Emotional distress and prenatal attachment in pregnancy after perinatal loss
Emotional distress and prenatal attachment in pregnancy after perinatal loss
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DOI：
10.1111/j.1547-5069.2002.00339.x
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发表时间：
2002-01-01
影响因子：
3.4
通讯作者：
Armstrong, DS
中科院分区：
文献类型：
--
作者：
Armstrong, DS
目的：为了评估以前的围产期损失与父母的抑郁症状，妊娠特异性焦虑，产前附件的水平在随后的怀孕，并确定是否更高水平的抑郁症状和妊娠特异性焦虑与产前attachment.Design：三组比较设计，用于收集横断面调查数据。样本包括103对处于妊娠中期的夫妇：40对在前一次妊娠中有过围产期损失的夫妇，33对是第一次怀孕的夫妇，30对有过成功怀孕史的夫妇。方法：通过面对面或电话访谈进行结构化问卷调查，测量抑郁症状、妊娠焦虑和产前依恋。有围产期流产史的夫妇比过去成功怀孕且没有流产的夫妇有更高水平的抑郁症状和妊娠特异性焦虑;在所有组中，母亲的症状水平高于父亲。夫妇和没有围产期损失的历史没有不同的产前附件在当前pregnancy.Conclusions的水平：这些研究结果不支持的理论，抑郁症状和妊娠特定的焦虑影响随后的亲子依恋在围产期损失后怀孕。然而，他们确实提供了深入了解父母以前的损失经验对他们的抑郁症状和随后怀孕的特定焦虑的持续影响。家庭应进行评估，以检查潜在的长期影响的情绪困扰，由于以前的围产期损失。
Purpose: To evaluate the association of previous perinatal loss with parents' levels of depressive symptoms, pregnancy-specific anxiety, and prenatal attachment in a subsequent pregnancy, and to determine whether higher levels of depressive symptoms and pregnancy-specific anxiety were associated with prenatal attachment.Design: A three-group comparative design was used to collect cross-sectional survey data. The sample consisted of 103 couples who were in the second trimester of pregnancy: 40 couples who had a perinatal loss in a previous pregnancy, 33 couples were pregnant for the first time, and 30 couples had a history of prior successful pregnancies.Methods: Structured questionnaires via in-person or telephone interviews were used to measure depressive symptoms, pregnancy-specific anxiety, and prenatal attachment.Findings: Couples with a history of perinatal loss had higher levels of depressive symptoms and pregnancy-specific anxiety than did couples with past successful pregnancies and no losses; mothers had higher levels of symptoms than did fathers in all groups. Couples with and without a history of perinatal loss did not differ in their level of prenatal attachment in the current pregnancy.Conclusions: These findings do not support the theory that depressive symptoms and pregnancy-specific anxiety affect subsequent parent-infant attachment in a pregnancy after perinatal loss. However, they do provide insight into the continuing influence of parents' previous loss experience on their depressive symptoms and pregnancy-specific anxiety in subsequent pregnancies. Families should be assessed to examine the potential long-term influence of emotional distress as a result of prior perinatal loss.