Reproductive Health Department, Isfahan University of Medical Sciences, Isfahan, Iran.
Reproductive Health Departments, Isfahan University of Medical Sciences, Isfahan, Iran.
Int J Gynaecol Obstet. 2023 Jul;162(1):346-351. doi: 10.1002/ijgo.14727. Epub 2023 Mar 5.
To evaluate the effect of a follow-up counseling program on oocyte donors' mental health.
A randomized controlled field trial conducted on 72 Iranian women who volunteered for oocyte donation. The intervention was designed based on the qualitative section of the study and review of the literature, as face-to-face counseling, an Instagram page, an educational pamphlet, and a briefing session for service providers. Mental health was assessed using the DASS-21 questionnaire in two stages before ovarian stimulation (T1) and ovum pick-up (T2).
The scores of depression, anxiety, and stress after ovum pick-up in the intervention group were significantly lower than in the control group. Besides, after ovum pick-up, the satisfaction of participation in an assisted reproductive technique (P < 0.001) in the intervention group was significantly higher than the control group, respectively. In the intervention group, the mean scores of depression and stress were lower at T2 compared to T1 (P < 0.001).
This study showed that the follow-up counseling program could influence these oocyte donors' mental health during participation in assisted reproductive techniques. Designing these programs in the cultural context of each country is recommended.
Iranian Registry of Clinical Trials (IRCT20200617047811N1), Date of registration: 07/25/2020, Registry URL: https://www.irct.ir/trial/49196.
评估后续咨询计划对卵母细胞捐赠者心理健康的影响。
这是一项在 72 名自愿进行卵母细胞捐赠的伊朗女性中进行的随机对照现场试验。该干预措施是基于研究的定性部分和文献回顾设计的,包括面对面咨询、Instagram 页面、教育手册和服务提供者简介。在卵巢刺激(T1)和取卵(T2)前两个阶段使用 DASS-21 问卷评估心理健康状况。
取卵后,干预组的抑郁、焦虑和压力得分明显低于对照组。此外,取卵后,干预组对参与辅助生殖技术的满意度(P<0.001)明显高于对照组。在干预组中,与 T1 相比,T2 时抑郁和压力的平均得分较低(P<0.001)。
本研究表明,后续咨询计划可以影响这些卵母细胞捐赠者在参与辅助生殖技术期间的心理健康。建议在每个国家的文化背景下设计这些计划。
伊朗临床试验注册中心(IRCT20200617047811N1),注册日期:2020 年 7 月 25 日,注册网址:https://www.irct.ir/trial/49196。