情绪调节对女性不孕症患者心身健康的影响——心理弹性和生活满意度的中介作用
The Impact of Emotion Regulation on the Physical and Mental Health of Women with Infertility—The Mediating Role of Psychological Resilience and Life Satisfaction
摘要: 目的：探讨不孕症患者情绪调节与心身健康之间的关系，以及心理弹性和生活满意度的中介作用。方法：使用自制一般资料调查表、广泛性焦虑量表、病人健康问卷抑郁量表、情绪调节问卷中文版和弹性量表简化版量表，对261名不孕症患者进行调查。结果：1) 情绪调节中认知重评与心身健康问题呈现显著正相关；生活满意度与心身健康问题呈负相关。2) 生活满意度在认知重评及心身健康问题之间起中介作用，心理弹性和生活满意度在表达抑制和心身健康问题之间起链式中介作用。结论：认知重评通过心理弹性和生活满意度影响不孕症患者的心身健康问题，认知重评策略运用越灵活，心理弹性水平越高，生活满意度愈高，从而减少或缓解不孕症的心身健康问题。
Abstract: Objective: To investigate the relationship between emotional regulation strategies and health outcomes in infertile patients, with a focus on the mediating effects of psychological resilience and life satisfaction. Methods: A cross-sectional study was conducted among 261 infertility patients using validated instruments: Generalized Anxiety Disorder Scale (GAD-7), Patient Health Questionnaire Depression Scale (PHQ-9), Emotional Regulation Questionnaire (ERQ), and Connor-Davidson Resilience Scale (CD-RISC-10). Results: 1) Cognitive reappraisal in emotional regulation showed a significant positive correlation with physical-mental health impairments, while life satisfaction demonstrated a negative association with these health outcomes. 2) Life satisfaction served as a significant mediator between cognitive reappraisal and health impairments, with psychological resilience and life satisfaction forming a sequential mediation chain between expressive suppression and health outcomes. Conclusion: Cognitive reappraisal influences psychosomatic health problems in infertile patients through psychological resilience and life satisfaction. The more flexibly cognitive reappraisal strategies are applied, the higher the levels of psychological resilience and life satisfaction, thereby reducing or alleviating infertility-related psychosomatic health issues.
文章引用：庄洁儿, 韦春霞, 郑威, 陈云霞, 杜雨含, 赵晓燕, 吴颢 (2025). 情绪调节对女性不孕症患者心身健康的影响——心理弹性和生活满意度的中介作用. 心理学进展, 15(4), 607-614. https://doi.org/10.12677/ap.2025.154245

参考文献

[1] 陈子江, 刘嘉茵, 黄荷凤, 等(2019). 不孕症诊断指南. 中华妇产科杂志, 54(8), 505-511.
[2] 高辉(2020). 多次行夫精宫腔内人工授精妇女焦虑、心理弹性与婚姻调适的相关性研究. 硕士学位论文, 大连: 大连医科大学.
[3] 孔令华(2017). 不孕不育夫妇情绪困扰及其影响因素的二元交互模型构建. 硕士学位论文, 济南: 山东大学.
[4] 孙瑞琛, 刘文婧, 许燕(2010). 不同出生年代的中国人生活满意度的变化. 心理科学进展, 18(7), 1147-1154.
[5] 王伟, 杨俊生, 辛志勇(2010). 国外生活满意度研究成果及其意义价值. 江西师范大学学报(哲学社会科学版), 43(4), 42-45.
[6] 祝红娟, 周学萍, 王淑君, 等(2013). 创伤患者心理弹性的支持系统. 中华损伤与修复杂志(电子版), 8(2), 202-205.
[7] Aldao, A., & Nolen-Hoeksema, S. (2010). Specificity of Cognitive Emotion Regulation Strategies: A Transdiagnostic Examination. Behaviour Research and Therapy, 48, 974-983.[CrossRef] [PubMed]
[8] Bhat, A., & Byatt, N. (2016). Infertility and Perinatal Loss: When the Bough Breaks. Current Psychiatry Reports, 18, Article No. 31.[CrossRef] [PubMed]
[9] Dryman, M. T., & Heimberg, R. G. (2018). Emotion Regulation in Social Anxiety and Depression: A Systematic Review of Expressive Suppression and Cognitive Reappraisal. Clinical Psychology Review, 65, 17-42.[CrossRef] [PubMed]
[10] Gross, J. J. (1999). Emotion Regulation: Past, Present, Future. Cognition and Emotion, 13, 551-573.[CrossRef] 
[11] Gross, J. J. (2002). Emotion Regulation: Affective, Cognitive, and Social Consequences. Psychophysiology, 39, 281-291.[CrossRef] [PubMed]
[12] Hobfoll, S. E. (2011). Conservation of Resources Theory: Its Implication for Stress, Health, and Resilience. In S. Folkman (Ed.), The Oxford Handbook of Stress, Health, and Coping (pp. 127-147). Oxford Academic.[CrossRef] 
[13] Picó-Pérez, M., Radua, J., Steward, T., Menchón, J. M., & Soriano-Mas, C. (2017). Emotion Regulation in Mood and Anxiety Disorders: A Meta-Analysis of fMRI Cognitive Reappraisal Studies. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 79, 96-104.[CrossRef] [PubMed]
[14] Shin, D. C., & Johnson, D. M. (1978). Avowed Happiness as an Overall Assessment of the Quality of Life. Social Indicators Research, 5, 475-492.[CrossRef] 
[15] Simionescu, G., Doroftei, B., Maftei, R., Obreja, B., Anton, E., Grab, D. et al. (2021). The Complex Relationship between Infertility and Psychological Distress (Review). Experimental and Therapeutic Medicine, 21, Article No. 306.[CrossRef] [PubMed]
[16] Vander Borght, M., & Wyns, C. (2018). Fertility and Infertility: Definition and Epidemiology. Clinical Biochemistry, 62, 2-10.[CrossRef] [PubMed]
[17] Yang, B., Zhang, J., Qi, Y., Wang, P., Jiang, R., & Li, H. (2017). Assessment on Occurrences of Depression and Anxiety and Associated Risk Factors in the Infertile Chinese Men. American Journal of Men’s Health, 11, 767-774.[CrossRef] [PubMed]
[18] Zhao, Q., Huangfu, C., Li, J., Liu, H., & Tang, N. (2022). Psychological Resilience as the Mediating Factor between Stigma and Social Avoidance and Distress of Infertility Patients in China: A Structural Equation Modeling Analysis. Psychology Research and Behavior Management, 15, 391-403.[CrossRef] [PubMed]