Journal of Shandong University (Health Sciences) ›› 2021, Vol. 59 ›› Issue (2): 83-87.doi: 10.6040/j.issn.1671-7554.0.2020.1516

Previous Articles     Next Articles

Infertility stress and posttraumatic stress disorder in infertile women: mindfulness as a mediator and moderator

BAI Lu1,2,3, ZHANG Yuqing1,2, FANG Yuying4   

  1. 1. Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China;
    2. Department of Psychology, University of Chinese Academy of Sciences, Beijing 100101, China;
    3. Psychological Counseling Office, Reproductive Hospital Affiliated to Shandong University, Jinan 250021, Shandong, China;
    4. Reproductive Center, Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, Shandong, China
  • Published:2021-03-05

Abstract: Objective To investigate the influencing factors of posttraumatic stress disorder(PTSD)in infertile women and to evaluate the protective effect of mindfulness on the relationship between infertility stress and PTSD. Methods Totally 362 patients in a reproductive center in Shandong Province were enrolled and surveyed with Fertility Problem Inventory(FPI), Mindful Attention Awareness Scale(MAAS), PTSD Cheeklist-Civilian Version. The mediating effect and moderating effect of mindfulness were analyzed with hierarchical regression analysis. Results The average score of PTSD of infertile women was 31.27±11.68, and 24.2% of patients had score ≥38. Logistic regression analysis showed that mindfulness partially mediated the effect of infertility stress on PTSD, with a mediating effect of 0.188, accounting for 33.04% of the total effect. Mindfulness also moderated the association between infertility stress and PTSD. Conclusion Infertility stress has both direct and indirect effects via mindfulness on PTSD. Mindfulness buffers the effect of infertility stress on PTSD and is a protective factor of PTSD in infertile women.

Key words: Infertility, Fertility stress, Mindfulness level, Posttraumatic stress disorder

CLC Number: 

  • R711.6
[1] Lei YAN,Zijiang CHEN. Treatment of adenomyosis complicated with infertility [J]. Journal of Shandong University (Health Sciences), 2022, 60(7): 43-47.
[2] Jinhua LENG,Jinghua SHI. Clinical manifestations of adenomyosis [J]. Journal of Shandong University (Health Sciences), 2022, 60(7): 1-5.
[3] Jing SHAN,Xiaoqiu WANG,Dajin LI. Molecular mechanisms of NK cells involved in endometriosis and its associated infertility [J]. Journal of Shandong University (Health Sciences), 2021, 59(8): 8-13.
[4] LIANG Yanchun, YE Haihua, LU Limei, DAI Yujing, CHENG Qianyi, CHOI Unleng, ZENG Hanqiu, CHEN Xinghuan, WANG Xing, WEI Yajing, YANG Ruyu. Effects of chronic endometritis on the pregnancy outcomes of patients with endometriosis-associated infertility [J]. Journal of Shandong University (Health Sciences), 2021, 59(3): 55-59.
[5] FAN Antong, TIAN Qing, LI Xinyang, ZHAO Xinping, LIU Hongqing. Analysis of mental health status and influencing factors of female infertility patients [J]. Journal of Shandong University (Health Sciences), 2020, 58(1): 106-111.
[6] ZHANG Xinmei, QIAN Honglang. Clinical manifestations of endometriosis [J]. Journal of Shandong University (Health Sciences), 2019, 57(6): 16-22.
[7] HUANG Wei, LIU Dong. Fertility improvement strategies for endometriosis associated infertility [J]. Journal of Shandong University (Health Sciences), 2019, 57(6): 23-26.
[8] XU Xiaofang, XUE Mingyue, LÜ Gaorong, HOU Fangyan, LI Ping. Mediating effect of psychological capital on mindfulness and psychological distress among men in infertile couples [J]. Journal of Shandong University (Health Sciences), 2019, 57(2): 105-109.
[9] MA Gang, XU Chao. Research progress on fertility of the Klinefelter syndrome [J]. Journal of Shandong University (Health Sciences), 2019, 57(10): 67-73.
[10] YANG Shenmin, ZHANG Feng, LI Zheng. Clinical diagnosis of multiple morphological abnormalities of the sperm flagella [J]. Journal of Shandong University (Health Sciences), 2018, 56(4): 38-42.
[11] XIAO Hongmei. Advance in genetic study on oocyte maturation failure [J]. Journal of Shandong University (Health Sciences), 2018, 56(4): 18-22.
[12] SHI Yuhua, LI Jing. Strategies for infertility treatment in elderly women [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(1): 22-25.
[13] XI Xianghong, SU Rong, JIA Shaotong, TANG Xiuying, WANG Lixin. Correlation between human epididymis protein 4 in seminal plasma and male infertility [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(5): 66-69.
[14] CHANG Fuli,LI Shuling , LI Yuzhu
. Kidneybenefiting and conceptionaiding granules in treating infertility due to ovulatory dysfunction [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(02): 82-84.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] ZHENG Min,HAO Yue-wei,LIU Xue-ping,ZHAO Ting-ting. Relationship between the HPA-2 and Kozak sequence polymorphism of platelet membrane glycoprotein and cerebral infarction[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(3): 292 -295 .
[2] ZHANG Jie,LI Zhen-hua,SUN Jin-hao,BAO Li-hua,LIU Yue-peng. Protective effects of the invariable magnetic field on oxidative injured Schwann cells[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2007, 45(3): 229 -232 .
[3] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(8): 828 -830 .
[4] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(9): 5 -6 .
[5] NIU Rui,LIU Bo,SHAO Ming-ju,WANG Wei. mRNA expression of lunx in regional lymph nodes of non-small cell lung cancer and its correlation with prognosis[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2007, 45(9): 884 -885 .
[6] WANG Shu-qin,QI Feng,WU Jian-bo,SUN Bao-zhu. Effect of calcium in ropivacaine-induced smooth muscle contraction of the aorta in rats in vitro[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(8): 773 -776 .
[7] TENG Xue-ren,ZHAO Yong-sheng,HU Guang-liang,ZHOU Lun,LI Jian-min. Characteristics of microcosmic changes following tendon allograft transplantation preserved by two methods under light microscopy and transmission electron microscopy[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(10): 945 -950 .
[8] WU Min,ZHAO Zhi-lun,WANG Jie-zhen. [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2006, 44(11): 1146 -1149 .
[9] . Association of  killerimmunoglobulinlike receptors in the decidua and unexplained early recurrent spontaneous abortion[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(12): 81 -85 .
[10] JIAO Fang-fang,LIU Shi-qing,LI Fei,LI Chang-sheng,WANG Qin,SUN Qing,LU Wei. Therapeutic effects of Huayulifei on expression of SMAD7 and TGF-β in rats with bleomycin-induced pulmonary fibrosis[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2007, 45(10): 1054 -1058 .