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Articles de revues sur le sujet "Perinatal PTSD"

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Daugirdaitė, Viltė, Olga van den Akker et Satvinder Purewal. « Posttraumatic Stress and Posttraumatic Stress Disorder after Termination of Pregnancy and Reproductive Loss : A Systematic Review ». Journal of Pregnancy 2015 (2015) : 1–14. http://dx.doi.org/10.1155/2015/646345.

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Objective. The aims of this systematic review were to integrate the research on posttraumatic stress (PTS) and posttraumatic stress disorder (PTSD) after termination of pregnancy (TOP), miscarriage, perinatal death, stillbirth, neonatal death, and failed in vitro fertilisation (IVF).Methods. Electronic databases (AMED, British Nursing Index, CINAHL, MEDLINE, SPORTDiscus, PsycINFO, PubMEd, ScienceDirect) were searched for articles using PRISMA guidelines.Results. Data from 48 studies were included. Quality of the research was generally good. PTS/PTSD has been investigated in TOP and miscarriage more than perinatal loss, stillbirth, and neonatal death. In all reproductive losses and TOPs, the prevalence of PTS was greater than PTSD, both decreased over time, and longer gestational age is associated with higher levels of PTS/PTSD. Women have generally reported more PTS or PTSD than men. Sociodemographic characteristics (e.g., younger age, lower education, and history of previous traumas or mental health problems) and psychsocial factors influence PTS and PTSD after TOP and reproductive loss.Conclusions. This systematic review is the first to investigate PTS/PTSD after reproductive loss. Patients with advanced pregnancies, a history of previous traumas, mental health problems, and adverse psychosocial profiles should be considered as high risk for developing PTS or PTSD following reproductive loss.
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Orovou, Eirini, Maria Dagla, Panagiotis Eskitzis, Georgios S. Savvidis, Nikolaos Rigas, Alexandros Papatrechas, Angeliki Sarella, Christiana Arampatzi et Evangelia Antoniou. « The Involvement of Past Traumatic Life Events in the Development of Postpartum PTSD after Cesarean Delivery ». Healthcare 10, no 9 (13 septembre 2022) : 1761. http://dx.doi.org/10.3390/healthcare10091761.

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Background: Although childbirth is considered a natural process, a high percentage of postpartum women consider it traumatic. Any previous traumatic event in a woman’s life can be revived through a traumatic birth experience, especially after a complicated vaginal delivery or cesarean delivery. The purpose of this study was to clarify the relationship between previous traumatic life events and posttraumatic stress disorder (PTSD) in postpartum women after cesarean section and which specific events exerted the greatest influence. Methods: A sample of 469 women who had undergone cesarean sections at a Greek university hospital consented to participate in this prospective study. Data from a medical/demographic questionnaire, life events checklist, perinatal stressor criterion A, and posttraumatic stress checklist were used to evaluate past traumatic life events and diagnose postpartum posttraumatic stress. Results: Out of 469 women, 25.97% had PTSD and 11.5% a PTSD profile, while 2.7% had PTSD and 2.7% a PTSD profile. Also, it appeared that only specific direct exposure to a traumatic event and/or witnessing one were predictors of postpartum PTSD. Conclusions: This survey identified specific traumatic life events, psychiatric history, stressor perinatal criterion A, preterm birth, and emergency cesarean section as risk factors for the development of PTSD or a PTSD profile in women after cesarean delivery.
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Johnson, Jennifer E., Ann B. Price, Alla Sikorskii, Kent D. Key, Brandon Taylor, Susan Lamphere, Christine Huff, Morgan Cinader et Caron Zlotnick. « Protocol for the Healing After Loss (HeAL) Study : a randomised controlled trial of interpersonal psychotherapy (IPT) for major depression following perinatal loss ». BMJ Open 12, no 4 (avril 2022) : e057747. http://dx.doi.org/10.1136/bmjopen-2021-057747.

