BACKGROUND Research highlighted that Stressful Life Events have high incidence among infertile patients and significant impact on physical and medical parameters related to reproductive functions, but their potential role among factors influencing the infertile patients' perception of fertility-related Quality of Life (QoL) has not been explored. The present study aims to investigate the associations of Stressful Life Events (Stressful events in the family of origin, In family pre-existing pregnancy difficulties, Health problems in childhood) with perceived fertility-related QoL in women attending infertility treatments, examining the potential moderating role of adopted coping strategies and perceived couple's dyadic adjustment. METHODS A questionnaire consisting of Socio-demographics and Infertility-related characteristics, Stress-inducing events in the couples' lives Questionnaire (FLS), Coping Orientations to Problem Experienced (COPE), Dyadic Adjustment Scale (DAS), and Core and Treatment subscales of Fertility Quality of Life (FertiQoL) was administered to 266 women attending infertility treatments. A descriptive correlational design with cross-sectional comparison was used. Results Logistic Regression Analyses after adjusting for socio-demographic and infertility-related characteristics revealed that women who reported Stressful events in the family of origin and In family pre-existing pregnancy difficulties were more likely to report lower levels of perceived Core QoL, while women who reported Health problems in childhood were more likely to report lower levels of perceived Treatment QoL. Couple's dyadic adjustment and specific coping strategies were significantly associated with perceived Core and Treatment QoL and they also significantly moderated the associations between stressful life events and perceived QoL. CONCLUSIONS Data provided original evidence on the strong association between stressful life events and perceived fertility-related QoL also highlighting individual and couples' resources to define counselling interventions with women attending infertility treatments.

中文翻译：

---

参加不育症治疗的女性的紧张生活事件与感知生活质量之间的关联：应对策略和感知对夫妇的二元调节的调节作用。

背景研究强调，应激性生活事件在不育患者中发生率很高，并且对与生殖功能有关的物理和医学参数有重大影响，但在影响不育患者对生育力相关生活质量（QoL）的影响因素中，应激性生活事件尚未发挥潜在作用被探索了。本研究旨在调查压力性生活事件（原籍家庭中的压力事件，家庭中先前存在的妊娠困难，儿童期的健康问题）与接受不育治疗的妇女与生育力相关的生活质量的关系，并探讨潜在的缓解因素。应对策略的作用和感知到的夫妻的二元调整。方法一份由社会人口统计学和与不育相关的特征组成的问卷，对266名参加不育症的妇女进行了夫妻生活问卷调查（FLS），应对问题的倾向（COPE），二元调整量表（DAS）以及生育和生活质量核心和治疗子量表（FertiQoL）治疗。使用具有横截面比较的描述性相关设计。结果校正了社会人口统计学和与不育相关的特征后，Logistic回归分析显示，报告原籍家庭和家庭中已有妊娠困难的应激事件的妇女更有可能报告较低的核心QoL水平，而那些报告的儿童期健康问题更有可能报告较低的治疗质量QoL。一对' 二进位调整和特定的应对策略与感知的核心和治疗QoL显着相关，它们还显着缓解了压力性生活事件与感知的QoL之间的关联。结论数据提供了有关应激性生活事件和与生育力有关的生活质量之间强烈关联的原始证据，也凸显了个人和夫妻的资源来确定接受不育治疗的女性的咨询干预措施。