世界卫生组织将不孕症定义为：未采取避孕措施且有正常性生活的夫妻，同居一年以上而不能使女方妊娠或维持妊娠者。不孕症的发病率高且逐年攀升。目前国内外针对不孕症的治疗时间久、花费大、操作痛苦，且对患者带来各种不同程度的心理问题。而在不孕症的家庭中，女性因素远高于男性因素。

  生育压力是指由不孕不育应激事件所引发的一种慢性心理压力，生育压力与不能生育的客观现实以及不孕不育的治疗过程都关系紧密，而生育压力本身又影响着不孕不育的治疗结局。生育压力一般包括社会压力、性压力、夫妻关系压力、父母角色需求压力以及无子女生活方式的压力等。生育压力是不孕症患者产生焦虑、抑郁等负性情绪的重要原因，生育压力越大的不孕症患者存在抑郁焦虑的情况越严重。有62.57%的女性压力来源于生育因素，不孕症女性同正常妊娠女性相比，承受着更高的心理困扰及生育压力。

  本研究采用问卷及访谈的方法，筛选出不孕时间在1年以上，并排除器质性因素的不孕症女性，进行每周1-2次的个体箱庭干预，干预前中后期分别进行《生育压力量表》测量及访谈，进行对比分析。

  经过12次箱庭治疗，箱庭的主题、制作时间和自我像都发生变化，沙的使用方式更加积极，前中后测的量表数据变化也显示，生育压力的五个维度上均有明显下降，被试的主观报告中，包括对他人理解加深，接纳纠结情绪，更加主动思考，重新理解认识自己的生育压力以及人际关系等的变化。由此可得出结论：箱庭疗法可以缓解不孕症女性的生育压力，对抑郁焦虑自责等负性情绪也有所改善，可以帮助不孕女性实现个人成长。

The World Health Organization defines infertility as the inability of a couple who are not using contraception and have a normal sexual life to conceive or maintain a pregnancy after more than one year of cohabitation. The incidence of infertility is high and increasing year by year. At present, the treatment of infertility at home and abroad is long, costly, painful, and causes various degrees of psychological problems to patients. In families with infertility, the female factor is much higher than the male factor.

Fertility stress is a chronic psychological stress triggered by infertility stressful events. Fertility stress is closely related to both the objective reality of inability to have children and the process of infertility treatment, which itself influences the outcome of infertility treatment. Fertility stress generally includes social stress, sexual stress, couple relationship stress, parental role demand stress, and childless lifestyle stress. Fertility stress is an important cause of negative emotions such as anxiety and depression in infertility patients, and the higher the fertility stress the more severe the presence of depression and anxiety in infertility patients. In 62.57% of women, the stress is due to fertility factors, and women with infertility suffer from higher psychological distress and fertility stress compared to women with normal pregnancy.

In this study, women with infertility who had been infertile for more than 1 year and excluded organic factors were screened for individual boxing intervention 1-2 times per week using questionnaires and interviews, and the Fertility Problems Inventory was measured and interviewed before and after the intervention for comparative analysis.

After 12 sessions of sandplay therapy, the theme, production time and self-image have changed significantly, sand was used in a more positive way, and changes in scale data from the pre and post tests also showed significant decreases on all five dimensions of fertility stress, and subjective reports from the subjects included changes in deeper understanding of others, acceptance of entangled emotions, more active thinking, renewed understanding of their own fertility stress and interpersonal relationships. This leads to the conclusion that sandplay therapy can help infertile women achieve personal growth by alleviating their fertility stress and improving negative emotions such as depression, anxiety, and self-blame.