预期父母的焦虑和抑郁:ART与自发受孕相比
Aurora Oftedal1, Stella Tsotsi2, Anne Kaasen3
1Department of Children and Families, Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.
Human reproduction (Oxford, England)
|June 24, 2023
概括
通过辅助生殖技术 (ART) 怀孕的未来父母总体上报告了更低的焦虑和抑郁症. 然而,与自发受孕相比,在ART后的子样本中的母亲在怀孕早期经历了增加的焦虑和抑郁症.
科学领域:
- 生殖医学 生殖医学
- 心理社会适应 心理社会适应
- 围产期心理健康问题
背景情况:
- 关于辅助生殖技术 (ART) 和父母心理健康的先前研究显示出混合的结果.
- 研究在设计,评估时间方面各不相同,并且可能无法控制混因素.
研究的目的:
- 为了调查通过ART怀孕的预期父母的焦虑和抑郁水平,与自发怀孕相比.
- 为了比较经历了ART和自发怀孕的个体内的心理健康结果.
主要方法:
- 使用挪威母亲,父亲和儿童队列研究 (MoBa) 数据进行的前性队列研究.
- 包括2960名通过ART怀孕的妇女和108,183名通过自发怀孕怀孕的妇女.
- 一个子样本 (n=286名女性,n=211名伴侣) 既有ART和自发怀孕,怀孕17周和30周评估了焦虑和抑郁症.
主要成果:
- 总的来说,与自发受孕相比,ART受孕与较低的焦虑和抑郁以及更高的关系满意度有关.
- 在子样本中,与自发受孕相比,在17周怀孕后的ART后,母亲表现出增加的焦虑和抑郁.
- 在孕期30周的母亲中,在ART和自发怀孕之间,焦虑和抑郁的水平是相似的,在父亲中则一致相似.
结论:
- 文献中的差异可能来自于对比不同组的父母,而不是个人内部的比较.
- 人工智能孕育并非普遍与增加母亲焦虑和抑郁症有关,评估时间至关重要.
- 这项研究强调了前性,个体内设计对于理解ART的心理社会影响的重要性.
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