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IntroductionThis protocol describes a study testing the efficacy of interpersonal psychotherapy (IPT) for major depressive disorder following perinatal loss (early and late fetal death and early neonatal death). Perinatal loss is associated with elevated risk of major depressive disorder and post-traumatic stress disorder (PTSD). Perinatal loss conveys specific treatment needs. The trial will be the first fully powered randomised trial of treatment for any psychiatric disorder following perinatal loss.Methods and analysisA sample of 274 women in Flint and Detroit areas in Michigan who experience a major depressive episode following a perinatal loss will be randomised to group IPT for perinatal loss or to group coping with depression. We anticipate that 50% of the sample will have co-occurring PTSD. Assessments occur at baseline, mid-treatment (8 weeks), post-treatment (16 weeks) and follow-up (28 weeks). Clinical outcomes include time to recovery from major depressive episode (primary), depressive symptoms, PTSD symptoms and time to recovery from PTSD. Additional outcomes include social support, social role functioning (including parental functioning for those with living children), well-being, grief (including complicated grief and fault beliefs) and fear of subsequent pregnancies. Social support and grief are hypothesised mediators of IPT effects on time to recovery from major depressive episode.Ethics and disseminationThe trial was approved by Michigan State University’s Biomedical Institutional Review Board. It has a data and safety monitoring board and has been submitted to the community-based organisation partners community ethics review board. Written operating procedures outline methods for protecting confidentiality, monitoring and recording adverse events, and safeguarding participants. We will share study results with research and clinical communities, community organisations through which we recruited, and will offer results to study participants. Deidentified datasets will be available through the National Institute of Mental Health Data Archive and to qualified investigators on request.Trial registration numberNCT04629599.
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Haller, Deborah L., et Donna R. Miles. « Victimization and Perpetration among Perinatal Substance Abusers ». Journal of Interpersonal Violence 18, no 7 (juillet 2003) : 760–80. http://dx.doi.org/10.1177/0886260503253239.

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This study examined associations between demographic, psychiatric, substance abuse, and childhood abuse variables and past 30-day victimization and perpetration among 77 perinatal substance abusers. Victimization rates were 70% emotional, 34% physical, 29% sexual, and 42% personal freedom violations. For perpetration, incidence was 71% emotional, 25% physical, 5% sexual, and 9% personal freedom violations. Through univariate regression, Addiction Severity Index (ASI) psychiatric and drug composite scores, childhood physical abuse, borderline personality disorder (BPD) and post-traumatic stress disorder (PTSD) were found to significantly predict victimization. In contrast, ASI psychiatric and drug composite scores, BPD, PTSD, and aggressive-sadistic and antisocial personality disorders were found to significantly predict perpetration. In multiple regression models, ASI drug and psychiatric composite scores accounted for the majority of the variance for both victimization and perpetration, suggesting that women with high ASI scores should be queried about their involvement in abusive acts at time of admission to drug treatment.
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Callahan, J. L., S. E. Borja et M. T. Hynan. « Modification of the Perinatal PTSD Questionnaire to enhance clinical utility ». Journal of Perinatology 26, no 9 (6 juillet 2006) : 533–39. http://dx.doi.org/10.1038/sj.jp.7211562.

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Karkani, Anastasia, Martha Theodoraki, Natasa Paraskeva, Aristidis Kouros Pavlos, Perdikaris Pantelis, Ouriel Rosenblum et Philippe Mazet. « Identifying mothers experiencing emotional distress in the neonatal intensive care unit. Application of PPTSD questionnaire in a Greek NICU population ». Insights on the Depression and Anxiety 6, no 1 (7 octobre 2022) : 025–31. http://dx.doi.org/10.29328/journal.ida.1001033.

