A prospective study on parental coping 4 months after termination of pregnancy for fetal anomalies
Autor: | Joke A. M. Hunfeld, J.J.H.M. Erwich, M.J. Korenromp, C.M.A.A. Potters, Eduard J. H. Mulder, G. C. M. L. Page-Christiaens, J. R. Beekhuis, J.T.J. Brons, C.J.M. van Binsbergen, J. van den Bout, Gerhard Henk Visser, A.W.J. Omtzigt |
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Přispěvatelé: | Psychiatry |
Rok vydání: | 2007 |
Předmět: |
Male
Parents POSTNATAL DEPRESSION SCALE medicine.medical_specialty psychological consequences IMPACT Abortion pregnancy termination GRIEF Cohort Studies Stress Disorders Post-Traumatic 2ND-TRIMESTER Fetus Surveys and Questionnaires Adaptation Psychological medicine POST-NATAL DEPRESSION Humans Prospective Studies fetal anomalies PRENATAL-DIAGNOSIS Prospective cohort study Genetics (clinical) Pregnancy Depression Obstetrics business.industry Obstetrics and Gynecology Gestational age WOMEN posttraumatic stress (PST) medicine.disease Complicated grief PERINATAL LOSS ABNORMALITY Edinburgh Postnatal Depression Scale Female business FOLLOW-UP Abortion Eugenic Cohort study Psychopathology |
Zdroj: | Prenatal Diagnosis, 27(8), 709-716. John Wiley & Sons Ltd. Prenatal Diagnosis, 27(8), 709-716. Wiley-Blackwell |
ISSN: | 1097-0223 0197-3851 |
Popis: | Objective To identify short-term factors influencing psychological outcome of termination of pregnancy for fetal anomaly, in order to define those patients most vulnerable to psychopathology.Study Design A prospective cohort of 217 women and 169 men completed standardized questionnaires 4 months after termination. Psychological adjustment was measured by the Inventory of Complicated Grief (ICG), the Impact of Event Scale (IES), the Edinburgh Postnatal Depression Scale (EPDS), and the Symptom Checklist-90 (SCL-90).Results Women and men showed high levels of posttraumatic stress (PTS) symptoms (44 and 22%, respectively) and symptoms of depression (28 and 16%, respectively). Determinants of adverse psychological outcome were the following: high level of doubt in the decision period, inadequate partner support, low selfefficacy, lower parental age, being religious, and advanced gestational age. Whether the condition was Down syndrome or another disability was irrelevant to the outcome. Termination did not have an important effect on future reproductive intentions. Only 2% of women and less than I % of men regretted the decision to terminate.Conclusion Termination of pregnancy (TOP) for fetal anomaly affects parents deeply. Four months after termination a considerable part still suffers from posttraumatic stress symptoms and depressive feelings. Patients who are at high risk could benefit from intensified support. Copyright (c) 2007 John Wiley & Sons, Ltd. |
Databáze: | OpenAIRE |
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