不孕症夫妻成為父母後的心理反應變化

Psychological Responses of Previously:Infertile Parents

李淑杏(Shu-Hsin Lee) ； 郭碧照(Bi-Jaw Kuo) ； 李孟智(Meng-Chih Lee) ； 賴慶祥(Ching-Hsang Lai) ； 李茂盛(Maw-Shen Lee)

《台灣醫學》 2卷2期 (1998/03) Pp. 133-140

https://doi.org/10.6320/FJM.1998.2(2).02

摘要

Abstract: The purpose of this study was to assess the psychological responses of previously infertile couples after becoming parents. Fifty couples attending an assisted reproduction program at a college hospital between December,1991 and February, 1992 were included in this study. The couples were initially interviewed during the treatment course by a self-administered structured questionnaire regarding demographic data, infertility history, and psychological responses, based on the Taita Symptom Check List. A follow-up questionnaire containing the same elements plus questions on pregnancy was mailed to subjects in March,1997. Twenty-four couples (14 who had become parents and 10 who were still infertile) completed both the initial and follow-up interviews, for a response rate of 48%. In the initial interviews, couples who became parents and those who did not were similar in terms of demographic characteristics and infertility history. Compared with the initial interview at follow-up husbands who had become parents had slightly elevated mean scores on the subscales of somatization, depression, anxiety, phobia and neurosis, while wives who became parents had slightly elevated mean scores on the subscales of somatization, depression, hostility, and neurosis. Compared with couples who were still infertile, husbands who became parents had a greater increases in the mean scores of the somatization, phobia and neurosis subscales on the follow-up questionnaire, while wives had greater increases in the subscales of somatization, depression and hostility. We conclude that psychological distress can persist or become exacerbated in previously infertile couples who become parents. The exact causes and possible demands for long-term nursing intervention deserve further attention and investigation.

關鍵字

不孕症 ； 懷孕 ； 為人父母 ； 心理反應

並列摘要

Abstract: The purpose of this study was to assess the psychological responses of previously infertile couples after becoming parents. Fifty couples attending an assisted reproduction program at a college hospital between December,1991 and February, 1992 were included in this study. The couples were initially interviewed during the treatment course by a self-administered structured questionnaire regarding demographic data, infertility history, and psychological responses, based on the Taita Symptom Check List. A follow-up questionnaire containing the same elements plus questions on pregnancy was mailed to subjects in March,1997. Twenty-four couples (14 who had become parents and 10 who were still infertile) completed both the initial and follow-up interviews, for a response rate of 48%. In the initial interviews, couples who became parents and those who did not were similar in terms of demographic characteristics and infertility history. Compared with the initial interview at follow-up husbands who had become parents had slightly elevated mean scores on the subscales of somatization, depression, anxiety, phobia and neurosis, while wives who became parents had slightly elevated mean scores on the subscales of somatization, depression, hostility, and neurosis. Compared with couples who were still infertile, husbands who became parents had a greater increases in the mean scores of the somatization, phobia and neurosis subscales on the follow-up questionnaire, while wives had greater increases in the subscales of somatization, depression and hostility. We conclude that psychological distress can persist or become exacerbated in previously infertile couples who become parents. The exact causes and possible demands for long-term nursing intervention deserve further attention and investigation.

並列關鍵字

infertility ； pregnancy ； parenthood ； psychological response