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The birth of a high-risk infant such as an extremely premature infant can represent an important traumatic experience for mothers. Perinatal Post Traumatic Stress Disorder Questionnaire (PPTSDQ) explores retrospectively maternal post-traumatic stress reaction. This shelf-rating questionnaire explores the potential for experiencing posttraumatic symptoms related to childbirth and the ensuing post-natal period. The PTSD questionnaire was originally developed by DeMier and Hynan and their colleagues at the University of Wisconsin and has been widely used in research and in clinical practice for identifying mothers experiencing significant emotional distress during the post-natal period, so they may be referred for mental health services. The present study aims to introduce this tool in perinatal settings as an early intervention. It has been widely used with other measures of post-traumatic stress and depression, such as the Openness Scale from the NEO-PR, the self-report measure of depression BDI-II, the IES (Impact Event Scale) and the EPDS (Edinburgh Postnatal Depression Scale). Although already a useful clinical instrument the current study used the revised version. This modification refines the response options from dichotomous choices to a Likert scale format by Callahan Borja and Hynan. Numerous qualitative and quantitative studies state that premature delivery is a highly stressful event and document the full range of post-traumatic sequelae, such as intrusive recollections, behavioral avoidance, and hyperarousal, as well as attachment difficulties following childbirth. Furthermore, the severity of neonatal complications and gestational age have been found to be predictive of PTSD symptomatology in parents as measured by the PPQ. For this reason, the current study aims to give increased focus to mothers having a premature birth and often expecting their children to die. The sample comprises 25 mothers of prematurely born infants hospitalized in the NICU and 25 mothers of full-term infants born in the maternity ward of the same Greek hospital who responded to the Perinatal PTSD Questionnaire and equally the PERI a postnatal complication rating inventory and the clinical interview for parents CLIP. Mothers of high-risk infants present post-traumatic stress reactions related to prematurity. The Perinatal PTSD Questionnaire identifies postnatal maternal distress but should not substitute a clinical interview, yet findings indicate that equally identifies pre-existing distress symptoms associated with maternal personality traits that emerged with the traumatic event of the unexpected birth. Due to the consistency of the population of the experimental group, who come mostly from the provinces, the possibility of a follow- up of the cases is quite limited.
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OROVOU, EIRINI, Panagiotis Eskitzis et Evangelia Antoniou. « Traumatic Birth Experience with Cesarean Section and Breastfeeding Outcomes ». International Journal of Innovative Research in Medical Science 7, no 11 (20 novembre 2022) : 690–91. http://dx.doi.org/10.23958/ijirms/vol07-i11/1561.

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Introduction A perinatal factor that appears to be highly correlated with postpartum PTSD is breastfeeding. There are several researchers who have studied the traumatic experience of birth and its impact on breastfeeding. More specifically, Türkmen in 2020 [1] reported a high correlation between Post Traumatic Stres Disorder (PTSD), traumatic perception of childbirth and low breastfeeding self-efficacy. According to the authors, the most important reason for low breastfeeding rates in PTSD postpartum women is the increased cortisol secretion, which suppresses oxytocin production resulting in reduced milk production. In another recent study published in 2018 [2], it is equally argued that postpartum PTSD can negatively affect the initiation and maintenance of lactation. It is a fact that a traumatic birth experience can create difficulties in breastfeeding from the beginning, and even undermine it completely. For example, in another study, mothers who had a complicated vaginal delivery or an Emergency Cesarean Section (EMCS) were more likely to suffer from PTSD and breastfeeding difficulties [3]. A possible explanation for this phenomenon was attempted by Beck in 2011 [4], describing how breastfeeding after a traumatic birth experience can trigger flashbacks to the traumatic birth and ultimately act as a deterrent to breastfeeding in the mother trying to avoid mental pain.
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Orovas, Christos, Eirini Orovou, Maria Dagla, Alexandros Daponte, Nikolaos Rigas, Stefanos Ougiaroglou, Georgios Iatrakis et Evangelia Antoniou. « Neural Networks for Early Diagnosis of Postpartum PTSD in Women after Cesarean Section ». Applied Sciences 12, no 15 (26 juillet 2022) : 7492. http://dx.doi.org/10.3390/app12157492.

