The impact of subjective birth experiences on post-traumatic stress symptoms: a longitudinal study
The impact of subjective birth experiences on post-traumatic stress symptoms: a longitudinal study
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DOI：
10.1007/s00737-012-0301-3
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发表时间：
2013-02-01
影响因子：
4.5
通讯作者：
Eberhard-Gran, Malin
中科院分区：
文献类型：
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作者：
Garthus-Niegel, Susan;von Soest, Tilmann;Eberhard-Gran, Malin
这项前瞻性研究的目的是探讨创伤后应激反应的病因分娩后的应激反应的框架内的事务。参与者为来自阿克尔舒斯出生队列的女性（N = 1，499）。这些妇女从怀孕到产后8周被跟踪。我们模拟了诱发因素（例如，恐惧分娩）和诱发因素（主观和客观的分娩经历）作为创伤后应激症状的预测因素。创伤后应激症状通过事件影响量表测量，客观出生经验通过出生日记测量，主观出生经验通过三个问题测量。一个结构方程模型显示，主观的出生经历与创伤后应激症状的关联性最高。此外，他们介导的影响，诱发因素和客观的出生经验。结果表明，妇女的主观分娩经历是最重要的因素，在创伤后应激症状的发展后分娩。
The aim of this prospective study was to examine the etiology of post-traumatic stress symptoms following childbirth within a transactional framework of stress. Participants were women (N = 1,499) from the Akershus Birth Cohort. These women were followed from pregnancy to 8 weeks postpartum. We modeled predisposing factors (e.g., fear of childbirth) and precipitating factors (subjective and objective birth experiences) as predictors of post-traumatic stress symptoms. Post-traumatic stress symptoms were measured by means of the Impact of Event Scale, objective birth experiences by means of birth journals, and subjective birth experiences by means of three questions. A structural equation model showed that subjective birth experiences had the highest association with post-traumatic stress symptoms. Moreover, they mediated the effect of predisposing factors and objective birth experiences. The results suggest that women's subjective birth experiences are the most important factor in the development of post-traumatic stress symptoms following childbirth.