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辅助生殖受孕的三胞胎代表性样本的养育与心理发展

Parenting and the psychological development of a representative sample of triplets conceived by assisted reproduction.

作者信息

Golombok S, Olivennes F, Ramogida C, Rust J, Freeman T

机构信息

Centre for Family Research, Faculty of Social and Political Sciences, University of Cambridge, Cambridge, UK.

出版信息

Hum Reprod. 2007 Nov;22(11):2896-902. doi: 10.1093/humrep/dem260. Epub 2007 Sep 26.

Abstract

BACKGROUND

The aim of the study was to examine the quality of parenting and the psychological development of three-year-old children in IVF/ICSI families with triplets.

METHODS

Comparisons were carried out between a representative sample of 10 families with triplets and matched groups of 15 families with twins and 30 families with singletons. The families were recruited from Follow-Up, a national organization in France that was established to study children conceived by assisted reproduction. Standardized measures of the mother's psychological well-being (parenting stress, depression and quality of marriage) and standardized measures of the child's psychological development (emotional/behavioural problems and general development) were completed by the mother.

RESULTS

Mothers with a multiple birth were found to experience greater difficulties in parenting than mothers of singletons, with no differences between mothers of triplets and mothers of twins. Regarding the children, there were no differences in emotional or behavioural problems between triplets, twins and singletons. However, there were indications of mild delay among triplets and twins in some aspects of language development in comparison with the singleton children.

CONCLUSIONS

The birth of triplets or twins does appear to cause difficulties for parents in the early years, however, the children themselves do not seem to experience markedly raised levels of psychological or developmental problems.

摘要

背景

本研究旨在调查体外受精/卵胞浆内单精子注射(IVF/ICSI)受孕的三胞胎家庭的养育质量和三岁儿童的心理发展情况。

方法

对10个三胞胎家庭的代表性样本与15个双胞胎家庭及30个单胞胎家庭的匹配组进行比较。这些家庭是从法国一个名为“随访”的全国性组织招募的,该组织旨在研究通过辅助生殖技术受孕的儿童。母亲完成了关于其心理健康(养育压力、抑郁和婚姻质量)的标准化测量以及关于孩子心理发展(情绪/行为问题和总体发育)的标准化测量。

结果

发现多胞胎家庭的母亲在养育孩子方面比单胞胎家庭的母亲面临更大困难,三胞胎家庭的母亲和双胞胎家庭的母亲之间没有差异。关于孩子,三胞胎、双胞胎和单胞胎在情绪或行为问题上没有差异。然而,与单胞胎孩子相比,三胞胎和双胞胎在语言发展的某些方面有轻度延迟的迹象。

结论

三胞胎或双胞胎的出生在早年似乎确实给父母带来了困难,然而,孩子们自己似乎并没有明显出现更多的心理或发育问题。

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