Impact of prior perinatal loss on subsequent pregnancies
Impact of prior perinatal loss on subsequent pregnancies
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DOI：
10.1177/0884217504270714
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发表时间：
2004-11-01
影响因子：
1.8
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对抑郁症状的影响，怀孕特定的焦虑，产前依恋的父母在随后的pregnances.Design：横断面，调查设计。损失影响（事件影响量表[IES]），抑郁症状（流行病学中心抑郁量表[CES-D]），妊娠特异性焦虑结果：母亲的抑郁症状、孕期焦虑和产前依恋水平均高于父亲。45%的母亲和23%的父亲的CES-D分数大于或等于16，表明抑郁症的高风险。88%的母亲和90%的父亲报告了与先前损失相关的压力升高（IES评分大于或等于19）。以前的围产期损失的影响是中度相关的抑郁症状，以及妊娠特定的焦虑。有没有关系的心理困扰，在怀孕后，围产期损失和产前attachment.Conclusions：在何种程度上的影响，以前的损失增加父母的压力，在目前的怀孕影响他们的心理困扰。这些研究结果应该提高人们对期望和恐惧的混合物的认识，准父母在怀孕期间经历围产期损失。
Objective: To evaluate the influence of previous perinatal loss on depressive symptoms, pregnancy-specific anxiety, and prenatal attachment for parents during subsequent pregnancies.Design: Cross-sectional, survey design.Participants: Forty expectant couples who experienced a prior perinatal loss.Measures: influence of loss (Impact of Event Scale [IES]), depressive symptoms (Center for Epidemiologic Studies-Depression Scale [CES-D]), pregnancy-specific anxiety (Pregnancy Outcome Questionnaire [POQ]), and prenatal attachment (Prenatal Attachment Inventory [PAI]).Results: Mothers reported higher levels of depressive symptoms, pregnancy-specific anxiety and prenatal attachment than fathers did. Forty-five percent of mothers and 23% of fathers had CES-D scores greater than or equal to 16 indicating high risk for depression. Eighty-eight percent of mothers and 90% of fathers reported elevated stress related to the prior loss (IES scores greater than or equal to 19). The impact of the previous perinatal loss was moderately correlated with depressive symptoms as well as pregnancy-specific anxiety. There was no relationship between the psychological distress in pregnancy after perinatal loss and prenatal attachment.Conclusions: The extent to which the impact of the prior loss increased parents' stress in the current pregnancy influenced their psychological distress. These findings should heighten awareness of the mixture of hope and fear expectant parents experience during pregnancies subsequent to perinatal loss.