The effects of childbirth-related post-traumatic stress disorder on women and their relationships: a qualitative study.
The effects of childbirth-related post-traumatic stress disorder on women and their relationships: a qualitative study.
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DOI：
10.1080/13548500600708409
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发表时间：
2006-11-01
期刊：
影响因子：
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通讯作者：
Waring, Helen
中科院分区：
文献类型：
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作者：
Ayers, Susan;Eagle, Andrew;Waring, Helen
越来越多的证据表明，1%-2%的女性因分娩而患上创伤后应激障碍(PTSD)。目前的研究旨在探索与分娩相关的创伤后应激障碍对女性、她们与伴侣的关系以及她们与孩子的关系的长期影响。对6名在出生后7个月至18年前报告有临床意义的创伤后应激障碍的女性进行了半结构化访谈。访谈被抄写下来，并使用主题分析进行分析。与分娩相关的创伤后应激障碍被发现对女性及其关系有广泛的影响。据报告，女性在身体健康、情绪和行为、社会交往以及对分娩的恐惧等方面发生了变化。女性报告称，她们与伴侣的关系受到了负面影响，包括性功能障碍、意见不合以及对生育事件的指责。母婴关系也受到了严重影响。几乎所有的女性都报告了最初对孩子的排斥情绪，但随着时间的推移，这种感觉发生了变化。从长远来看，女性似乎对孩子要么是逃避的，要么是焦虑的依恋。结论是，与分娩相关的创伤后应激障碍可能会对妇女及其与伴侣和子女的关系产生严重和持久的影响。还需要进一步的研究，以将这与女性在生育后经历的正常困难进行比较。
There is converging evidence that 1%-2% of women develop post-traumatic stress disorder (PTSD) as a result of childbirth. The current study aimed to explore the long-term effects of childbirth-related PTSD on women, their relationship with their partner and their relationship with their child. Semi-structured interviews were carried out with six women who reported clinically significant PTSD after birth, ranging from 7 months to 18 years beforehand. Interviews were transcribed and analysed using thematic analysis. Childbirth-related PTSD was found to have wide-ranging effects on women and their relationships. Women reported changes in physical well-being, mood and behaviour, social interaction, and fear of childbirth. Women reported negative effects on their relationship with their partner, including sexual dysfunction, disagreements and blame for events of birth. The mother-baby bond was also seriously affected. Nearly all women reported initial feelings of rejection towards the baby but this changed over time. Long-term, women seemed to have either avoidant or anxious attachments with their child. It is concluded that childbirth-related PTSD can have severe and lasting effects on women and their relationships with their partner and children. Further research is needed to compare this to normal difficulties experienced by women after having children.