Gillett W R, Daniels K R, Herbison G P
Department of Obstetrics and Gynecology, University of Otago, Dunedin, New Zealand.
J Psychosom Obstet Gynaecol. 1996 Sep;17(3):135-42. doi: 10.3109/01674829609025674.
The study aimed to assess the congruence of feelings about donor insemination (DI) in couples who have had a child by this means. Male and female partners of 50 couples (in continuing relationships) who had had a child by DI individually completed a questionnaire. A Likert scale (0, very unhappy to 7, very happy) was used to assess feelings before, during and after treatment, and the perception of their partner's feelings. Individual partner's responses were also compared for views about the donor and assessment of their relationship. For both males and females, their feelings about DI before, during and after treatment did not correlate with their perceived view of their partner's feelings. This difference was much more striking before treatment started with male feelings (mean +/- SD) being 4.1 +/- 1.8 compared to the females' perception of the males' feelings of 3.5 +/- 1.9 (t test, p = 0.004) and females' feelings of 3.7 +/- 2.0 compared to the males' perception of female feelings of 4.3 +/- 2.0 (p = 0.05). In comparing attitudes about the donor, individual couples' views did not correlate well, the exceptions being their views on whether or not to have another child and whether they wanted the same donor. All but one couple agreed that the DI child had brought them closer together as well as agreeing that they confided in each other. The marital interaction assessment showed close compatibility in most issues. The impact of DI on couples affected by male factor infertility raises many issues, the views of which may not be shared between partners. This is especially the case of attitudes about the donor and is of some concern when viewed in the wider context of marital and parent-child relationships. It is not known whether these opposing views have an impact on the later development of these relationships but they should be considered as part of the preparation for beginning treatment.
该研究旨在评估通过供精人工授精（DI）生育孩子的夫妇对这种方式的感受的一致性。50对通过DI生育了孩子的夫妇（关系持续）的男性和女性伴侣分别填写了一份问卷。使用李克特量表（0表示非常不开心至7表示非常开心）来评估治疗前、治疗期间和治疗后的感受，以及对伴侣感受的认知。还比较了伴侣个人对供体的看法以及对他们关系的评估。对于男性和女性来说，他们在治疗前、治疗期间和治疗后的DI感受与他们对伴侣感受的认知看法并不相关。这种差异在治疗开始前更为明显，男性的感受（均值±标准差）为4.1±1.8，而女性对男性感受的认知为3.5±1.9（t检验，p = 0.004）；女性的感受为3.7±2.0，而男性对女性感受的认知为4.3±2.0（p = 0.05）。在比较对供体的态度时，个别夫妇的观点相关性不佳，例外情况是他们对是否再要一个孩子以及是否想要同一个供体的看法。除了一对夫妇外，所有夫妇都认为DI孩子让他们的关系更亲密，并且他们相互倾诉。婚姻互动评估显示在大多数问题上有密切的相容性。DI对受男性因素不育影响的夫妇的影响引发了许多问题，而伴侣之间可能并不共享这些观点。在供体态度方面尤其如此，从更广泛的婚姻和亲子关系背景来看，这令人有些担忧。目前尚不清楚这些对立观点是否会对这些关系的后期发展产生影响，但在开始治疗的准备过程中应将其视为一部分加以考虑。
