2006, Number 3
<< Back Next >>
Gac Med Mex 2006; 142 (3)
Types of anxiety reported by couples treated with assisted fertilization vis a vis hypothetical embryo donation for research purposes una private clinic in Lima, Peru.
Álvarez-Díaz JA
Language: Spanish
References: 20
Page: 223-228
PDF size: 441.55 Kb.
ABSTRACT
Introduction: Embryo donation displays special characteristics within the Latin American context, where spare cryopreserved embryos are not currently available as is the case of industrialized countries. The catholic church also plays a significant role. The need to regulate ethically and legally the practice of embryo donation suggests that we need to take into account the opinions from the main key players: patients, health professionals, and society. The objective of this study is to explore the patients perceptions vis a vis potential embryo donation for research purposes.
Materials and methods: A descriptive, cross-sectional design included a tape recorded semi-structured interview administered to 32 patients attending a private clinic in Lima, Peru. Participants had undergone complex techniques of assisted fertilization (FIV and ICSI). The verbal Gottschalk analytical method was used to identify predominant anxiety manifestations in the interviews.
Results: The most common types of anxiety associated with embryo donation for research in this group of participants were guilt, separation anxiety and shame. Divided by gender, the more common types of anxiety reported by men were guilt, shame and separation anxiety. Women reported guilt, separation anxiety and shame.
REFERENCES
Zegers-Hoschschild F. Attitudes toward reproduction in Latin America. Teachings from the use of modern reproductive technologies. Hum Reprod Update 1999;5:21-25.
ESHRE Task Force on Ethics and Law. III. Gamete and embryo donation. Hum Reprod 2002;17(5):1407-1408.
Appleton TC. Embryo donation. ESHRE Monographs: Guidelines for Counselling in Infertility. 2002;35-36.
American Society for Reproductive Medicine Ethics Committee. Informed Consent and the use of Gametes and Embryos for Research. Fertil Steril 1997;68:780-781.
American Society for Reproductive Medicine Ethics Committee. Donating spare embryos for embryonic-stem cell research. Fertil Steril 2002;78(5):957-960.
Red Latinoamericana de Reproducción Asistida. Consenso Latinoamericano en Aspectos Ético-Legales relativos a las Técnicas de Reproducción Asistida. Chile, 1995. Disponible en www.redlara.com
Kahn JP. The questionable future of unregulated reproductive medicine. J Androl 2002;23:470.
Kahn JP. Stem cells create a market for human embryos? J Androl 2001;22:12.
Cook R. The relationship between sex role and emotional functioning in patients undergoing assisted conception. J Psychosom Obstet Gynaecol. 1993;14:31-40.
Gilmore DD. Hacerse hombre. Concepciones culturales de la masculinidad. Paidós. Barcelona, España, 1994, pp. 110-111.
Hjelmstedt A, Andersson L, Skoog-Svanberg A, Bergh T, Boivin J, Collins A. Gender differences in psychological reactions to infertility among couples seeking IVF- and ICSI-treatment. Acta Obstet Gynecol Scand 1999;78:42–48.
Smeenk JMJ, Verhaak CM, Eugster A, van Minnen A, Zielhuis GA, Braat DD. The effect of anxiety and depression on the outcome of in-vitro fertilization. Hum Reprod 2001;16:1420-1423.
Álvarez-Díaz JA. Tipos de ansiedad de las parejas tratadas con fertilización asistida frente a la donación hipotética de embriones en el Hospital clínico de la Universidad de Chile. Ginecol Obstet Mex 2005;73;163-172.
Gottschalk LA, Winget CN, Gleser GC, Lolas SF. Análisis de la conducta verbal. Un método para cuantificar atributos psicológicos. Editorial Universitaria. Santiago de Chile, Chile, 1984.
McMahon CA, Gibson FL, Leslie GI, Saunders DM, Porter KA, Tennant CC. Embryo donation for medical research: attitudes and concerns of potential donors. Hum Reprod 2003;18:871-877.
Laruelle C, Englert Y. Psychological study of in vitro fertilization-embryo transfer participants’ attitudes toward the destiny of their supernumerary embryos. Fertil Steril 1995;63:1047-1050.
Newton CR, McDermid A, Tekpetey F, Tummon IS. Embryo donation: attitudes toward donation procedures and factors predicting willingness to donate. Hum Reprod 2003;18:878-884.
Burton PJ, Sanders K. Patient attitudes to donation of embryos for research in Western Australia. Med J Aust 2004;180:559-561.
Bangsboll S, Pinborg A, Yding Andersen C, Nyboe Andersen A. Patients’ attitudes towards donation of surplus cryopreserved embryos for treatment or research. Hum Reprod 2004;19:2415-2419.
de Lacey S. Parent identity and ‘virtual’ children: why patients discard rather than donate unused embryos. Hum Reprod 2005;20:1661-1669.