Centre for Family Research, University of Cambridge, Cambridge, UK.
Institute for Women's Health, UCL, London, UK.
Hum Reprod. 2022 Mar 1;37(3):499-509. doi: 10.1093/humrep/deab265.
What are children's perspectives of the quality of their relationships with their parents and their own psychological well-being in families created using egg donation?
Children's scores indicated good parent-child relationship quality and high levels of psychological well-being, with children in families created using egg donation rating their relationships with their mothers as higher in warmth/enjoyment than children in a comparison group of families created using IVF.
Little is known about how children in families created through egg donation view their family relationships and their own psychological well-being. Research with 7-and-10-year-olds in anonymous egg donation families has indicated good parent-child relationship quality from children's perspectives, but studies have not involved younger children or those conceived following identity-release egg donation.
STUDY DESIGN, SIZE, DURATION: This study included 50 children who had been born through egg donation and a comparison group of 43 children conceived through IVF with the parents' own gametes. Data were collected between April 2018 and December 2019. The sample forms part of a larger longitudinal study examining family functioning in families created through fertility treatment.
PARTICIPANTS/MATERIALS, SETTING, METHODS: Children were aged 5 years old and had been born into families with different-sex couple parents. All families were visited at home. Children were administered the Berkeley Puppet Interview, a standardized assessment of parent-child relationship quality and psychological well-being.
Children in egg donation families rated their relationships with their mothers as higher in warmth and enjoyment than did children in IVF families. No differences were found between the two family types in children's ratings of the father-child relationship, or in children's ratings of their own psychological well-being.
LIMITATIONS, REASONS FOR CAUTION: It is possible that children who did not consent to take part in the research had less positive perceptions of their family and themselves than children who participated.
The findings are relevant to UK clinics offering identity-release egg donation, to parents who have used egg donation to create their family and to individuals and couples considering their fertility treatment options. That children in egg donation families were more similar than different to children in IVF families in their self-concept and perception of their family relationships should prove reassuring.
STUDY FUNDING/COMPETING INTEREST(S): This research was supported by a Wellcome Trust Collaborative Award [208013/Z/17]. The authors have no conflicts of interest to declare.
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通过捐卵创建的家庭中,儿童如何看待与父母的关系质量以及自身的心理健康?
儿童的评分表明他们与父母的关系质量良好,心理健康水平较高,与通过 IVF 方式创建家庭的对照组儿童相比,通过捐卵创建家庭的儿童对与母亲关系的评价更高,在温暖/愉悦方面的评分更高。
通过捐卵创建的家庭中,儿童如何看待他们的家庭关系和自身的心理健康,这方面的了解甚少。对匿名捐卵家庭中 7 至 10 岁儿童的研究表明,从儿童的角度来看,亲子关系质量良好,但这些研究没有涉及年龄更小的儿童,也没有涉及通过身份识别后捐卵的儿童。
研究设计、规模、持续时间:本研究包括 50 名通过捐卵出生的儿童和 43 名通过父母自身配子进行 IVF 受孕的对照组儿童。数据收集于 2018 年 4 月至 2019 年 12 月期间。该样本是一项更大的纵向研究的一部分,该研究旨在检查通过生育治疗创建的家庭中的家庭功能。
参与者/材料、地点、方法:儿童年龄为 5 岁,出生于异性恋夫妇的家庭。所有家庭都在家中接受了访问。儿童接受了伯克利木偶访谈,这是对亲子关系质量和心理健康的标准化评估。
与 IVF 家庭的儿童相比,捐卵家庭的儿童对与母亲关系的评价更高,在温暖和愉悦方面的评分更高。在父亲与孩子的关系以及孩子对自己心理健康的评价方面,两种家庭类型之间没有差异。
局限性、谨慎的理由:未同意参与研究的儿童可能对家庭和自身的看法不如参与研究的儿童积极。
研究结果与英国提供身份识别后捐卵的诊所、使用捐卵创建家庭的父母以及考虑生育治疗选择的个人和夫妇有关。与 IVF 家庭的儿童相比,捐卵家庭的儿童在自我概念和对家庭关系的看法上更相似,而不是更不同,这应该让人感到安心。
研究资金/竞争利益:这项研究得到了惠康信托基金合作奖[208013/Z/17]的支持。作者没有利益冲突需要声明。
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