OBJECTIVE To compare the psychological impact of recurrent pregnancy loss (RPL) on affected men and women and to determine risk and protective factors in both partners. DESIGN Cross-sectional study. SETTING University-affiliated fertility center. PATIENT(S) Ninety female/male couples and 14 women. INTERVENTION(S) Participants completed a questionnaire covering psychological risk factors (ScreenIVF), experience of pregnancy losses, coping strategies, and partnership satisfaction. MAIN OUTCOME MEASURE(S) Comparison of psychological risk factors, perception of RPL, and coping strategies between both partners and analysis of the influence of risk and protective factors. RESULT(S) In the ScreenIVF, 72.7% of women versus 66.3% of men showed a risk for anxiety, 51.7% versus 19.1% a risk for depression, and 28.1% versus 30.7% a risk for limited social support. The use of avoiding coping styles seems to be less favorable with regard to the psychological risk than active strategies. Having a child together and a satisfying partnership correlated with a lower risk for depression. Sharing the experience of RPL with others and being in a satisfying relationship correlated with a higher social support. CONCLUSION(S) Both men and women affected by RPL show high risks for developing depression and anxiety, underlining the importance of also including the male partners. The factors of communication with others, a satisfying relationship, and already having a child together correlate with decreased psychological risks. We advocate for health care professionals to implement screening for anxiety, depression, and social support for both partners and support them in dealing with RPL. REGISTRATION NUMBER The study is registered in the German Clinical Trials Register (DRKS), number DRKS00014965.

中文翻译：

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反复流产：一个共同的压力源——以夫妻为导向的心理学研究结果

目的 比较复发性流产 (RPL) 对受影响男性和女性的心理影响，并确定双方的风险和保护因素。设计横断面研究。设置 大学附属生育中心。患者 90 名女性/男性夫妇和 14 名女性。干预措施 参与者完成了一份问卷，内容涵盖心理风险因素 (ScreenIVF)、流产经历、应对策略和伙伴关系满意度。主要观察指标比较双方心理危险因素、RPL感知、应对策略，分析风险和保护因素的影响。结果在 ScreenIVF 中，72.7% 的女性与 66.3% 的男性表现出焦虑风险，51.7% 与 19.1% 的抑郁风险，以及 28.1% 与 30。7% 的社会支持有限。就心理风险而言，避免应对方式的使用似乎不如积极策略更有利。共同拥有一个孩子和令人满意的伙伴关系与较低的抑郁风险相关。与他人分享 RPL 的经验并处于令人满意的关系与更高的社会支持相关。结论 (S) 受 RPL 影响的男性和女性都表现出患抑郁症和焦虑症的高风险，这强调了将男性伴侣也包括在内的重要性。与他人交流、令人满意的关系以及已经有了孩子等因素与心理风险降低相关。我们提倡医疗保健专业人员对焦虑、抑郁、以及对合作伙伴双方的社会支持，并支持他们处理 RPL。注册号 该研究已在德国临床试验注册中心 (DRKS) 注册，编号为 DRKS00014965。