接受供精人工授精夫妇婚姻质量及心理状况特征的研究

Research of marriage quality and mental status of couples received artificial insemination by donor

目的:探讨接受供精人工授精(AID)夫妇婚姻质量及心理状况与夫精人工授精(AIH)夫妇及正常生育夫妇的差别。方法:采用随机抽样病例对照研究,对278对AID夫妇(AID组),169对AIH夫妇(AIH组)及50对正常生育夫妇(对照组)进行问卷调查。调查内容包括:一般情况,抑郁自评量表(SDS)及焦虑自评量表(SAS)测量调查对象的心理状况,Olson-婚姻质量问卷(ENRICH)测量调查对象的婚姻质量。结果:1 AID组男方SAS评分及SDS评分显著高于对照组男方(P<0.05),且AID组男方SDS评分显著高于AIH组男方;AID组女方SAS评分及SDS评分显著高于对照组女方(P<0.05),且AID组女方SAS评分显著高于AIH组女方。2在婚姻质量评分上,婚姻满意度和夫妻交流的因子得分,AID组男女双方及AIH组男方均显著低于对照组(P<0.05),而AIH组女方仅夫妻交流的因子得分低于对照组(P<0.05),但AID组和AIH组间无统计学差异(P>0.05)。3在抑郁发生率上,AID组男方(46.22%)显著高于AIH组男方(30.47%)及正常组男方(2.00%)(P<0.05),但女方组无统计学差异(P>0.05)。结论:AID夫妇和AIH夫妇与对照组相比,存在较多的抑郁和焦虑情绪,而且AID夫妇心理问题更为突出,尤其是AID夫妇中的男方更多的处于抑郁状态;AID夫妇与AIH夫妇在婚姻质量上无差别,但与正常夫妇相比存在一定程度婚姻质量的下降。

Objective： To compare the marriage quality and mental status of couples treated by artificial insemination by donor （AID） with couples treated by artificial insemination by husband （AIH） and normal fertile couples （the control）. Methods： This was a randomized controlled trial, in which 278 AID and 169 AIH couples as well as 50 normal fertile spouses were investigated by questionnaires. Participants completed the general condition questionnaires and self-administered questionnaires including self-rating depression scale （SDS） and self-rating anxiety scale （SAS） to access their mental status, and Olson marriage quality questionnaire （ENRICH） to access the quality of marital relationship. The investigation results were compared and analyzed in the experimental group and two control groups. Results： Infertile Chinese men in AID group scored significantly higher respectively on SAS and SDS than the fertile male controls （P〈0.05）. AID males also scored significantly higher on SDS than the AIH male controls （P〈0.05）. AID females scored significantly higher on SAS and SDS respectively than the fertile female controls （P〈0.05）. It was found that the AID and AIH groups had no significant difference on marital quality, while both of them scored lower than the fertile controls on the marriage quality and communication factors. The depression incidence rate of AID males was 46.22%, which had a significant difference compared with that in AIH （30.47%） and normal fertile （2.00%） groups （P〉0.05）. Conclusion： The infertile couples in AID and AIH groups had higher levels of anxiety and depression than those in couples of the control. The psychological problems are prominent in AID spouses, especially in the males. No significant differences were reported between AID and AIH couples for marital quality. Infertile couples show diminished marital quality in some respects compared with the normal fertile ones.