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The correlation between the kind of cesarean section and post-traumatic stress disorder (PTSD) in Greek women after a traumatic birth experience has been recognized in previous studies along with other risk factors, such as perinatal conditions and traumatic life events. Data from early studies have suggested some possible links between some vulnerable factors and the potential development of postpartum PTSD. The classification of each case in three possible states (PTSD, profile PTSD, and free of symptoms) is typically performed using the guidelines and the metrics of the version V of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) which requires the completion of several questionnaires during the postpartum period. The motivation in the present work is the need for a model that can detect possible PTSD cases using a minimum amount of information and produce an early diagnosis. The early PTSD diagnosis is critical since it allows the medical personnel to take the proper measures as soon as possible. Our sample consists of 469 women who underwent emergent or elective cesarean delivery in a university hospital in Greece. The methodology which is followed is the application of random decision forests (RDF) to detect the most suitable and easily accessible information which is then used by an artificial neural network (ANN) for the classification. As is demonstrated from the results, the derived decision model can reach high levels of accuracy even when only partial and quickly available information is provided.
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Crook, Helen, Athena Duffy, Bosky Nair et Rose Waters. « Effectiveness of New Maternal Mental Health Service ‘Thrive’ in the Treatment of PTSD Symptoms Arising From Birth Trauma and Perinatal Loss ». BJPsych Open 8, S1 (juin 2022) : S132. http://dx.doi.org/10.1192/bjo.2022.386.

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AimsThe NHS Long-Term Plan includes the perinatal mental health objective: by 2023/24 ‘Maternal Mental Health Services’ will be available across the country to provide psychological therapy for those who experience mental health difficulties directly arising from birth trauma and or/perinatal loss. We achieved early implementer status via application to NHS England and, using transformation funding received, ‘Thrive’ was piloted in East Kent. A gap in service provision was identified: some existing primary care services provide intervention for this cohort, however some people remain in psychological distress but do not meet the criteria for specialist perinatal mental health secondary care services; these secondary care services are not commissioned to support those who have experienced perinatal loss. Thrive is co-delivered by a mental health trust and acute healthcare trust; NICE recommended psychological interventions are provided by Psychological Therapists, Specialist Mental Health Midwives and a Peer Support Worker. The aim of this project was to evaluate the effectiveness of the Thrive pilot in reducing PTSD symptomology whilst also collating feedback from patients, their families and healthcare staff across the maternity system, in order to adapt the service offer for full county rollout.Methods40 people who received care from Thrive from 11th January 2021 to 31st December 2021 were included in this evaluation.Data were collected retrospectively at the end of each period of care via:Clinical outcomes measures (quantitative): •PCL-5: a 20-item self-report measure assessing the 20 DSM-5 symptoms of PTSD.•CORE-34: a universal method of establishing well-being and risk.•HoNOS (Health of the Nation Outcomes Scales): a measure of the health and social functioning of people with severe mental illness.Patient Satisfaction Survey (qualitative).Results•100% of patients improved following Thrive intervention: PCL-5 (significant change = a reduction in score by 10–20 points has been met) / CORE-34 (clinically significant change =score above 10 initially and below 10 after intervention).•Clinical improvement: HoNOS = 100% of patients improved following Thrive intervention.ConclusionEvaluation has evidenced the effectiveness of Thrive in successfully treating those with PTSD symptomology arising from their maternity experience. Post-treatment measures indicate that the level of trauma symptomology and the impact of psychological distress on the functioning of patients who have received intervention from Thrive has reduced to a sub-clinical level in all cases.
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Choi, Kristen, et Julia S. Seng. « Trauma-Informed Care With Childhood Maltreatment Survivors : What Do Maternity Professionals Want to Learn ? » International Journal of Childbirth 4, no 3 (2014) : 191–201. http://dx.doi.org/10.1891/2156-5287.4.3.191.

