Department of Medical Sciences, Surgery, and Neurosciences, University of Siena, Siena, Italy.
Department of Health Sciences, University of Florence, Florence, Italy.
Perspect Psychiatr Care. 2021 Apr;57(2):717-725. doi: 10.1111/ppc.12603. Epub 2020 Aug 10.
This study compared the quality of life/stress between individuals undergoing homologous and heterologous medically assisted reproduction (MAR) and explored the role of psychopathological traits.
Two hundred and twenty-six participants in homologous (52.2%) and heterologous MAR (47.8%) completed Symptom Checklist 90-R, Fertility Problem Inventory, and Fertility Quality of Life.
The homologous group showed higher depressive/anxious and obsessive-compulsive traits, hostility and interpersonal detachment, and worse quality of life/stress than the heterologous one. In the homologous pathway, those with higher interpersonal detachment showed worse quality of life, in the heterologous one those with greater paranoid traits had greater stress.
Psychiatric nursing support should focus on interpersonal detachment in homologous and paranoid traits in heterologous MAR.
本研究比较了接受同源和异源医学辅助生殖（MAR）的个体之间的生活质量/压力，并探讨了精神病理特征的作用。
226 名接受同源（52.2%）和异源 MAR（47.8%）的参与者完成了症状清单 90-R、生育问题清单和生育生活质量问卷。
同源组表现出更高的抑郁/焦虑和强迫特质、敌意和人际疏离，以及更差的生活质量/压力，而异源组则相反。在同源途径中，人际疏离程度较高的患者生活质量较差，而异源途径中偏执特质较强的患者压力较大。
精神科护理支持应侧重于同源 MAR 中的人际疏离和异源 MAR 中的偏执特质。
