertile couplesThe average score of dyadic coping between infertile patients and their spouses were(121.73 ± 13.33)and(120.31 ± 11.52),respectively.The dyadic coping scores of infertile patients were higher than those of their spouses,and the difference was not statistically significant(P>0.05).In all dimensions,infertile patients had higher scores in stress communication than their spouses,with a statistically significant difference(P<0.05).Spouses had higher scores in entrusted dyadic coping than infertile patients,with a statistically significant difference(P<0.05),while there was no statistically significant difference in other dimensions(P>0.05).(4)Correlation analysis of dyadic coping,anxiety,and depression in infertility couplesThe correlation analysis results showed that there was a positive correlation(P<0.01)between the dyadic coping strategies of infertile couples,as well as their various dimensions,anxiety,and depression.Both parties’ stressful communication,supportive dyadic coping,entrusted dyadic coping,and common dyadic coping are negatively correlated with their own anxiety and depression(P<0.01),as well as with the other party’s anxiety and depression(P<0.01).The negative dyadic coping style of both parties is positively correlated with their own anxiety and depression(P<0.01),as well as with the anxiety and depression of the other party(P<0.01).(5)Actor-partner interdependence model of dyadic coping,anxiety,and depression in infertility couplesActor effects: positive dyadic coping reported by infertile couples can negatively predict their own anxiety and depression symptoms(β Patient=-0.438,βSpouse=-0.557,P<0.05),both infertile couples’ reported negative dyadic coping can positively predict their own anxiety and depression symptoms(β Patient=0.103,βSpouse=0.253,P<0.05).Partner effects: Positive dyadic coping reported by infertile couples can negatively predict their anxiety and depression symptoms(β Patient=-0.238,βSpouse=-0.125,P<0.05),both infertile couples’ reported negative dyadic coping can positively predict the other party’s anxiety and depression symptoms(β Patient=0.071,β Spouse=0.062,P<0.05).Conclusion(1)The anxiety and depression levels of infertile couples are not optimistic.Age,education level,and per capita monthly income of the family have an impact on the anxiety and depression levels of infertile couples.In addition to the common parts mentioned above,occupational status has an impact on the anxiety level of patients,and birth history has an impact on the anxiety level of spouses.(2)The dyadic coping scores and scores in all dimensions of infertile couples are at a moderate level and need to be improved.There is no difference in the overall level of dyadic coping between the couple,but in all dimensions,the patient’s level of stressful communication is higher than that of their spouse,and the spouse’s level of entrusted dyadic coping is higher than that of their patient.(3)The dyadic coping strategies of infertile couples are positively correlated with their various dimensions,anxiety,and depression levels.The positive dyadic coping strategies of infertile couples are negatively correlated with their own and their partner’s anxiety and depression levels.The negative dyadic coping strategies are positively correlated with their own and their partner’s anxiety and depression levels.(4)The anxiety and depression of infertile couples are influenced by their own and each other’s dyadic coping strategies.The higher the positive dyadic coping level of infertile couples,the lower their anxiety and depression levels.The higher the negative dyadic coping level of infertile couples,the higher their anxiety and depression levels.Therefore,the positive dyadic coping and negative dyadic coping of infertile couples are better indicators for predicting psychological outcomes for both spouses.