Posttraumatic stress disorder and pregnancy complications

Seng, Julia S.; Oakley, Deborah; Sampselle, Carolyn M.; Killion, Cheryl; Graham‐Bermann, Sandra A.; Liberzon, Israel

doi:10.1016/s0029-7844(00)01097-8

Cited by 132 publications

(102 citation statements)

References 18 publications

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“…Posttraumatic stress disorder (PTSD) has been posited as the primary mechanism whereby lifetime trauma exposure affects health [4]. Women diagnosed with PTSD are at greater risk of pregnancy-related complications, and high levels of PTSD have been reported in lowincome African American women [49,50]. Moreover, African American women who live and repeatedly interact in violent environments, as suggested by our findings, may be at risk for a multitude of deleterious health effects, such as posttraumatic stress symptoms.…”

Section: Discussionmentioning

confidence: 54%

An Exploration of Lifetime Trauma Exposure in Pregnant Low-income African American Women

Dailey

Humphreys

Rankin

et al. 2008

Matern Child Health J

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Objectives-The objective of this study was to describe the occurrence of lifetime trauma exposure in relation to perinatal health outcomes in low-income African American women.Methods-One hundred and sixteen pregnant African American women recruited from two public prenatal clinics participated in this exploratory study. Information was obtained about psychological symptoms, medical conditions, prenatal care utilization, and health behaviors. To measure lifetime trauma exposure, women completed the Trauma History Questionnaire. Maternal and infant outcome data were obtained from the medical records following delivery.Results-The occurrence of trauma exposure was high, with 87% of the women reporting at least one traumatic event. Their mean age was 25 years, 21% were primiparas, and they reported a mean of 4.3 ± 3.5 (median = 3) traumatic events during their lifetime. Crime-related experiences were common and included incidents of family or friends being murdered or killed (40%), robberies (23%), home burglaries (14%), attacks with weapons (13%), and muggings (12%). Lifetime trauma exposure was significantly associated with depressive symptoms, anxiety, and generalized stress. Women with greater lifetime trauma exposure had a higher rate of tobacco use, higher rate of premature rupture of membranes, and longer maternal hospital stay. Conclusion-Low-incomeAfrican American women in this sample experienced a variety of traumatic events. Lifetime trauma exposure was associated with adverse perinatal health. Findings suggest the need to further investigate trauma across the lifespan to better understand the impact of these experiences on the reproductive health and well-being of women and their infants.

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Section: Discussionmentioning

confidence: 54%

An Exploration of Lifetime Trauma Exposure in Pregnant Low-income African American Women

Dailey

Humphreys

Rankin

et al. 2008

Matern Child Health J

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“…Nine studies were excluded because they reported posttraumatic stress symptoms in relation to gynecological or obstetric aspects other than regular childbirth, such as spontaneous abortion, pregnancy loss, stillbirth, obstetric and/or gynecological procedures (not related to childbirth), tokophobia and pregnancy complications (Bowles et al, 2000;Engelhard et al, 2001;Hofberg & Brockington, 2000;Holditch-Davis et al, 2003;Hunfeld et al, 1997;Menage, 1993;Pierrehumbert et al, 2003;Seng et al, 2001;Turton et al, 2001). One study was excluded because it focused specifically on parents of infants with a high-risk birth (DeMier, Hynan, Harris, & Manniello, 1996) and another because it focused on stressful life events related to childbearing (Arizmendi & Affonso, 1987).…”

Section: Resultsmentioning

confidence: 99%

Posttraumatic stress following childbirth: A review

Olde

Hart

Kleber

et al. 2006

Clinical Psychology Review

352

251

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To assess the empirical basis of prevalence and risk factors of childbirth-related posttraumatic stress symptoms and PTSD in mothers, the relevant literature was critically reviewed. A MEDLINE and PSYCHLIT search using the key words bposttraumatic stressQ, bPTSDQ, bchildbirthQ and btraumatic deliveryQ was performed. The generated list of articles was supplemented by a review of their bibliographies. A total of 31 articles was selected. The primary inclusion criterion was report of posttraumatic stress symptoms or PTSD specifically related to childbirth. Case studies and quantitative studies on regular childbirth and childbirth by emergency cesarean section were identified. Consistency among studies was found with regard to development of posttraumatic stress symptoms as a consequence of traumatic delivery. Methodological issues concerning prevalence and risk factors were discussed. Case studies and quantitative studies confirm that childbirth may be experienced as so emotionally intense that it can lead to the development of posttraumatic stress symptoms or even a PTSD-profile. Among the identified risk factors were a history of psychological problems, trait anxiety, obstetric procedures, negative aspects in staff-mother contact, feelings of loss of control over the situation, and lack of partner support. The conclusion of the current review is twofold. First, traumatic reactions to childbirth are an important public health issue. Secondly, studying childbirth offers opportunity to prospectively study the development of posttraumatic stress reactions. D

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“…[60][61][62][63][64] Traumatic life events are also associated with pregnancy complications, including miscarriage, highrisk pregnancy, hyperemesis, preterm contractions, 65 and delivery complications. [66][67][68][69][70][71] Perinatal depression and eating disorder comorbidity Perinatal depression is common in women with an ED history. [10][11][12][13][14][15][16][17] 75 …”

mentioning

confidence: 99%

Eating Disorders and Trauma History in Women with Perinatal Depression

Meltzer‐Brody

Zerwas

Leserman

et al. 2011

Journal of Women's Health

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Objective: Although the prevalence of perinatal depression (depression occurring during pregnancy and postpartum) is 10%, little is known about psychiatric comorbidity in these women. We examined the prevalence of comorbid eating disorders (ED) and trauma history in women with perinatal depression. Methods: A research questionnaire was administered to 158 consecutive patients seen in a perinatal psychiatry clinic during pregnancy (n = 99) or postpartum (n = 59). Measures included Structured Clinical Interview for DSM (SCID) IV-based questions for lifetime eating psychopathology and assessments of comorbid psychiatric illness including the State/Trait Anxiety Inventory (STAI), Patient Health Questionnaire (PHQ-9), Edinburgh Postnatal Depression Scale (EPDS), and Trauma Inventory. Results: In this cohort, 37.1% reported a putative lifetime ED history; 10.1% reported anorexia nervosa (AN), 10.1% reported bulimia nervosa (BN), 10.1% reported ED not otherwise specified-purging subtype (EDNOS-P), and 7.0% reported binge eating disorder (BED). Women with BN reported more severe depression (EPDS score, 19.1, standard deviation [SD 4.3], p = 0.02; PHQ-severity 14.5, SD 7.4, p = 0.02) than the referent group of women with perinatal depression and no ED history (EPDS 13.3, SD = 6.1; PHQ 9.0, SD = 6.2). Women with AN were more likely to report sexual trauma history than the referent group (62.5% vs. 29.3%, p < 0.05), and those with BN were more likely report physical (50.0%, p < 0.05) and sexual (66.7%, p < 0.05) trauma histories. Conclusions: ED histories were present in over one third of admissions to a perinatal psychiatry clinic. Women with BN reported more severe depression and histories of physical and sexual trauma. Screening for histories of eating psychopathology is important in women with perinatal depression.

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Posttraumatic stress disorder and pregnancy complications

Cited by 132 publications

References 18 publications

An Exploration of Lifetime Trauma Exposure in Pregnant Low-income African American Women

An Exploration of Lifetime Trauma Exposure in Pregnant Low-income African American Women

Posttraumatic stress following childbirth: A review

Eating Disorders and Trauma History in Women with Perinatal Depression

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