Zhonghua nan ke xue = National journal of andrology · 2021
[Socio-psychological factors related to temporary ejaculation failure in male patients undergoing IVF: Results of logistic regression analyses].
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Xue Ming-Yue, Wang Jin-Luan
Аннотация
OBJECTIVE: To explore the socio-psychological factors associated with male temporary ejaculation failure (TEF) during in vitro fertilization (IVF) and provide some theoretical evidence for the clinical intervention and treatment of the condition.
METHODS: We conducted a questionnaire investigation among 298 males undergoing IVF, 75 with and 223 without TEF. The questionnaires covered general information, Perceived Stress Scale (PSS), Stigma Questionnaire, Perceived Social Support Scale (PSSS), and Positive Psychological Capital Questionnaire (PPQ). We subjected the relevant social psychological factors found in the investigation to logistic regression analysis and compared them between the patients in the TEF and non-TEF groups.
RESULTS: Statistically significant differences were found between the two groups in age, education level, perceived stress, stigma, social support and psychological capital (P < 0.05). Univariate logistic regression analysis indicated that age, perceived stress, stigma, family support, friend support, other supports, self-efficacy, resilience, hope and optimism in psychological capital significantly affected the incidence of TEF. Multivariate logistic regression analysis showed age (OR = 1.071, 95% CI: 1.025－1.119) and stigma (OR = 1.132, 95% CI: 1.044－1.227) to be independent risk factors for TEF, capable of positively predicting the condition, and family support (OR = 0.877, 95% CI: 0.791－0.971) to be an independent protective factor against TEF, capable of negatively predicting the disorder.
CONCLUSIONS: Age, stigma and family support are associated with the incidence of TEF during IVF. The social psychology-related influencing factors may help provide a new intervention target for effectively reducing the incidence of TEF and improving the success rate of IVF.
METHODS: We conducted a questionnaire investigation among 298 males undergoing IVF, 75 with and 223 without TEF. The questionnaires covered general information, Perceived Stress Scale (PSS), Stigma Questionnaire, Perceived Social Support Scale (PSSS), and Positive Psychological Capital Questionnaire (PPQ). We subjected the relevant social psychological factors found in the investigation to logistic regression analysis and compared them between the patients in the TEF and non-TEF groups.
RESULTS: Statistically significant differences were found between the two groups in age, education level, perceived stress, stigma, social support and psychological capital (P < 0.05). Univariate logistic regression analysis indicated that age, perceived stress, stigma, family support, friend support, other supports, self-efficacy, resilience, hope and optimism in psychological capital significantly affected the incidence of TEF. Multivariate logistic regression analysis showed age (OR = 1.071, 95% CI: 1.025－1.119) and stigma (OR = 1.132, 95% CI: 1.044－1.227) to be independent risk factors for TEF, capable of positively predicting the condition, and family support (OR = 0.877, 95% CI: 0.791－0.971) to be an independent protective factor against TEF, capable of negatively predicting the disorder.
CONCLUSIONS: Age, stigma and family support are associated with the incidence of TEF during IVF. The social psychology-related influencing factors may help provide a new intervention target for effectively reducing the incidence of TEF and improving the success rate of IVF.