Dual mediating effects of marital satisfaction and family decision-making power on the relationship between self-disclosure and depressive symptoms in IVF-ET/ICSI-ET patients: a cross-sectional study
ObjectiveInfertility has become one of the major public health problems, and assisted reproductive technology is the main treatment. Depressive symptoms are one of the most common mental illnesses treated with this technology. The aim of this study was to investigate the effects of partner self-disc...
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Frontiers Media S.A.
2025-04-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1538279/full |
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| author | Yuedi Jia Jieyu Wang Qianhua Xu Guiying Luo Ren Chen Danni Wang |
| author_facet | Yuedi Jia Jieyu Wang Qianhua Xu Guiying Luo Ren Chen Danni Wang |
| author_sort | Yuedi Jia |
| collection | DOAJ |
| description | ObjectiveInfertility has become one of the major public health problems, and assisted reproductive technology is the main treatment. Depressive symptoms are one of the most common mental illnesses treated with this technology. The aim of this study was to investigate the effects of partner self-disclosure, marital satisfaction and family decision-making power on depressive symptoms in assisted reproductive therapy patients.MethodsA cross-sectional survey of self-disclosure, marital satisfaction, family decision-making power and depressive symptoms was performed in 1076 patients who underwent IVF/ICSI-ET treatment at the Reproductive Medicine Centre of the First Affiliated Hospital of Anhui Medical University.Results(1) Age and power base were the influencing factors of depressive symptoms. (2) The results of mediation effect test showed that marital satisfaction had a significant suppressing effect on depressive symptoms in assisted reproductive therapy patients, accounting for 30.05% of the total effect; family decision-making power had a significant partial mediating effect on depressive symptoms in assisted reproductive therapy patients, accounting for 28.81% of the total effect.ConclusionMarital satisfaction and family decision-making power play a partial mediating role between self-disclosure and depressive symptoms. The score of marital satisfaction helps to reduce depressive symptoms, but the increase of family decision-making power predicts the increase of depressive symptoms. In addition, the results highlight gender differences in marital satisfaction and family decision-making power and the complexity of family relationships. |
| format | Article |
| id | doaj-art-d0292e33442b4b29b8de52b05f99a607 |
| institution | DOAJ |
| issn | 1664-0640 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj-art-d0292e33442b4b29b8de52b05f99a6072025-08-20T03:15:05ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-04-011610.3389/fpsyt.2025.15382791538279Dual mediating effects of marital satisfaction and family decision-making power on the relationship between self-disclosure and depressive symptoms in IVF-ET/ICSI-ET patients: a cross-sectional studyYuedi Jia0Jieyu Wang1Qianhua Xu2Guiying Luo3Ren Chen4Danni Wang5Department of Health Promotion and Behavioral Sciences, School of Public Health, Anhui Medical University, Hefei, Anhui, ChinaReproductive Medicine Centre, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, ChinaReproductive Medicine Centre, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, ChinaReproductive Medicine Centre, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, ChinaSchool of Health Services Management, Anhui Medical University, Hefei, ChinaDepartment of Health Promotion and Behavioral Sciences, School of Public Health, Anhui Medical University, Hefei, Anhui, ChinaObjectiveInfertility has become one of the major public health problems, and assisted reproductive technology is the main treatment. Depressive symptoms are one of the most common mental illnesses treated with this technology. The aim of this study was to investigate the effects of partner self-disclosure, marital satisfaction and family decision-making power on depressive symptoms in assisted reproductive therapy patients.MethodsA cross-sectional survey of self-disclosure, marital satisfaction, family decision-making power and depressive symptoms was performed in 1076 patients who underwent IVF/ICSI-ET treatment at the Reproductive Medicine Centre of the First Affiliated Hospital of Anhui Medical University.Results(1) Age and power base were the influencing factors of depressive symptoms. (2) The results of mediation effect test showed that marital satisfaction had a significant suppressing effect on depressive symptoms in assisted reproductive therapy patients, accounting for 30.05% of the total effect; family decision-making power had a significant partial mediating effect on depressive symptoms in assisted reproductive therapy patients, accounting for 28.81% of the total effect.ConclusionMarital satisfaction and family decision-making power play a partial mediating role between self-disclosure and depressive symptoms. The score of marital satisfaction helps to reduce depressive symptoms, but the increase of family decision-making power predicts the increase of depressive symptoms. In addition, the results highlight gender differences in marital satisfaction and family decision-making power and the complexity of family relationships.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1538279/fullassisted reproductive servicesself-disclosuremarital satisfactionfamily decision-making powerdepression |
| spellingShingle | Yuedi Jia Jieyu Wang Qianhua Xu Guiying Luo Ren Chen Danni Wang Dual mediating effects of marital satisfaction and family decision-making power on the relationship between self-disclosure and depressive symptoms in IVF-ET/ICSI-ET patients: a cross-sectional study Frontiers in Psychiatry assisted reproductive services self-disclosure marital satisfaction family decision-making power depression |
| title | Dual mediating effects of marital satisfaction and family decision-making power on the relationship between self-disclosure and depressive symptoms in IVF-ET/ICSI-ET patients: a cross-sectional study |
| title_full | Dual mediating effects of marital satisfaction and family decision-making power on the relationship between self-disclosure and depressive symptoms in IVF-ET/ICSI-ET patients: a cross-sectional study |
| title_fullStr | Dual mediating effects of marital satisfaction and family decision-making power on the relationship between self-disclosure and depressive symptoms in IVF-ET/ICSI-ET patients: a cross-sectional study |
| title_full_unstemmed | Dual mediating effects of marital satisfaction and family decision-making power on the relationship between self-disclosure and depressive symptoms in IVF-ET/ICSI-ET patients: a cross-sectional study |
| title_short | Dual mediating effects of marital satisfaction and family decision-making power on the relationship between self-disclosure and depressive symptoms in IVF-ET/ICSI-ET patients: a cross-sectional study |
| title_sort | dual mediating effects of marital satisfaction and family decision making power on the relationship between self disclosure and depressive symptoms in ivf et icsi et patients a cross sectional study |
| topic | assisted reproductive services self-disclosure marital satisfaction family decision-making power depression |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1538279/full |
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