A Three-Month Follow-up of Psychological Morbidity After Early Miscarriage

Prettyman, Richard; Cordle, Christine; Cook, Georgia

doi:10.1097/00006254-199409000-00004

Cited by 37 publications

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“…In many other studies, elevated anxiety and depressive symptoms were reported in 10-55% of miscarrying women shortly after miscarriage. 10,13,14 There are some limitations to our study. The data collection from a single obstetrics clinic from one geographic region is the potential limitation of the study.…”

Section: Discussionmentioning

confidence: 95%

“…Several clinical studies reported that miscarriage causes mental distress such as depression, anxiety, anger, and grief. [8][9][10][11][12][13][14][15][16][17][18][19][20] All of these studies have focused on abortions which resulted with early pregnancy loss such as spontaneous abortion, induced abortion and recurrent abortion. However, there is no comprehensive study specific to psychological morbidities such as anxiety and depression disorders in patients with TA.…”

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confidence: 99%

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Effect of Threatened Miscarriage on Maternal Mood: A Prospective Controlled Chort Study

Aksoy¹,

Aksoy²,

Karadağ³

et al. 2015

Turkiye Klinikleri J Gynecol Obst

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ABS TRACT Objective: Threatened abortion (TA) is a fairly common complication in early pregnancy and is a leading cause of maternal hospitalisation during pregnancy. Understanding the emotional impact, psychological aspects and psychiatric consequences of this fairly common complication of early pregnancy is therefore an important contribution to obstetric care and public health. Hovewer, prospective case-controlled studies specific to anxiety and depression disorders in patients with TA are very limited. The aim of this prospective case-control study was to investigate the possible relationship between anxiety, depression and TA and compare the prevalence of anxiety and depression levels in pregnant women complicated with and without TA. Material and Methods: A prospective study was conducted between September 2013 and August 2014. A total of 94 consecutive women with TA who were hospitalized and 120 healthy pregnant women without any signs and symptoms of miscarriage, were included in the study. Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI) were administered to patients during the psychiatric interview. Results: The mean BAI scores in TA study and healthy control groups were 18.90±10.52 and 8.24±5.24, respectively (p<0.001). The mean BDI scores in TA study and healthy control groups were 18.07±8.49 and 7.47±6.22, respectively (p<0.001). Conclusion: The findings of this study indicated a potential link between TA and anxiety and depression disorders. Therefore, patients with TA during pregnancy should be evaluated in terms of anxiety and depression disorders as much as their medical conditions. Medical professionals should be sensitive to psychological consequences of TA.Key Words: Abortion, threatened; anxiety; depression; pregnancy ÖZET Amaç: Düşük tehdidi (TA) erken gebeliğin oldukça sık bir komplikasyonudur ve gebelik sırasındaki hastaneye yatışların önde gelen bir sebebidir. Erken gebelikteki bu oldukça yaygın komplikasyonun duygusal etkisini, psikolojik yönlerini ve psikiyatrik sonuçlarını anlamak bu nedenle obstetrik bakım ve halk sağlığı için önemli bir katkıdır. Bununla birlikte, TA hastalarında anksiyete ve depresyon bozukluklarına özgü prospektif vaka-kontrollü çalışmalar oldukça sınırlıdır. Bu prospektif vaka-kontrollü çalışmanın amacı düşük tehdidi ile olası anksiyete ve depresyon iliş-kisini araştırmak ve anksiyete ve depresyon seviyelerini TA ile komplike olan ve olmayan gebe kadınlarda karşılaştırmaktır. Gereç ve Yöntemler: Eylül 2013 ile ağustos 2014 tarihleri arsında prospektif bir çalışma gerçekleştirildi. Toplam 94 TA'lı hastaneye yatırılan kadın ve düşük semptom ve bulgusu olmayan 120 sağlıklı gebe çalışmaya dahil edildi. Psikiyatrik görüşme sırasında katılımc-ılara Beck anksiyete ölçeği (BAI) ve Beck depresyon ölçeği (BDI) uygulandı. Bulgular: Ortalama BAI skoru TA ve sağlıklı kontrol grubunda sırasıyla 18,90±10,52 ve 8,24±5,24 idi, (p<0,001). Ortalama BDI skoru TA ve sağlıklı kontrol grubunda sırasıyla 18,07±8,49 ve 7,47±6,22 idi, (p<0,001). Sonuç: Bu çalışmanın bulgula...

