Perceptions of child vulnerability in first-time mothers who conceived using assisted reproductive technology

Egan, Kaitlyn N.; Summers, E.L.; Limbers, Christine A.

doi:10.1080/02646838.2021.1896689

Cited by 4 publications

(1 citation statement)

References 30 publications

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“…The data used in this study were collected as a part of a larger study focused on assessing differences in maternal ratings of child vulnerability between first-time mothers who conceived using ART versus spontaneous conception ( Egan et al , 2021 ). For the current study focused on assessing the psychometric properties of the PHQ-8 in first-time mothers who conceived using ART, only mothers who used ART were included.…”

Section: Methodsmentioning

confidence: 99%

Reliability and validity of the PHQ-8 in first-time mothers who used assisted reproductive technology

Pavlov

Egan²,

Limbers

2022

Human Reproduction Open

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Study question Is the Patient Health Questionnaire-8 (PHQ-8) a valid and reliable measure of depression in first-time mothers who conceived via Assisted Reproductive Technology? Summary answer The results from this study provide initial support for the reliability and validity of the PHQ-8 as a measure of depression in mothers who have conceived using ART. What is known already Women who achieved a clinical pregnancy using Assisted Reproductive technology experience many stressors and may be at an increased risk of depression. The PHQ-8 is a brief measure designed to detect the presence of severity of depressive symptoms. It has been validated in many populations; however, it has not been validated for use in this population. Study design, size, duration This is a cross-sectional study of 171 first time mothers in the United States, recruited through Amazon’s Mechanical Turk (MTurk). Participants/materials, setting, methods The reliability of the PHQ-8 was measured through a Cronbach’s alpha, the convergent validity was measured though the correlation between the PHQ-8 and the General Anxiety Disorder-7 (GAD-7) measure of anxiety symptoms, and the structural validity was measured through a Confirmatory Factor Analysis. Main results and the role of chance The Cronbach’s alpha for the total PHQ-8 was acceptable (α =.922). The correlation between the PHQ-8 and the GAD-7 was large (r=.88) indicating good convergent validity. Ultimately, a bifactor model provided the best model fit (χ2(13) = 23.8, p = 0.033; Comparative Fit Index (CFI) =0.987; Root Mean Square Error of Approximation (RMSEA) = 0.07, Tucker-Lewis Index (TLI) = 0.972). Limitations, reasons for caution The results are limited by: the predominantly white and well-educated sample, a lack of causation between the use of artificial reproductive technology and depressive symptoms, including mothers with children up to 5 years old, convergent validity being based on associations with a related construct instead of the same construct, lack of test-retest reliability, divergent validity, and criterion-related validity, data collected through MTurk, and the fact that the measures used were all self-report and therefore may be prone to bias. Wider implications of the findings Consistent with previous literature, a bifactor model for the PHQ-8 was supported. As such, when assessing depression in first-time mothers who conceived via Assisted Reproductive Technology, using both the PHQ-8 total score and subdomain scores may yield the most valuable information. The results from this study provide preliminary support for the reliability and validity of the PHQ-8 as a measure of depression in first-time mothers who conceived using Assisted Reproductive Technology. Study funding/competing interest(s) No specific funding was used for the completion of this study. Throughout the study period and manuscript preparation, the authors were supported by the department funds at Baylor University. The authors declare that they have no conflicts of interest. Trial registration number N/A

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Section: Methodsmentioning

confidence: 99%

Reliability and validity of the PHQ-8 in first-time mothers who used assisted reproductive technology

Pavlov

Egan²,

Limbers

2022

Human Reproduction Open

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Informed consent in assisted reproductive technology: Implications for pediatric clinicians

Graham,

Blee,

Pentz

et al. 2024

Develop Med Child Neuro

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After conceiving through assisted reproductive technologies (ART), parents may present to their pediatrician with concerns related to their child's neurodevelopment, including whether their child's health may be related to their use of ART. Pediatricians may be unfamiliar with the ART process and what the families endured up to this point, resulting in difficulty counseling parents through these discussions. Before presentation to the pediatrician, parents have undergone extensive evaluation with reproductive endocrinologists. During counseling, the reproductive endocrinologist provides information on maternal and childhood risks associated with ART. However, in this rapidly evolving field, providing comprehensive, patient‐centered, informed consent is increasingly complex and counseling patients properly can be challenging. When parents have gone through the proper informed consent process, and when the pediatrician has an understanding of what this process entails, care of the child can be optimized. In this review, we discuss the complexities of the prenatal informed consent process that parents navigate before presenting to pediatricians. We emphasize the importance of these discussions and highlight ethical principles, as well as emotional, medical, legal, and financial stressors that parents face during ART, with the belief that this understanding will improve the care that pediatricians subsequently provide.

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A szülőség és gyermekfejlődés nehezített teherbeesést követően

Hermanovszky,

Almássy

2024

GYNTF

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Jelen írás célja annak bemutatása, hogyan hathat a nehezített teherbeesés, meddőség a későbbi sikeres gyermekvállalásra, pontosabban a gyermekkel való kapcsolatra, továbbá a szülőség megélésére, ezen keresztül pedig a gyermek fejlődésére. A tanulmányban az átélt nehézségek ismertetése, azok megértése is központi szerepet kap. A vonatkozó szakirodalmak megismerése segíthet prevenciós és intervenciós pontok meghatározásában, továbbá a pedagógiai anamnézis kiegészítéseként is szolgálhat.

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Perceptions of child vulnerability in first-time mothers who conceived using assisted reproductive technology

Cited by 4 publications

References 30 publications

Reliability and validity of the PHQ-8 in first-time mothers who used assisted reproductive technology

Reliability and validity of the PHQ-8 in first-time mothers who used assisted reproductive technology

Informed consent in assisted reproductive technology: Implications for pediatric clinicians

A szülőség és gyermekfejlődés nehezített teherbeesést követően

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