Pregnancy after early pregnancy loss: A prospective study of anxiety, depressive symptomatology and coping
Pregnancy after early pregnancy loss: A prospective study of anxiety, depressive symptomatology and coping
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DOI：
10.1080/01674820701687521
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发表时间：
2008-01-01
影响因子：
3.1
通讯作者：
Rauchfuss, Martina
中科院分区：
文献类型：
--
作者：
Bergner, Annekathrin;Beyer, Reinhard;Rauchfuss, Martina
流产可能会对相关人员产生持久的心理影响。在一项前瞻性纵向研究中，342名妇女被问及她们在流产后几周（妊娠第16周）应对早期流产的方式。其中108名妇女有随后怀孕的前三个月的数据。采用标准化症状自评量表（SCL-90）对孕妇的妊娠期焦虑、状态与特质焦虑（STAI）及抑郁症状进行调查，并与69例无流产史孕妇的症状进行比较。有流产史的妇女在新怀孕的头三个月比没有流产史的孕妇遭受更多的怀孕焦虑。抑郁的应对模式和焦虑的悲痛后的损失是预测更显着的焦虑和抑郁症状在第一个三个月的后续怀孕。这些结果表明，早期流产的妇女特别容易在新的怀孕中出现心理适应障碍。有可能确定风险因素，用于识别那些在流产后直接面临特别风险的妇女。
Miscarriages can have lasting psychological effects on those concerned. In a prospective longitudinal study, 342 women were questioned about the way in which they coped after an early miscarriage (up to the 16th week of gestation), a few weeks after the pregnancy loss. There are data available from the first trimester of a subsequent pregnancy for 108 of these women. Standardized symptom scales were used to explore the pregnancy-specific anxiety, state and trait anxiety (STAI) and depressive symptoms in pregnant women and these were compared with the symptoms of 69 pregnant women with no history of miscarriages. Women with a history of miscarriages suffer more from pregnancy-specific anxieties in the first trimester of a new pregnancy than pregnant women with no history of miscarriages. Patterns of depressive coping and anxious grieving after the losses are predictive of more marked anxiety and depression symptoms in the first trimester of a subsequent pregnancy. These results suggest that women who have had an early miscarriage are particularly at risk of disturbances in their psychological adaptation in a new pregnancy. It is possible to determine risk factors which can be used to recognize those women who are particularly at risk directly after the miscarriage.