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代孕对代孕母亲家庭的心理影响:对临床实践的启示。

The psychological impact of surrogacy on the families of gestational surrogates: implications for clinical practice.

机构信息

Department of Psychology, The Pennsylvania State University, University Park, PA, USA.

出版信息

J Psychosom Obstet Gynaecol. 2022 Jun;43(2):122-127. doi: 10.1080/0167482X.2020.1814729. Epub 2020 Sep 10.

DOI:10.1080/0167482X.2020.1814729
PMID:32909488
Abstract

OBJECTIVE

To examine the psychological impact of gestational surrogacy on surrogates' families.

BACKGROUND

ASRM practice committee guidelines recommend that psychological counseling prior to surrogacy include consideration of a surrogate's own family, but there has been little research to help guide mental health professionals (MHPs) providing implications counseling.

METHODS

Fifty-nine family members from 16 surrogate families were recruited and data were collected on family relationships, child psychological well-being, and family experiences of surrogacy. Family members filled out a series of questionnaires based on their age and role in the family system.

RESULTS

Participants included 16 surrogates (28 surrogate pregnancies) with an average time since first surrogate pregnancy = 2.93 years (range = 0-8 years). Overall, families of surrogates are functioning well across a number of psychological domains. There were some differences between surrogates and spouses regarding their perceptions of their children's experience. A small number of children reported negative emotions about surrogacy and more research is needed to identify which children may be at risk. Children reported surrogacy having a positive impact on their lives and endorsed both pride and excitement about their mother being a surrogate.

CONCLUSIONS

There has been limited data to inform MHPs tasked with implications counseling prior to surrogacy in offering guidance to surrogates' family members to help prepare them for the experience. This data can be used by MHPs providing implications counseling to help facilitate discussions about the potential impact of surrogacy tohelp ensure positive psychological outcomes for surrogates and their family members.

摘要

目的

研究代孕对代孕者家庭的心理影响。

背景

ASRM 实践委员会指南建议,在代孕之前的心理咨询中应考虑代孕者自身的家庭,但几乎没有研究可以帮助指导心理健康专业人员(MHPs)提供影响咨询。

方法

从 16 个代孕家庭中招募了 59 名家庭成员,并收集了家庭关系、儿童心理健康和代孕家庭经历的数据。家庭成员根据年龄和家庭系统中的角色填写了一系列问卷。

结果

参与者包括 16 名代孕者(28 次代孕),平均首次代孕时间为 2.93 年(范围为 0-8 年)。总体而言,代孕者家庭在多个心理领域表现良好。代孕者和配偶对子女代孕经历的看法存在一些差异。少数儿童对代孕有负面情绪,需要进一步研究以确定哪些儿童可能有风险。儿童报告代孕对他们的生活有积极影响,并对他们的母亲成为代孕者感到自豪和兴奋。

结论

在为代孕者的家庭成员提供影响咨询之前,为 MHPs 提供有限的数据,以帮助他们为代孕经历做好准备。这些数据可以由提供影响咨询的 MHPs 使用,以帮助讨论代孕的潜在影响,以确保代孕者及其家庭成员的心理健康结果积极。

相似文献

1
The psychological impact of surrogacy on the families of gestational surrogates: implications for clinical practice.代孕对代孕母亲家庭的心理影响:对临床实践的启示。
J Psychosom Obstet Gynaecol. 2022 Jun;43(2):122-127. doi: 10.1080/0167482X.2020.1814729. Epub 2020 Sep 10.
2
Children of surrogate mothers: psychological well-being, family relationships and experiences of surrogacy.代孕母亲的孩子:心理健康、家庭关系和代孕经历。
Hum Reprod. 2014 Jan;29(1):90-6. doi: 10.1093/humrep/det410. Epub 2013 Nov 20.
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The long-term experiences of surrogates: relationships and contact with surrogacy families in genetic and gestational surrogacy arrangements.代孕女性的长期经历:在基因代孕和妊娠代孕安排中与代孕家庭的关系及接触。
Reprod Biomed Online. 2014 Oct;29(4):424-35. doi: 10.1016/j.rbmo.2014.06.004. Epub 2014 Jul 5.
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Surrogate mothers 10 years on: a longitudinal study of psychological well-being and relationships with the parents and child.代孕母亲 10 年:对心理健康和与父母及孩子关系的纵向研究。
Hum Reprod. 2015 Feb;30(2):373-9. doi: 10.1093/humrep/deu339. Epub 2014 Dec 19.
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"Not my child to give away": A qualitative analysis of gestational surrogates' experiences.“不能把我的孩子送人”:对代孕者经历的定性分析。
Women Birth. 2020 May;33(3):e256-e265. doi: 10.1016/j.wombi.2019.02.003. Epub 2019 Feb 26.
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Surrogacy families headed by gay men: relationships with surrogates and egg donors, fathers' decisions over disclosure and children's views on their surrogacy origins.由男同性恋者组成的代孕家庭:与代孕者和捐卵者的关系、父亲对公开的决定以及孩子们对代孕出身的看法。
Hum Reprod. 2018 Feb 1;33(2):248-257. doi: 10.1093/humrep/dex362.
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Determinants of gestational surrogates' satisfaction in relation to the characteristics of surrogacy cases.代孕者对代孕案例特征的满意度的决定因素。
Reprod Biomed Online. 2019 Aug;39(2):249-261. doi: 10.1016/j.rbmo.2019.04.001. Epub 2019 Apr 5.
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Surrogacy: outcomes for surrogate mothers, children and the resulting families-a systematic review.代孕:代孕母亲、儿童和由此产生的家庭的结果——系统评价。
Hum Reprod Update. 2016 Mar-Apr;22(2):260-76. doi: 10.1093/humupd/dmv046. Epub 2015 Oct 9.
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'It's all settled on the right page' surrogates' feelings and reflections of surrogacy two decades on.“一切都在正确的轨道上尘埃落定”:二十年来代孕女性对代孕的感受与反思
Hum Reprod. 2024 Dec 1;39(12):2734-2742. doi: 10.1093/humrep/deae216.
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Analysis of gestational surrogates' birthing experiences and relationships with intended parents during pregnancy and post-birth.分析代孕母亲在怀孕期间和产后与意向父母的生育经历和关系。
Birth. 2019 Dec;46(4):628-637. doi: 10.1111/birt.12450. Epub 2019 Sep 11.

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Hum Reprod. 2025 Mar 1;40(3):420-425. doi: 10.1093/humrep/deaf006.
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J Assist Reprod Genet. 2023 Jun;40(6):1329-1340. doi: 10.1007/s10815-023-02824-w. Epub 2023 May 13.
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Rev Bras Ginecol Obstet. 2022 Dec;44(12):1141-1158. doi: 10.1055/s-0042-1759774. Epub 2022 Dec 29.