Grief following miscarriage: A comprehensive review of the literature
Grief following miscarriage: A comprehensive review of the literature
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DOI：
10.1089/jwh.2007.0505
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发表时间：
2008-04-01
影响因子：
3.5
通讯作者：
Brier, Norman
中科院分区：
文献类型：
--
作者：
Brier, Norman
目的：探讨流产和悲伤之间关系的文献很少。本文总结了有关早期流产后悲伤的文献，以阐明此时悲伤的性质、发生率、强度和持续时间，并确定潜在的调节因素。方法：对 Medline 和 Psych Info 数据库进行电子检索。如果研究与早期流产有关，则选择纳入研究，使用标准化措施来评估围产期悲伤，并指定所采用的评估间隔。当有助于提出假设时，定性研究被纳入。结果：流产后悲伤的描述变化很大，但往往与用于表征其他类型重大损失的悲伤描述相匹配。相当大比例的女性似乎经历过悲伤反应，但悲伤的实际发生率尚不清楚。暗示性的是，悲伤（当存在时）的强度似乎与其他类型的重大损失后的悲伤相似，并且在大约 6 个月时明显减弱。关于流产后悲伤的潜在调节因素，几乎无法得出结论。结论：虽然显然需要进行更多研究，但应对流产后悲伤的指南可以基于应对其他重大损失类型的可用数据。考虑到这种主要是前瞻性和象征性损失的潜在含义的范围，从业者需要鼓励患者阐明其损失的具体性质，并协助他们具体化经历。
Objective: The literature exploring the relationship between miscarriage and grief is sparse. This paper summarizes the literature on grief subsequent to an early miscarriage to elucidate the nature, incidence, intensity, and duration of grief at this time and to identify potential moderators.Methods: An electronic search of the Medline and Psych Info databases was conducted. Studies were selected for inclusion if they related to early miscarriage, used a standardized measure to assess perinatal grief, and specified the assessment intervals employed. Qualitative studies were included when helpful to develop hypotheses.Results: Descriptions of grief following miscarriage are highly variable but tend to match descriptions of grief used to characterize other types of significant losses. A sizable percentage of women seem to experience a grief reaction, with the actual incidence of grief unclear. Suggestively, grief, when present, seems to be similar in intensity to grief after other types of major losses and is significantly less intense by about 6 months. Few conclusions can be drawn in regard to potential moderators of grief following a miscarriage.Conclusions: Although additional research is clearly needed, guidelines for coping with grief following miscarriage can be based on the data available on coping with other significant types of losses. Given the range of potential meanings for this primarily prospective and symbolic loss, practitioners need to encourage patients to articulate the specific nature of their loss and assist in helping them concretize the experience.