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Are the children alright? A systematic review of psychological adjustment of children conceived by assisted reproductive technologies

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The present systematic review aims to assess the psychological adjustment of children born through assisted reproductive technologies (ARTs) and to screen for clinical problems when compared with normative data from the standardized indexes of mental health. Following PRISMA guidelines, the search was conducted from inception through September 2021 using APA PsycInfo, APA PsycArticles, Psychology and Behavioural Sciences Collection, Academic Search Complete, Pubmed, Scopus, Web of Science, Scielo, and RCAAP. Search terms related to ART and children’s psychological adjustment were combined to Boolean operators to identify relevant published studies in English, French, Italian, Portuguese and Spanish. Peer-reviewed studies focused on the psychological adjustment of ART children aged between the 3 and 11 years were included. From a total of 337 results, 45 papers were eligible to be included in this review. Data extraction was performed independently by two authors and revised and confrmed by other two authors. All children scored below the clinical range for psychiatric symptoms when compared with normative data for the Strengths and Difculties Questionnaire (SDQ) or the Achenbach System of Empirically Based Assessment (ASEBA), regardless of type of ART and diferent family confgurations. Further, some evidence suggests that surrogacy children with gay fathers present the lowest levels of psychological problems when compared to normative data. These fndings enable practitioners to develop an informed view of ART children mental health outcomes to help parents fnd more adaptive strategies to navigate their chosen pathways in healthier ways

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Childhood Reproductive donation IVF/ICSI Well-being

Citation

Carneiro, F. A. T., Leong, V., Nóbrega, S., Salinas-Quiroz, F., Costa, P. A., & Leal, I. (2022). Are the children alright? A systematic review of psychological adjustment of children conceived by assisted reproductive technologies. European Child & Adolescent Psychiatry, 1–20. https://doi.org/10.1007/s00787-022-02129-w

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D. Steinkopff-Verlag

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