Observational studyScientific reports2025
Analysis of couple communication patterns as a mediator of fertility-related stress and psychological capital in women with severe ovarian hyperstimulation syndrome after embryo transfer.
Observational study in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Development of machine learning-based predictive models for fertility intentions in patients with Crohn's disease.Frontiers in reproductive health · 2026Article
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4 authors.
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Abstract
Severe ovarian hyperstimulation syndrome (OHSS) following embryo transfer (ET) can significantly impact psychological well-being and fertility-related stress in women. To examine the associations among couple communication patterns, psychological capital, and fertility-related stress and to explore the mediating effect of communication patterns on the relationship between psychological capital and fertility-related stress in women with severe OHSS after ET in China. This research used a cross-sectional study design. This cross-sectional study included 175 women diagnosed with severe OHSS following ET, recruited from the reproductive ward of a tertiary hospital in China using convenience sampling. Participants completed validated self-administered questionnaires assessing psychological capital, fertility-related stress, and couple communication patterns. Structural equation modeling (SEM) was conducted to examine the mediating role of couple communication patterns in the relationship between psychological capital and fertility-related stress. The study was reported by the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines. A combination of low levels of psychological capital and requested avoidance/complete avoidance communication patterns were associated with high levels of fertility-related stress among participants. Psychological capital was negatively correlated with fertility-related stress. The requested/completed communication had a significant positive effect on the stress, but constructive communication had no relationship with the stress. In addition, the requested avoidance communication pattern had a negative mediating effect between psychological capital and fertility-related stress in patients with severe OHSS (95% CI - 0.207, - 0.005). Couple communication patterns and psychological capital levels are significant predictors of fertility-related stress in women with severe OHSS after ET. Interventions aimed at enhancing psychological capital and addressing maladaptive communication styles may help reduce fertility-related stress. Healthcare professionals should focus on the psychological status of women with severe OHSS post-ET, facilitate effective couple communication, and raise awareness about the role of communication in mitigating emotional distress.
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