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已发表论文
体外受精-胚胎移植患者述情障碍及其影响因素的潜在特征分析
Authors Yan Y, Xu L, Ma Y, Lv Y, Jiang Y
Received 8 July 2025
Accepted for publication 21 November 2025
Published 6 December 2025 Volume 2025:17 Pages 5209—5221
DOI https://doi.org/10.2147/IJWH.S552324
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Vinay Kumar
Yuying Yan, Lidan Xu, Ya Ma, Yuehong Lv, Yuan Jiang
Department of Reproductive Endocrinology, the Affiliated Obstetrics and Gynecology Hospital of Zhejiang University School of Medicine, HangZhou, Zhejiang, People’s Republic of China
Correspondence: Yuying Yan, Department of Reproductive Endocrinology, the Affiliated Obstetrics and Gynecology Hospital of Zhejiang University School of Medicine, HangZhou, Zhejiang, 310006, People’s Republic of China, Tel +8613750882607, Email yanyuying@zju.edu.cn
Purpose: This study aims to explore the classification characteristics of alexithymia in patients undergoing in vitro fertilization-embryo transfer (IVF-ET) and analyze the differences among these classifications in female patients, in order to alleviate the patients’ alexithymia and improve their mental health and reproductive quality of life.
Methods: A total of 385 patients undergoing IVF-ET were selected through convenience sampling from the Reproductive Endocrinology Clinic of a Grade III A-level obstetrics and gynecology hospital in mainland China between June 2024 and December 2024. Data collection included the general information survey form, the Toronto Alexithymia Scale, and the General Self-efficacy Scale. Latent profile analysis was used to explore the potential categories of alexithymia among patients receiving IVF-ET treatment. Univariate and multiple logistic regression analyses were conducted to identify the factors correlated with the potential profiles.
Results: The alexithymia in patients receiving IVF-ET treatment was categorized into three potential groups: low-risk (48.0%), moderate-risk (46.0%), and high-risk alexithymia groups (6.0%). Multiple logistic regression analysis results indicated that educational level, average monthly household income, and self-efficacy are correlated with alexithymia in patients receiving IVF-ET treatment (P < 0.05).
Conclusion: The alexithymia in patients receiving IVF-ET treatment can be categorized into three potential profile types. The clinical medical staff should consider the characteristics of patients and implement targeted interventions for those with lower levels of education, lower average monthly household income, and poorer self-efficacy, in order to reduce the degree of alexithymia.
Plain Language Summary: This study aimed to understand how patients undergoing in vitro fertilization-embryo transfer (IVF-ET), struggle to identify and express their emotions (alexithymia) and find ways to improve their mental health and quality of life. From June to December 2024, 385 IVF-ET patients were recruited from a Chinese gynecology hospital, and researchers used questionnaires to gather information on their personal background, emotional recognition ability, and self-confidence. The data analysis showed that patients’ alexithymia could be categorized into low-risk (48%), moderate-risk (46%), and high-risk (6%) groups, and that lower education level, less family income, and lower self-confidence were associated with a higher likelihood of alexithymia in patients. As such, medical staff should consider patients’personal situations and provide special care and support to those with lower education, income, and self-confidence in an effort to assist them in better managing emotions and potentially enhancing their mental well-being.
Keywords: In vitro fertilization-embryo transfer, alexithymia, self-efficacy, latent profile analysis, influencing factors
Department of Reproductive Endocrinology, the Affiliated Obstetrics and Gynecology Hospital of Zhejiang University School of Medicine, HangZhou, Zhejiang, People’s Republic of China
Correspondence: Yuying Yan, Department of Reproductive Endocrinology, the Affiliated Obstetrics and Gynecology Hospital of Zhejiang University School of Medicine, HangZhou, Zhejiang, 310006, People’s Republic of China, Tel +8613750882607, Email yanyuying@zju.edu.cn
Purpose: This study aims to explore the classification characteristics of alexithymia in patients undergoing in vitro fertilization-embryo transfer (IVF-ET) and analyze the differences among these classifications in female patients, in order to alleviate the patients’ alexithymia and improve their mental health and reproductive quality of life.
Methods: A total of 385 patients undergoing IVF-ET were selected through convenience sampling from the Reproductive Endocrinology Clinic of a Grade III A-level obstetrics and gynecology hospital in mainland China between June 2024 and December 2024. Data collection included the general information survey form, the Toronto Alexithymia Scale, and the General Self-efficacy Scale. Latent profile analysis was used to explore the potential categories of alexithymia among patients receiving IVF-ET treatment. Univariate and multiple logistic regression analyses were conducted to identify the factors correlated with the potential profiles.
Results: The alexithymia in patients receiving IVF-ET treatment was categorized into three potential groups: low-risk (48.0%), moderate-risk (46.0%), and high-risk alexithymia groups (6.0%). Multiple logistic regression analysis results indicated that educational level, average monthly household income, and self-efficacy are correlated with alexithymia in patients receiving IVF-ET treatment (P < 0.05).
Conclusion: The alexithymia in patients receiving IVF-ET treatment can be categorized into three potential profile types. The clinical medical staff should consider the characteristics of patients and implement targeted interventions for those with lower levels of education, lower average monthly household income, and poorer self-efficacy, in order to reduce the degree of alexithymia.
Plain Language Summary: This study aimed to understand how patients undergoing in vitro fertilization-embryo transfer (IVF-ET), struggle to identify and express their emotions (alexithymia) and find ways to improve their mental health and quality of life. From June to December 2024, 385 IVF-ET patients were recruited from a Chinese gynecology hospital, and researchers used questionnaires to gather information on their personal background, emotional recognition ability, and self-confidence. The data analysis showed that patients’ alexithymia could be categorized into low-risk (48%), moderate-risk (46%), and high-risk (6%) groups, and that lower education level, less family income, and lower self-confidence were associated with a higher likelihood of alexithymia in patients. As such, medical staff should consider patients’personal situations and provide special care and support to those with lower education, income, and self-confidence in an effort to assist them in better managing emotions and potentially enhancing their mental well-being.
Keywords: In vitro fertilization-embryo transfer, alexithymia, self-efficacy, latent profile analysis, influencing factors