Traumatic memories of childbirth relate to maternal postpartum posttraumatic stress disorder.
Traumatic memories of childbirth relate to maternal postpartum posttraumatic stress disorder.
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分娩的创伤性记忆与产后创伤后应激障碍有关。
DOI：
10.1016/j.janxdis.2020.102342
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发表时间：
2021-01
影响因子：
10.3
通讯作者：
Dekel S
中科院分区：
文献类型：
--
作者：
Thiel F;Berman Z;Dishy GA;Chan SJ;Seth H;Tokala M;Pitman RK;Dekel S
创伤记忆是PTSD病因和维持的重要特征。然而，与分娩相关的创伤后应激障碍（CB-PTSD）相关的记忆的性质需要解释。本研究，作为一个更大的项目的一部分，分娩的心理后果，利用多方法的方法来表征分娩的记忆与CB-PTSD症状。我们在这里评估了413名完成CB-PTSD，产后抑郁症和分娩记忆自我报告措施的妇女。此外，209名妇女提供了书面分娩叙述，使用语言调查和字数统计软件进行分析。在PTSD-检查表（PCL）-5上认可CB-PTSD症状的女性报告了更多不连贯的分娩记忆，其中包含更多的情感和感官细节，以及更频繁的非自愿回忆和记忆重温。他们还表示，分娩经历对他们的身份更为重要。那些可能患有CB-PTSD的人的书面叙述的特点是情感过程较少（积极），而认知过程较多。我们推断，在产后早期支持CB-PTSD症状的妇女的分娩记忆与一般PTSD文献中描述的相似。这表明，分娩可能被认为是创伤性的，并唤起创伤性记忆，与症状支持有关。需要调查的机会，治疗干预措施修改创伤性记忆分娩的妇女在CB-PTSD的风险。未来的研究需要检查创伤性分娩记忆的特征，以促进我们对这种被忽视的产后状况的理解。
The trauma memory is a crucial feature of PTSD etiology and maintenance. Nonetheless, the nature of memories associated with childbirth-related posttraumatic stress disorder (CB-PTSD) requires explication. The present study, as part of a larger project on psychological outcomes of childbirth, utilized a multi-method approach to characterize childbirth memories in relation to CB-PTSD symptoms. We here assessed 413 women who completed self-report measures pertaining to CB-PTSD, postpartum depression, and childbirth memories. Additionally, a subset of 209 women provided written childbirth narratives, analyzed using Linguistic Inquiry and Word Count software. Women endorsing CB-PTSD symptoms on the PTSD-Checklist (PCL)-5 reported more incoherent childbirth memories with more emotional and sensory details, and more frequent involuntary recall and reliving of the memory. They also indicated the childbirth experience was more central to their identity. Written narratives in those with probable CB-PTSD were characterized by less (positive) affective processes, and more cognitive processes. We infer that childbirth memories in women who endorse symptoms of CB-PTSD in the early postpartum period resemble those described in the general PTSD literature. This suggests that childbirth may be experienced as traumatic and evoke a traumatic memory, implicated in symptom endorsement. Opportunities for therapeutic interventions modifying traumatic memories of childbirth in women at risk for CB-PTSD need to be investigated. Future research examining characteristics of traumatic childbirth memories is needed to advance our understanding of this overlooked postpartum condition.
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