Nekkebroeck Julie, Bonduelle Maryse, Desmyttere Sonja, Van den Broeck Wim, Ponjaert-Kristoffersen Ingrid
Department of Developmental and Lifespan Psychology, Vrije Universiteit Brussel, Pleinlaan 2, 1050 Brussels, Belgium.
Hum Reprod. 2008 Aug;23(8):1849-57. doi: 10.1093/humrep/den179. Epub 2008 May 16.
The objective of this study was to assess socio-emotional and language development in 2-year-old children born after preimplantation genetic diagnosis (PGD) and genetic aneuploidy screening (PGS), intracytoplasmic sperm injection (ICSI) and natural conception (NC) and to assess parental well-being.
Parents of 2-year-old PGD/PGS (n = 41), ICSI (n = 35) and NC (n = 53) singleton children were recruited. The socio-emotional development of the children was assessed using the Child Behavioural Checklist (CBCL) and the Short Temperament Scale for Toddlers. Parental stress and health status was measured with the Parent Stress Index and the General Health Questionnaire. Language development was assessed with the McArthur Communicative Development Inventories.
No differences were found for temperament, language development, parental stress or health status. The mothers in the PGD/PGS and ICSI group reported significantly fewer CBCL Total problems than their NC counterparts, whereas for the CBCL Externalizing problems, only the ICSI mothers reported fewer problems than their PGD/PGS and NC counterparts. Fathers in the ICSI group also rated their children as having fewer Externalizing and Total behavioural problems.
PGD/PGS conception does not adversely affect children's socio-emotional and language development at age 2, nor did parents differ from ICSI and NC parents for parental stress and health status.
本研究的目的是评估经植入前基因诊断(PGD)和基因非整倍体筛查(PGS)、胞浆内单精子注射(ICSI)以及自然受孕(NC)后出生的2岁儿童的社会情感和语言发育情况,并评估父母的幸福感。
招募了PGD/PGS组(n = 41)、ICSI组(n = 35)和NC组(n = 53)的2岁单胎儿童的父母。使用儿童行为检查表(CBCL)和幼儿简短气质量表评估儿童的社会情感发育。用父母压力指数和一般健康问卷测量父母的压力和健康状况。用麦克阿瑟沟通发展量表评估语言发育情况。
在气质、语言发育、父母压力或健康状况方面未发现差异。PGD/PGS组和ICSI组的母亲报告的CBCL总问题明显少于NC组的母亲,而对于CBCL外化问题,只有ICSI组的母亲报告的问题少于PGD/PGS组和NC组的母亲。ICSI组的父亲也认为他们的孩子有较少的外化和总体行为问题。
PGD/PGS受孕对2岁儿童的社会情感和语言发育没有不利影响,在父母压力和健康状况方面,PGD/PGS组的父母与ICSI组和NC组的父母也没有差异。