Abstract

Objective

This study examined the effects of anxiety and depression on sexual functioning in couples trying to conceive, and tested the moderating role of infertility diagnosis on this association.

Design

An online questionnaire was completed by 1453 individuals in a heterosexual relationship for more than one year. The final sample had 107 couples who were actively attempting a pregnancy (63 had an infertility diagnosis; 44 were presumably fertile). Data was analyzed with the Actor-Partner Interdependence Model (APIM).

Main Outcome Measures

Depression and anxiety symptoms were assessed by the Hospital Anxiety and Depression Scale (HADS), and male and female sexual functioning were assessed through the International Index of Erectile Function (IIEF) and the Female Sexual Function Index (FSFI), respectively.

Results

Actor effects were found between depression and sexual functioning in both men (β= −.28, p= .003) and women (β= −.43, p < .001), with no significant partner effects. The moderation analysis showed that the relationship between depression and sexual functioning is stronger in infertile men than in presumably fertile men (β= −.29; p= .002).

Conclusion

Psychological interventions with couples trying to conceive should address the role of depression in sexual functioning, particularly in infertile men.

中文翻译：

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抑郁和焦虑对尝试受孕且未诊断不育症的夫妇性功能的影响

摘要

客观的

这项研究检查了焦虑和抑郁对试图怀孕的夫妇性功能的影响，并测试了不孕症诊断对这种关联的调节作用。

设计

1453 名异性恋关系超过一年的人完成了一份在线问卷。最终样本包括 107 对积极尝试怀孕的夫妇（63 人被诊断为不孕症；44 人可能有生育能力）。使用参与者-合作伙伴相互依赖模型 (APIM) 分析数据。

主要观察指标

抑郁和焦虑症状通过医院焦虑和抑郁量表 (HADS) 进行评估，男性和女性性功能分别通过国际勃起功能指数 (IIEF) 和女性性功能指数 (FSFI) 进行评估。

结果

在男性 (β= −.28, p= .003) 和女性 (β= −.43, p < .001) 的抑郁和性功能之间发现了行为者效应，没有显着的伴侣效应。调节分析表明，抑郁症与性功能之间的关系在不育男性中比在可能有生育能力的男性中更强 (β= −.29; p= .002)。

结论

对试图怀孕的夫妇进行心理干预应该解决抑郁症在性功能中的作用，特别是在不育男性中。