{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:29:04Z","timestamp":1787318944988,"version":"build-2736575974"},"reference-count":55,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T00:00:00Z","timestamp":1713830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Stress and Health"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Infertility can be stressful for infertile couples. This study aims to examine the intra\u2010dyadic associations between stigma, communication patterns, and infertility\u2010related stress in couples undergoing artificial insemination by donor semen (AID). This cross\u2010sectional study was conducted from January to April 2021. Two hundred and three couples undergoing AID were recruited from a reproductive centre in China. All of the couples completed a two\u2010item stigma questionnaire, Communication Pattern Questionnaire, and Fertility Problem Inventory. The actor\u2010partner interdependence mediation analysis was performed using AMOS 23.0. The analysis demonstrated significant actor\u2013actor effects for couples undergoing AID. More specifically, higher levels of stigma among wives and husbands were associated with more negative communication patterns, thereby increasing their own infertility\u2010related stress. Simultaneously, there was a significant partner\u2013actor effect among infertile wives, demonstrating that the husband's stigma can affect his wife's infertility\u2010related stress by influencing her communication patterns. Couples undergoing AID experience increased infertility\u2010related stress when they have high levels of stigma and negative communication patterns, and husbands' stigma is correlated to wives' communication patterns. Therefore, dyadic interventions aiming to improving stigma and enhancing positive communication may be conducive to reducing infertility\u2010related stress.<\/jats:p>","DOI":"10.1002\/smi.3412","type":"journal-article","created":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T07:23:43Z","timestamp":1713857023000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Relationship between stigma and infertility\u2010related stress among couples undergoing AID: The mediating role of communication patterns"],"prefix":"10.1002","volume":"40","author":[{"given":"Qing","family":"Wang","sequence":"first","affiliation":[{"name":"School of Management and Economics University of Electronic Science and Technology of China  Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongmei","family":"Jia","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Reproductive Medicine and Offspring Health, Center for Reproductive Medicine, Institute of Women, Children and Reproductive Health, Shandong University  Jinan Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiming","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Health Psychology School of Nursing and Rehabilitation Cheeloo College of Medicine Shandong University  Jinan Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miao","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Health Psychology School of Nursing and Rehabilitation Cheeloo College of Medicine Shandong University  Jinan Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiangyu","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Health Psychology School of Nursing and Rehabilitation Cheeloo College of Medicine Shandong University  Jinan Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Qin","sequence":"additional","affiliation":[{"name":"Department of Health Psychology School of Nursing and Rehabilitation Cheeloo College of Medicine Shandong University  Jinan Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linghua","family":"Kong","sequence":"additional","affiliation":[{"name":"Department of Health Psychology School of Nursing and Rehabilitation Cheeloo College of Medicine Shandong University  Jinan Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7583-9650","authenticated-orcid":false,"given":"Ping","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Health Psychology School of Nursing and Rehabilitation Cheeloo College of Medicine Shandong University  Jinan Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,23]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14881"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/0284186x.2016.1266079"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2020.112910"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/aja.2012.141"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18178945"},{"key":"e_1_2_10_7_1","volume-title":"Romantic relationships in emerging adulthood: Understanding romantic relationships among emerging adults: The significant roles of cohabitation and ambiguity","author":"Fincham F. 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