Department of Psychology, Middlesex University, London, UK.
Fertility Network UK, London, UK.
Hum Fertil (Camb). 2021 Dec;24(5):333-340. doi: 10.1080/14647273.2019.1687946. Epub 2019 Nov 11.
This study examined the financial, emotional and relationship impacts of involuntary childlessness and treatment, and the satisfaction with support from professionals. 796 participants in the UK completed an online survey based on a similar survey conducted in 1997. 55% of participants had to pay for at least part of their treatment. High levels of distress were experienced and 42% experienced suicidal feelings at least occasionally. Those most at risk of distress and suicidal feelings had experienced unsuccessful treatment outcomes, spent longer trying to conceive and reported some relationship strains. While 75% would like to have received counselling if it had been free, 45% only received such counselling and 54% of these had to fund some of it themselves. Although advances have been made in improving the availability of funded treatment and psychological support, involuntary childlessness and treatment continue to have financial, emotional and relationship consequences for many people. While counselling was generally reported to be useful, an approach involving all fertility clinic staff in the psychosocial care of clients is advisable.
这项研究考察了非意愿性不孕和治疗对经济、情感和关系的影响，以及对专业人士支持的满意度。英国的 796 名参与者完成了一项基于 1997 年进行的类似调查的在线调查。55%的参与者至少部分治疗费用需要自付。参与者经历了高度的困扰，42%至少偶尔有自杀的感觉。那些最容易感到困扰和有自杀念头的人经历了不成功的治疗结果，花了更长的时间试图怀孕，并报告了一些关系紧张。虽然 75%的人表示如果免费提供咨询，他们会愿意接受，但只有 45%的人接受了这种咨询，其中 54%的人不得不自己支付部分费用。尽管在改善有资金支持的治疗和心理支持的可及性方面已经取得了进展，但非意愿性不孕和治疗仍然给许多人带来经济、情感和关系方面的后果。虽然咨询通常被认为是有用的，但建议所有生育诊所的工作人员都参与到客户的心理社会关怀中。
