Counselling Place, Glebe, Sydney, New South Wales.
Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, New South Wales.
Fertil Steril. 2020 Mar;113(3):642-652. doi: 10.1016/j.fertnstert.2019.10.035.
To characterize the sociodemographic and psychological profiles of participant groups involved in altruistic surrogacy in Australia.
Cross-sectional study.
Single psychological practice in Sydney, Australia.
PATIENT(S): Six hundred and two individuals involved in 160 altruistic surrogacy arrangements: 143 intended mothers, 175 intended fathers (including 17 same-sex intended father couples), 160 surrogates, and 124 surrogate partners.
INTERVENTION(S): None.
MAIN OUTCOME MEASURE(S): Responses to a presurrogacy sociodemographic assessment counseling protocol and the Personality Assessment Inventory (PAI).
RESULT(S): The surrogates were primarily sisters, sisters-in-law, mothers (48.6%), or other extended family or friends (46.3%) of the intended parents. Most participants resided in residential postcode areas within the highest socioeconomic status quintile; however, intended mothers were more likely than surrogates to live in the most advantaged residential areas, to be younger and be more educated, and to be employed in professional occupations. Most participant psychological profiles were normal. A statistically significantly elevated PAI Somatic Complaints-Health Concerns subscale for intended mothers was observed compared with other participant groups. The higher PAI Warmth scale scores of intended mothers and surrogates were statistically significantly different from their respective partners, although not different from each other.
CONCLUSION(S): Sociodemographic and some psychological differences between participant groups were observed that warrant exploration in pretreatment surrogacy counseling. Importantly, the higher scores on the PAI Warmth scale exhibited by intended mothers and surrogates in the context of close family and friendship relationships are likely to serve as protective mechanisms for the altruistic surrogacy outcome.
描述澳大利亚利他型代孕参与者群体的社会人口学和心理特征。
横断面研究。
澳大利亚悉尼的一家心理诊所。
160 个利他型代孕安排中的 602 名参与者：143 名意向母亲、175 名意向父亲（包括 17 对同性意向父亲夫妇）、160 名代孕者和 124 名代孕伴侣。
无。
接受代孕前社会人口学评估咨询方案和人格评估量表（PAI）的应答情况。
代孕者主要是意向父母的姐妹、嫂子/弟媳、母亲（48.6%）或其他延伸家庭成员或朋友（46.3%）。大多数参与者居住在社会经济地位最高五分位数的住宅邮政编码区；然而，意向母亲比代孕者更有可能居住在最有利的住宅地区，更年轻、受教育程度更高，并且从事专业职业。大多数参与者的心理特征都正常。与其他参与者群体相比，意向母亲的 PAI 躯体症状-健康担忧子量表的分数明显升高。与各自的伴侣相比，意向母亲和代孕者的 PAI 温暖量表得分较高，但与彼此的得分没有差异。
观察到参与者群体之间存在社会人口学和一些心理差异，这需要在代孕前咨询中进行探讨。重要的是，在亲密的家庭和友谊关系背景下，意向母亲和代孕者表现出的 PAI 温暖量表得分较高，可能是利他型代孕结果的保护机制。
