Infertility is a deeply distressing experience, which can threaten important personal and martial goals, frequently affecting the psychophysical health. A supportive relationship and a secure romantic attachment appear to reduce infertility stress, as well as play a relevant role in the success of assisted reproductive technology treatments. The principal aim of the study is to investigate the predictive effect of romantic attachment, couple characteristics, quality of life and age on assisted reproductive technology outcome. A total of 88 infertile women, enrolled in an assisted reproductive technology Centre of Rome, completed the Experience in Close Relationship-Revised, the Couple Relationship Inventory, the Fertility Quality of Life and a socio-demographic questionnaire. The participants completed the questionnaires at the beginning of the medical treatment. Data analyses showed significant associations among Experience in Close Relationship-Revised dimensions, Couple Relationship Inventory and Fertility Quality of Life Scales. Assisted reproductive technology outcome was negatively correlated to Experience in Close Relationship-Revised Avoidance and positively related to Couple Relationship Inventory Dependence. A multi-variable logistic regression revealed that Experience in Close Relationship-Revised Avoidance decreased the probability of pregnancy. The present findings partially confirmed the study hypotheses since several associations among couple characteristics, attachment anxiety and avoidance dimensions, infertility-related quality of life in infertile women were found. Furthermore, according to a definition of Avoidance, assisted reproductive technology positive outcome appears to be associated to lower levels of fear of dependence and interpersonal intimacy, and to a low need both for self-reliance and for reluctance to self-disclose within the romantic relationship. Further investigations are needed both to confirm this preliminary finding and for promoting focused therapeutic interventions for couples facing assisted reproductive technology.

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辅助生殖技术治疗的成功与夫妻关系：浪漫依恋作用的初步研究

不孕症是一种令人深感痛苦的经历，会威胁到重要的个人和军事目标，经常会影响心理健康。支持性的关系和安全的浪漫依恋似乎可以减轻不孕症的压力，并在辅助生殖技术治疗的成功中发挥重要作用。该研究的主要目的是研究浪漫依恋，夫妻特征，生活质量和年龄对辅助生殖技术成果的预测作用。共有88名不育妇女参加了罗马辅助生殖技术中心，他们完成了亲密关系修订版，夫妻关系表，生育力质量和社会人口统计学调查表。参加者在医疗开始时填写了调查表。数据分析显示，亲密关系修订版中的经验，夫妻关系清单和生活质量量表之间存在显着的关联。辅助生殖技术成果与亲密关系修订回避经验负相关，与夫妻关系清单依赖正相关。多变量logistic回归显示，亲密关系修正的回避经验减少了怀孕的可能性。由于发现了不育女性的夫妇特征，依恋焦虑和回避维度，与不育相关的生活质量之间的多种关联，因此本发现部分证实了该研究假说。此外，根据回避的定义，辅助生殖技术的积极成果似乎与对依赖和人际亲密感的恐惧程度降低以及对浪漫关系中的自力更生和不愿自我披露的需求较低有关。需要进一步的研究以确认这一初步发现，并促进针对面临辅助生殖技术的夫妻的重点治疗干预。