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Section: Discussionmentioning

confidence: 95%

mentioning

confidence: 99%

Effect of Threatened Miscarriage on Maternal Mood: A Prospective Controlled Chort Study

Aksoy¹,

Aksoy²,

Karadağ³

et al. 2015

Turkiye Klinikleri J Gynecol Obst

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“…2,3 In the days surrounding miscarriage, the majority of women experience grief or depression or both. [4][5][6][7] As documented in a variety of cross-sectional and prospective studies, women's sadness may last up to 1 year after loss. 4,[7][8][9][10][11][12][13][14][15] Some women also experience guilt, anger, posttraumatic stress, and anxiety about future childbearing.…”

Section: Introductionmentioning

confidence: 99%

Resolution of Depression and Grief during the First Year after Miscarriage: A Randomized Controlled Clinical Trial of Couples-Focused Interventions

Swanson

Chen

Graham

et al. 2009

Journal of Women's Health

107

105

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Aims: The purpose of this randomized controlled clinical trial was to examine the effects of three couplesfocused interventions and a control condition on women and men's resolution of depression and grief during the first year after miscarriage. Methods: Three hundred forty-one couples were randomly assigned to nurse caring (NC) (three counseling sessions), self-caring (SC) (three video and workbook modules), combined caring (CC) (one counseling session plus three SC modules), or control (no treatment). Interventions, based on Swanson's Caring Theory and Meaning of Miscarriage Model, were offered 1, 5, and 11 weeks after enrollment. Outcomes included depression (CES-D) and grief, pure grief (PG) and grief-related emotions (GRE). Differences in rates of recovery were estimated via multilevel modeling conducted in a Bayesian framework. Results: Bayesian odds (BO) ranging from 3.0 to 7.9 favored NC over all other conditions for accelerating women's resolution of depression. BO of 3.2-6.6 favored NC and no treatment over SC and CC for resolving men's depression. BO of 3.1-7.0 favored all three interventions over no treatment for accelerating women's PG resolution, and BO of 18.7-22.6 favored NC and CC over SC or no treatment for resolving men's PG. BO ranging from 2.4 to 6.1 favored NC and SC over CC or no treatment for hastening women's resolution of GRE. BO from 3.5 to 17.9 favored NC, CC, and control over SC for resolving men's GRE. Conclusions: NC had the overall broadest positive impact on couples' resolution of grief and depression. In addition, grief resolution (PG and GRE) was accelerated by SC for women and CC for men.

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“…Using standardized measures, other researchers have documented elevated depressive and/or grief symptoms at the time of loss (Beutel, Deckardt, VonRad, & Weiner, 1995;Prettyman, Cordle, & Cook, 1993;Thapar & Thapar, 1992). Results from a variety of cross-sectional and prospective longitudinal studies indicate the sense of loss may be ongoing (Garel, Blondel, LeLong, Bonenfant, & Kaminski, 1994;Neugebauer et al, 1997;Robinson, Stirtzinger, Stewart, & Ralevski, 1994).…”

mentioning

confidence: 99%

“…When pregnancy ends prior to the point of expected fetal viability, most investigators have not been able to document an association between length of gestation and intensity or duration of grief, anxiety, or depression (Jackman, McGee, & Turner, 1991;Neugebauer et al, 1997;Prettyman et al, 1993;Thapar & Thapar, 1992). Yet, other investigators have found evidence that gestational age at miscarriage may influence responses.…”

mentioning

confidence: 99%

Contexts and evolution of women's responses to miscarriage during the first year after loss

Swanson¹,

Connor²,

Jolley³

et al. 2007

Research in Nursing & Health

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Descriptions of 85 women's feelings about miscarriage at 1, 6, 16, and 52 weeks were inductively coded, rank-ordered, and clustered into 3 responses: healing, actively grieving, and overwhelmed. Women who were actively grieving or overwhelmed at 1 week experienced significantly less distress from 6 weeks on. Responses at 1 week differed with regards to those who had a history of perinatal loss or went on to experience negative life events or sexual distance after loss. One year responses differed based on who was pregnant or gave birth, miscarried again, lived through a higher number of post-loss negative life events, or experienced interpersonal or sexual distance from their mate. Responses were not influenced by gestational age at loss or having other children. ß

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A Three-Month Follow-up of Psychological Morbidity After Early Miscarriage

Cited by 37 publications

References 0 publications

Effect of Threatened Miscarriage on Maternal Mood: A Prospective Controlled Chort Study

Effect of Threatened Miscarriage on Maternal Mood: A Prospective Controlled Chort Study

Resolution of Depression and Grief during the First Year after Miscarriage: A Randomized Controlled Clinical Trial of Couples-Focused Interventions

Contexts and evolution of women's responses to miscarriage during the first year after loss

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