身份释放配子捐赠或标准体外受精后的心理健康和家庭功能:对有青春期子女的父母的跟踪调查。

IF 2.1 4区 医学 Q2 OBSTETRICS & GYNECOLOGY Human Fertility Pub Date : 2024-12-01 Epub Date: 2024-07-11 DOI:10.1080/14647273.2024.2375098
Johan Paulin, Andreas Widbom, Gunilla Sydsjö, Agneta Skoog Svanberg, Claudia Lampic
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引用次数: 0

摘要

这项研究旨在调查有青春期子女的异性夫妇在进行身份释放卵母细胞捐赠(OD)、精子捐赠(SD)或标准试管婴儿后,在心理压力、家庭功能和亲子关系方面是否存在差异。瑞典配子捐献前瞻性纵向研究由瑞典七所提供配子捐献服务的大学医院在2005年至2008年间开始治疗时招募的夫妇组成。本研究是第五波数据收集,共包括205对父母,他们的青春期子女分别接受了OD(73人)、SD(67人)或使用自身配子的体外受精(65人)。OD/SD父母使用了身份解除捐赠,大多数父母向孩子透露了捐赠者的受孕情况。父母们回答了测量焦虑和抑郁症状(HADS)、家庭功能(GF6+)和亲子关系的有效工具。结果发现,在焦虑和抑郁症状、家庭功能以及与孩子的亲密感和冲突方面,接受卵巢功能缺失或卵巢功能失调治疗的父母与接受试管婴儿治疗的父母没有明显差异。无论治疗组别如何,大多数父母的心理压力和家庭功能都在正常范围内,并报告了积极的亲子关系。然而,与其他治疗组的母亲相比,自闭症母亲报告的焦虑症状超过临界值的比例更高(31% 对 7.3%,P = 0.018)。总之,本研究结果是对以往研究的补充,它包括了身份释放卵母细胞和精子捐赠后有青春期子女的家庭,这些家庭中的大多数人都知道他们是通过捐赠受孕的。在很大程度上,我们的研究结果证实,配子捐献不会对母亲和父亲的心理健康和家庭功能产生负面影响。
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Psychological well-being and family functioning following identity-release gamete donation or standard IVF: follow-up of parents with adolescent children.

This study sought to investigate if heterosexual-couple parents with adolescent children following identity-release oocyte donation (OD), sperm donation (SD) or standard IVF differed with regard to psychological distress, family functioning, and parent-child relationships. The prospective longitudinal Swedish Study on Gamete Donation consists of couples recruited when starting treatment between 2005 and 2008 from seven Swedish university hospitals providing gamete donation. This study concerns the fifth wave of data collection and included a total of 205 mothers and fathers with adolescent children following OD (n = 73), SD (n = 67), or IVF with own gametes (n = 65). OD/SD parents had used identity-release donation and most had disclosed the donor conception to their child. Parents answered validated instruments measuring symptoms of anxiety and depression (HADS), family functioning (GF6+) and parent-child relationship. Results found that parents following OD or SD did not differ significantly from IVF-parents with regard to symptoms of anxiety and depression, family functioning, and perceived closeness and conflicts with their child. Irrespective of treatment group, most parents were within normal range on psychological distress and family functioning and reported positive parent-child relationships. However, SD mothers to a larger extent reported anxiety symptoms above cut-off compared to OD mothers (31% vs. 7.3%, p = 0.018). In conclusion, the present results add to previous research by including families with adolescent children following identity-release oocyte and sperm donation, most of whom were aware of their donor conception. Largely, our results confirm that the use of gamete donation does not interfere negatively with mothers' and fathers' psychological well-being and perceived family functioning.

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来源期刊
Human Fertility
Human Fertility OBSTETRICS & GYNECOLOGY-REPRODUCTIVE BIOLOGY
CiteScore
3.30
自引率
5.30%
发文量
50
期刊介绍: Human Fertility is a leading international, multidisciplinary journal dedicated to furthering research and promoting good practice in the areas of human fertility and infertility. Topics included span the range from molecular medicine to healthcare delivery, and contributions are welcomed from professionals and academics from the spectrum of disciplines concerned with human fertility. It is published on behalf of the British Fertility Society. The journal also provides a forum for the publication of peer-reviewed articles arising out of the activities of the Association of Biomedical Andrologists, the Association of Clinical Embryologists, the Association of Irish Clinical Embryologists, the British Andrology Society, the British Infertility Counselling Association, the Irish Fertility Society and the Royal College of Nursing Fertility Nurses Group. All submissions are welcome. Articles considered include original papers, reviews, policy statements, commentaries, debates, correspondence, and reports of sessions at meetings. The journal also publishes refereed abstracts from the meetings of the constituent organizations.
期刊最新文献
Do very young oocyte donors negatively impact live birth rates in their recipients? The infected blood inquiry report-lessons for gamete donation. Obstetric and perinatal outcomes of singleton pregnancy from donated frozen versus fresh oocytes. Mpox in assisted conception: should we be worried about this monkey wrench? Prevention of ovarian hyperstimulation syndrome (OHSS): British Fertility Society policy and practice guideline.
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