Major Depressive Disorder in the 6 Months After Miscarriage

Neugebauer, Richard; Kline, Jennie; Shrout, Patrick E.; Skodol, Andrew E.; O’Connor, Patricia; Geller, Pamela A.; Stein, Zena; Susser, Mervyn

doi:10.1001/jama.1997.03540290035029

Cited by 154 publications

(65 citation statements)

References 27 publications

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“…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.…”

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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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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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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“…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). Hutti, dePacheco, and Smith (1998) surveyed 186 women who said that their miscarried babies were ''real.''…”

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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“…Somewhat consistent results are found when level of grief after miscarriage and the presence of prior psychiatric symptoms are studied, with preloss coping capacity seeming to be predictive of level of grief. Finally, the absence of studies on the effects of social support and religious participation on level of grief following miscarriage prevents any conclusions from being drawn [37][38][39][40][41][42][43][44][45] .…”

Section: Results Of the Reviewmentioning

confidence: 99%

Grief Following Pregnancy Loss – Literature Review

Bangal¹,

Sachdev²,

Suryawanshi³

2013

Int Jour of Biomed Res

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Major Depressive Disorder in the 6 Months After Miscarriage

Abstract: Physicians should monitor miscarrying women in the first weeks after reproductive loss, particularly women who are childless or who have a history of major depressive disorder. Where appropriate, supportive counseling or psychopharmacologic treatment should be considered.

Cited by 154 publications

References 27 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

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

Grief Following Pregnancy Loss – Literature Review

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