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Mental health of mothers and fathers of twins conceived via assisted reproduction treatment: a 1-year prospective study.
Hum Reprod. 2009 Feb; 24(2):367-77.HR

Abstract

BACKGROUND

Although twin deliveries after assisted reproduction treatment (ART) are common, the mental health of the parents has scarcely been addressed. Therefore, we evaluated the psychological well-being of ART and spontaneously conceiving parents of twins and singletons. Furthermore, the impact of parity and children's health-related factors on mental health was evaluated.

METHODS

We conducted a prospective longitudinal questionnaire study among ART parents of 91 pairs of twins and of 367 singletons and on control parents of 20 pairs of twins and of 379 singletons in the 2nd trimester of pregnancy (T1), and when the children were 2 months (T2) and 1-year old (T3). Symptoms of depression and anxiety, sleeping difficulties and social dysfunction were addressed via a questionnaire. The effects of parity and child-related factors were assessed at T2.

RESULTS

At T1, ART mothers of twins showed fewer symptoms of depression than control mothers of twins (P < 0.05). At T2, both ART and control mothers of twins had more symptoms of depression and anxiety than all mothers of singletons (F = 5.20, P < 0.05 and F = 3.93, P < 0.05, respectively). At T3, both ART and control mothers of twins continued to report more symptoms of depression than the mothers of singletons (F = 10.01, P < 0.01), but a difference in anxiety symptoms was seen only in the control group. All fathers had similar mental health at T1. At T2, ART and control fathers of twins reported more symptoms of depression (F = 4.15, P < 0.05) and social dysfunction than fathers of singletons. At T3, both ART and control fathers of twins had more symptoms of depression (F = 4.29, P < 0.05) and anxiety (F = 5.40, P < 0.05) than fathers of singletons. Control fathers of twins had more sleeping difficulties than fathers of singletons (F = 6.66, P < 0.01). Parity did not differently affect parental mental health at T2 in the study groups. Prematurity did not affect maternal mental health, but it had a negative impact on control fathers' social dysfunction (F = 3.34, P < 0.05).

CONCLUSIONS

Twin parenthood, but not ART, has a negative impact on the mental health of mothers and fathers during the transition to parenthood. ART parents' mental health was not affected by parity or children's health-related factors.

Authors+Show Affiliations

Infertility Clinic, The Family Federation of Finland, PO Box 849, 00101 Helsinki, Finland. sirpa.vilska@fimnet.fiNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19043082

Citation

Vilska, S, et al. "Mental Health of Mothers and Fathers of Twins Conceived Via Assisted Reproduction Treatment: a 1-year Prospective Study." Human Reproduction (Oxford, England), vol. 24, no. 2, 2009, pp. 367-77.
Vilska S, Unkila-Kallio L, Punamäki RL, et al. Mental health of mothers and fathers of twins conceived via assisted reproduction treatment: a 1-year prospective study. Hum Reprod. 2009;24(2):367-77.
Vilska, S., Unkila-Kallio, L., Punamäki, R. L., Poikkeus, P., Repokari, L., Sinkkonen, J., Tiitinen, A., & Tulppala, M. (2009). Mental health of mothers and fathers of twins conceived via assisted reproduction treatment: a 1-year prospective study. Human Reproduction (Oxford, England), 24(2), 367-77. https://doi.org/10.1093/humrep/den427
Vilska S, et al. Mental Health of Mothers and Fathers of Twins Conceived Via Assisted Reproduction Treatment: a 1-year Prospective Study. Hum Reprod. 2009;24(2):367-77. PubMed PMID: 19043082.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mental health of mothers and fathers of twins conceived via assisted reproduction treatment: a 1-year prospective study. AU - Vilska,S, AU - Unkila-Kallio,L, AU - Punamäki,R-L, AU - Poikkeus,P, AU - Repokari,L, AU - Sinkkonen,J, AU - Tiitinen,A, AU - Tulppala,M, Y1 - 2008/11/29/ PY - 2008/12/2/pubmed PY - 2009/4/16/medline PY - 2008/12/2/entrez SP - 367 EP - 77 JF - Human reproduction (Oxford, England) JO - Hum Reprod VL - 24 IS - 2 N2 - BACKGROUND: Although twin deliveries after assisted reproduction treatment (ART) are common, the mental health of the parents has scarcely been addressed. Therefore, we evaluated the psychological well-being of ART and spontaneously conceiving parents of twins and singletons. Furthermore, the impact of parity and children's health-related factors on mental health was evaluated. METHODS: We conducted a prospective longitudinal questionnaire study among ART parents of 91 pairs of twins and of 367 singletons and on control parents of 20 pairs of twins and of 379 singletons in the 2nd trimester of pregnancy (T1), and when the children were 2 months (T2) and 1-year old (T3). Symptoms of depression and anxiety, sleeping difficulties and social dysfunction were addressed via a questionnaire. The effects of parity and child-related factors were assessed at T2. RESULTS: At T1, ART mothers of twins showed fewer symptoms of depression than control mothers of twins (P < 0.05). At T2, both ART and control mothers of twins had more symptoms of depression and anxiety than all mothers of singletons (F = 5.20, P < 0.05 and F = 3.93, P < 0.05, respectively). At T3, both ART and control mothers of twins continued to report more symptoms of depression than the mothers of singletons (F = 10.01, P < 0.01), but a difference in anxiety symptoms was seen only in the control group. All fathers had similar mental health at T1. At T2, ART and control fathers of twins reported more symptoms of depression (F = 4.15, P < 0.05) and social dysfunction than fathers of singletons. At T3, both ART and control fathers of twins had more symptoms of depression (F = 4.29, P < 0.05) and anxiety (F = 5.40, P < 0.05) than fathers of singletons. Control fathers of twins had more sleeping difficulties than fathers of singletons (F = 6.66, P < 0.01). Parity did not differently affect parental mental health at T2 in the study groups. Prematurity did not affect maternal mental health, but it had a negative impact on control fathers' social dysfunction (F = 3.34, P < 0.05). CONCLUSIONS: Twin parenthood, but not ART, has a negative impact on the mental health of mothers and fathers during the transition to parenthood. ART parents' mental health was not affected by parity or children's health-related factors. SN - 1460-2350 UR - https://www.unboundmedicine.com/medline/citation/19043082/Mental_health_of_mothers_and_fathers_of_twins_conceived_via_assisted_reproduction_treatment:_a_1_year_prospective_study_ L2 - https://academic.oup.com/humrep/article-lookup/doi/10.1093/humrep/den427 DB - PRIME DP - Unbound Medicine ER -