Prevalence of Posttraumatic Stress Symptoms After Childbirth: Does Ethnicity Have an Impact?

Paul, Tanya

doi:10.1624/105812408x324534

Cited by 14 publications

(15 citation statements)

References 16 publications

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“…Thorough communication between staff and women during and after delivery should be encouraged [13,28,38]. Excellent pain management and opportunities for decision-making on the part of women could be presented to promote empowerment [10,38,39].…”

Section: Discussionmentioning

confidence: 99%

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Management of post traumatic stress disorder after childbirth: a review

Lapp

Agbokou

Peretti

et al. 2010

Journal of Psychosomatic Obstetrics & Gynecology

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Prevalence and risk factors for the development of post traumatic stress disorder (PTSD) after childbirth is well described in the literature. However, its management and treatment has only begun to be investigated. The aim of this article is to describe the studies that examine the effects of interventions on PTSD after childbirth. MedLine, PILOTS, CINAHL and ISI Web of Science databases were systematically searched for randomised controlled trials, pilot studies and case studies using key words related to PTSD, childbirth, treatment and intervention. The reference lists of the retrieved articles were also used to supplement the search. A total of nine studies were retrieved. Seven studies that examined debriefing or counselling were identified; six randomised controlled trials and one pilot study. Also found were one case report describing the effects of cognitive behavioural therapy (CBT) on two women, and one pilot study of eye movement desensitisation and reprocessing (EMDR). Overall, there is limited evidence concerning the management of women with PTSD after childbirth. The results agree with the findings from the non-childbirth related literature: debriefing and counselling are inconclusively effective while CBT and EMDR may improve PTSD status but require investigation in controlled trials before conclusions could be drawn.

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Section: Discussionmentioning

confidence: 99%

“…Also, ethnicity has been preliminarily examined. In one American study, an association between ethnicity and the avoidance symptom was found [28] while in another, no significant difference between ethnic groups (Caucasian, Asian and Pacific Islander) and prevalence of PTSD after childbirth was identified [29].…”

Section: Prevalencementioning

confidence: 94%

Management of post traumatic stress disorder after childbirth: a review

Lapp

Agbokou

Peretti

et al. 2010

Journal of Psychosomatic Obstetrics & Gynecology

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“…There are limited studies of PTSD among ethnically diverse perinatal populations. A study of the prevalence of PTSD in the Latina perinatal population did not obtain significant results due to an inadequate sample size (Paul, ). Another study by Onoye, Goebert, Morland, Matsu, and Wright (), evaluating changes in PTSD symptomatology and mental health during pregnancy and postpartum in the Asian and Pacific Islander populations did not obtain significant statistical results for similar reasons.…”

Section: Introduction and Aimsmentioning

confidence: 99%

Post‐traumatic stress disorder in the perinatal period: A concept analysis

Vignato

Georges

Bush

et al. 2017

Journal of Clinical Nursing

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Aims and objectives To report an analysis of the concept of perinatal posttraumatic stress disorder (PPTSD). Background Prevalence of PPTSD is rising in the United States, with 9% of the U.S. perinatal population diagnosed with the disorder and an additional 18% being at risk for the condition. Left untreated, adverse maternal-child outcomes result in increased morbidity, mortality, and healthcare costs. Design Concept analysis via Walker and Avant’s approach. Methods The databases Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, Academic Search Premier, and PsychINFO were searched for articles, written in English, published between 2006 and 2015, containing the terms perinatal and PTSD. Results PPTSD owns unique attributes, antecedents, and outcomes when compared to PTSD in other contexts, and may be defined as a disorder arising after a traumatic experience; diagnosed any time from conception to 6 months postpartum; lasting longer than 1 month; leading to specific negative maternal symptoms, and poor maternal-infant outcomes. Attributes include a diagnostic time frame (conception to 6 months postpartum), harmful prior or current trauma, and specific diagnostic symptomatology defined in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition. Antecedents were identified as trauma (perinatal complications and abuse), postpartum depression, and previous psychiatric history. Consequences comprised adverse maternal-infant outcomes. Conclusions Further research on PPTSD antecedents, attributes and outcomes in ethnically diverse populations may provide clinicians a more comprehensive framework for identifying and treating PPTSD. Relevance to clinical practice Nurses are encouraged to increase their awareness of PPTSD for early assessment and intervention, and prevention of adverse maternal-infant outcomes.

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“…Specifically, the PTSD-Q, IES-R, PSS-SR, and TES were originally developed to measure posttraumatic stress symptoms following stressful events such as natural disasters, crime and traffic accidents. The PPQ is used to measure posttraumatic stress symptoms among women who gave birth to neonatal infants with complications [18][19][20]. Therefore, to accurately measure childbirth-related postnatal stress symptoms among women after birth, we should develop an appropriate scale.…”

Section: Introductionmentioning

confidence: 99%

The Validity and Reliability of a Scale on Postnatal Posttraumatic Stress Symptoms Related to Childbirth among Japanese Women: Evaluation of the Japanese-language Version of the Impact of Event Scale-revised

Obayashi¹,

Iriyama²,

Suzuki³

2016

J Women's Health Care

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Objective: The aim of this study was to examine the validity and reliability of the Postnatal Women Version of Japanese-language version of the Impact of Event Scale-Revised (IES-R-J-PWV) at one month after childbirth among Japanese women.Methods: Data were collected at two general hospital maternity wards and one obstetric clinic in Aichi Prefecture from July to December 2013. A total of 260 postnatal Japanese women participated in this study. The women completed anonymous self-report questionnaires at one month postpartum. To examine the construct validity of the IES-R-J-PWV, we conducted exploratory factor analysis with promax rotation. We evaluated the criterion-related validity of the IES-R-J-PWV using Spearman's correlation coefficients between IES-R-J scores and scale scores from the Japanese Edinburgh Postpartum Depression Scale (JEPDS), the Visual Analog Scale (VAS), and the Sense of Coherence-13 (SOC-13) instrument.Results: Exploratory factor analysis revealed that the IES-R-J-PWV was composed of four factors. The total subscale scores for the four factors significantly correlated with each subscale score. The IES-R-J-PWV was positively correlated with the JEPDS (rs = 0.40, p < 0.01) and the VAS (rs = 0.47, p < 0.01) and negatively correlated with the SOC-13 (rs = -0.33, p < 0.01). The IES-R-J-PWV had good internal consistency, with a Cronbach's α coefficient of 0.92. Conclusions:The results of this study indicated that the IES-R-J-PWV was a valid and acceptable instrument for measuring and evaluating postnatal posttraumatic stress symptoms related to childbirth among Japanese women at one month after childbirth.

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Prevalence of Posttraumatic Stress Symptoms After Childbirth: Does Ethnicity Have an Impact?

Cited by 14 publications

References 16 publications

Management of post traumatic stress disorder after childbirth: a review

Management of post traumatic stress disorder after childbirth: a review

Post‐traumatic stress disorder in the perinatal period: A concept analysis

The Validity and Reliability of a Scale on Postnatal Posttraumatic Stress Symptoms Related to Childbirth among Japanese Women: Evaluation of the Japanese-language Version of the Impact of Event Scale-revised

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