异常侵入性胎盘妇女的心理弹性、分娩满意度和产后创伤症状。

IF 2.1 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
Caroline Flanagan, Lucy J Troup
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引用次数: 0

摘要

背景:异常胎盘是一种产科疾病,会导致严重的身体并发症,并显示会增加患创伤后应激障碍的可能性。对所经历的护理不满意会增加创伤后应激障碍的可能性。心理灵活性已被证明可以减轻创伤后应激障碍的严重程度,但对于患有异常胎盘的妇女来说,还没有关于这两方面的研究。目的:调查被诊断患有异常胎盘的妇女的创伤经历、心理灵活性和分娩满意度之间是否存在关系:采用回顾性问卷调查法,对 126 名年龄在 18-45 岁之间的参与者进行了调查,调查内容包括分娩满意度量表修订版指标(BSS-RI)、事件影响量表修订版(IES-R)和接受与行动问卷(AAQ-2)。分层回归评估了心理灵活性和分娩满意度对创伤症状的预测关系:结果:使用 BSS-RI 测量的生育满意度与创伤后应激障碍(IES-R)之间的关系不成立(r (124) = -.08, p = .36)。结果表明,心理灵活性(AAQ-2)与创伤评分(IES-R)相关(r (124) = .68,p 结论:结果表明,异常胎盘患者中创伤后应激障碍的发生率高达 1/2,而心理弹性可起到中介作用。反过来,这也表明,对患有该诊断的人采取干预措施以提高其心理灵活性,可能会减轻创伤症状的严重程度:缩写:AAQ-2 - 接受与行动问卷AIP - 异常胎盘BAME - 黑人亚洲人或其他少数民族BSSS-RI 出生满意度量表修订版指标EPH - EPH 妊娠中毒症(子痫前期/子痫)DSM - 诊断统计手册IIES-R - 事件影响量表修订版PAS - 胎盘早剥谱系PTSD - 创伤后应激障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychological flexibility, birth satisfaction and postnatal trauma symptoms in women with abnormally invasive placenta.

Background: Abnormally Invasive Placenta is an obstetric condition resulting in significant physical complications and shown to increase the likelihood of developing Post Traumatic Stress Disorder. Dissatisfaction with the care experienced increases the likelihood of Post Traumatic Stress Disorder. Psychological flexibility has been shown to reduce the severity of Post Traumatic Stress Disorder, but there is no research regarding either of these in women with Abnormally Invasive Placenta.

Aim: To investigate if there is a relationship between trauma experience in women with a diagnosis of Abnormally Invasive Placenta, psychological flexibility, and birth satisfaction.

Method: Using a retrospective questionnaire, 126 participants age range 18-45, comprising the Birth Satisfaction Scale Revised Indicator (BSS-RI), Impact of Events Scale Revised (IES-R) and Acceptance and Action Questionnaire (AAQ-2) was completed. A hierarchical regression assessed the predictive relationship of Psychological Flexibility and Birth Satisfaction on Trauma symptoms.

Results: The relationship between Birth Satisfaction measured using the BSS-RI and likelihood of Post Traumatic Stress Disorder (IES-R) was not supported (r (124) = -.08, p = .36). Results did show that Psychological Flexibility (AAQ-2) correlated with Trauma Score (IES-R) (r (124) = .68, p < .001) in women who had experienced Abnormally Invasive Placenta and explained 45.3% of the variance.

Conclusion: The results suggest that Post Traumatic Stress Disorder in those with Abnormally Invasive Placenta is as high as 1 in 2 and can be mediated by psychological flexibility. In turn, this suggests that interventions to increase Psychological Flexibility in those with the diagnosis may reduce trauma symptom severity.Abbreviations: AAQ-2 - Acceptance and Action QuestionnaireAIP - Abnormally Invasive PlacentaBAME - Black Asian or other Minority EthnicitiesBSS-RI Birth Satisfaction Scale Revised IndicatorEPH - EPH Gestosis (Pre eclampsia/Eclampsia)DSM - Diagnostic Statical ManualIES-R - Impact of Events Scale RevisedPAS - Placenta Accreta SpectrumPTSD - Post Traumatic Stress Disorder.

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来源期刊
Journal of Reproductive and Infant Psychology
Journal of Reproductive and Infant Psychology PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
6.80
自引率
8.00%
发文量
55
期刊介绍: The Journal of Reproductive and Infant Psychology reports and reviews outstanding research on psychological, behavioural, medical and social aspects of human reproduction, pregnancy and infancy. Medical topics focus on obstetrics and gynaecology, paediatrics and psychiatry. The growing work in relevant aspects of medical communication and medical sociology are also covered. Relevant psychological work includes developmental psychology, clinical psychology, social psychology, behavioural medicine, psychology of women and health psychology. Research into psychological aspects of midwifery, health visiting and nursing is central to the interests of the Journal. The Journal is of special value to those concerned with interdisciplinary issues. As a result, the Journal is of particular interest to those concerned with fundamental processes in behaviour and to issues of health promotion and service organization.
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