Support during birth interacts with prior trauma and birth intervention to predict postnatal post-traumatic stress symptoms
Support during birth interacts with prior trauma and birth intervention to predict postnatal post-traumatic stress symptoms
复制标题
DOI：
10.1080/08870446.2010.533770
复制
发表时间：
2011-01-01
影响因子：
3.3
通讯作者：
Ayers, Susan
中科院分区：
文献类型：
--
作者：
Ford, Elizabeth;Ayers, Susan
背景：许多妇女的分娩经历是创伤性的，2%的妇女发展为创伤后应激障碍。本研究探讨了保健医生的支持和个人控制在出生过程中的作用，作为创伤后应激（PTS）症状的预测因子，调整脆弱性因素之前的创伤，抑郁症，控制信念和出生干预。它还调查了支持，以前的创伤和出生干预和PTS symptoms.Methods的关联之间的相互作用：一个前瞻性的纵向调查，138名妇女从英国NHS妇产科诊所招募。结果：分娩时的支持和控制不能预测产后PTS症状。然而，在产后3周和3个月时，支持可预测有既往创伤的妇女亚组的PTS症状（β =-0.41，R-2=16%）。出生干预和支持的相互作用与出生后3个月的PTS症状，支持和PTS症状之间的关系更强的妇女经历更多intervention.Conclusions：低支持卫生从业人员是预测产后PTS症状的妇女谁有创伤史。低支持对产后PTS症状的长期影响也见于出生时干预较多的妇女。
Background: Many women experience childbirth as traumatic and 2% develop post-traumatic stress disorder. This study examined the role of health practitioner support and personal control during birth as predictors of post-traumatic stress (PTS) symptoms, adjusting for vulnerability factors of prior trauma, depression, control beliefs and birth intervention. It also investigated interactions between support, prior trauma and birth intervention and their association with PTS symptoms.Methods: A prospective longitudinal survey of 138 women recruited from UK NHS maternity clinics. Measures were taken in pregnancy, 3 weeks and 3 months after the birth.Results: Support and control during birth were not predictive of postnatal PTS symptoms. However, support was predictive of PTS symptoms in a subset of women with prior trauma (beta=-0.41, R-2=16%) at both 3-weeks and 3-months postpartum. The interaction of birth intervention and support was associated with PTS symptoms 3 months after birth, the relationship between support and PTS symptoms was stronger in women experiencing more intervention.Conclusions: Low support from health practitioners is predictive of postnatal PTS symptoms in women who have a history of trauma. Longer term effects of low support on postnatal PTS symptoms are also found in women who had more intervention during birth.