Abuse-related post-traumatic stress during the childbearing year.

Autor: Seng JS; School of Nursing, University of Michigan, Ann Arbor, Michigan 48109-0482, USA. jseng@umich.edu, Low LK, Sparbel KJ, Killion C
Jazyk: angličtina
Zdroj: Journal of advanced nursing [J Adv Nurs] 2004 Jun; Vol. 46 (6), pp. 604-13.
DOI: 10.1111/j.1365-2648.2004.03051.x
Abstrakt: Background: Women with abuse-related post-traumatic stress who are pregnant experience symptoms that nurses and midwives may not recognize or know how to respond to.
Aim: The purpose of this article is to increase familiarity with the post-traumatic stress disorder diagnostic framework by illustrating the symptom categories and associated features with women's descriptions of the symptoms from qualitative interviews.
Methods: A secondary analysis was performed with data from a qualitative interview study of the maternity care experiences of 15 American women who had abuse-related post-traumatic stress during pregnancy. Content analysis was used to extract all participant statements describing how post-traumatic stress disorder symptoms and associated features manifested in pregnancy. These were then juxtaposed with the post-traumatic stress disorder diagnostic framework.
Results: Participants' interviews included a range of descriptions of the intrusive re-experiencing, avoidance and numbing, and hyperarousal core symptoms of post-traumatic stress disorder, as well as associated psychological features such as somatization, dissociation and interpersonal sensitivity, and associated behavioural features such as substance abuse, disordered eating, high-risk sexual behaviours, suicidality, and revictimization.
Conclusions: Limitations of this study include that it is a secondary analysis, using a small North American sample, and focusing only on abuse-related post-traumatic stress disorder. Descriptive information from this qualitative study may bridge the gaps between psychiatric technical language, women's subjective experiences, and clinicians' perceptions of a woman's post-traumatic stress reactions.
Databáze: MEDLINE
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