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BACKGROUND: Posttraumatic stress disorder (PTSD) affects 8% of pregnant women, and the biggest risk factor for pregnancy PTSD is childhood maltreatment. The care they receive can lead to positive outcomes or to retraumatization and increased morbidity. The purpose of this study is to gather information from a range of clinicians about their continuing education needs to provide perinatal care to women with a maltreatment history and PTSD.METHOD: Maternity health care professionals were interviewed by telephone. Network sampling and purposive sampling were used to include physicians, nurse practitioners, midwives, nurses, and doulas (n = 20), and results were derived from content analysis.RESULTS: Most providers received little or no training on the issue of caring for women with a history of childhood maltreatment or PTSD during their original education but find working with this type of patient rewarding and wish to learn how to provide better care. Providers identified a range of educational needs and recommend offering a range of formats and time options for learning.CONCLUSIONS: Maternity health care providers desire to work effectively with survivor moms and want to learn best practices for doing so. Thus, educational programming addressing provider needs and preferences should be developed and tested to improve care experiences and pregnancy outcomes for women with a history of trauma or PTSD.
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Thèses sur le sujet "Perinatal PTSD"

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Grekin, Rebecca. « Factor structure and risk of perinatal posttraumatic stress disorder ». Diss., University of Iowa, 2017. https://ir.uiowa.edu/etd/5941.

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Existing research suggests that childbirth may be a significant trigger of posttraumatic stress disorder (PTSD) in the postpartum period. While literature presents important results regarding the prevalence and risk factors of postpartum PTSD, several gaps remain. The current study examined the factor structure of perinatal PTSD by comparing two supported structures of PTSD. Additionally, structural equation modeling (SEM) was used to examine whether subjective birthing experiences and objective childbirth characteristics mediated the relationship between psychosocial variables (history of trauma, fear of childbirth, and social support) and postpartum PTSD. Women were recruited during pregnancy from the University of Iowa Hospitals and Clinics. Symptoms of PTSD, OCD, and depression, as well as risk factors for postpartum PTSD were measured at pregnancy, 4, 8, and 12 weeks postpartum. Additionally, structured clinical interviews were conducted to assess for depression, PTSD, OCD, and mania. Five factor structures were examined using confirmatory factor analysis, including two four factor models with correlated latent factors, two four factor hierarchical models, and a unidimensional model. All models resulted in adequate global fit and excellent component fit. The most parsimonious model, the unidimensional model was retained. The SEM showed that subjective perceptions of childbirth mediated the relationship between fear of childbirth and postpartum PTSD at 4 weeks postpartum. At 8 weeks postpartum, objective childbirth characteristics mediated the relationship between fear of childbirth and postpartum PTSD and there was a direct relationship between fear of childbirth and postpartum PTSD. The current study supports a hierarchical or unidimensional structure of PTSD in perinatal samples emphasizing the importance of a higher-order, shared dimension of PTSD symptoms. It further emphasizes the importance of fear of childbirth and both subjective and objective birthing experiences in predicting postpartum psychopathology. Future research should examine these symptoms and risk factors in a more diverse and at-risk sample. Additionally, accurate assessments, and influential interventions for postpartum PTSD should be further examined.
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Karlsson, Sandra. « Riskfaktorer för negativa eller traumatiska förlossningsupplevelser och hur dessa påverkar kvinnor och deras partners framtida psykiska hälsa ». Thesis, Högskolan i Skövde, Institutionen för hälsovetenskaper, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-19788.

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Inledning: Att föda barn är något som kvinnor har gjort i urminnes tider och är vanligen förknippat med glädje och kärlek. Men ibland inträffar oförutsägbara händelser som lämnar de nyblivna föräldrarna med en känsla av att förlossningen upplevdes som traumatisk. Syfte: Syftet med denna litteraturöversikt var att beskriva kvinnornas psykiska ohälsa efter en förlossning samt hur detta kan påverka kvinnan och hennes partners framtida psykisk hälsa. Metod: Val av metod till denna studie var litteraturöversikt. Tio vetenskapliga artiklar söktes via de vetenskapliga databaserna PubMed och CINAHL för att svara på studiens syfte. Tematisk analys användes för att analysera artiklarna och de teman som skapades var perinatal PTSD, lågt socialt stöd och traumatisk förlossning. Resultat: Resultatet visade att en traumatisk förlossning var en riskfaktor för att drabbas av perinatal depression, ångest samt perinatal PTSD. Vidare var lågt socialt stöd från vårdgivare, historik av traumatiska händelser samt instrumentella förlossningar riskfaktorer för att de nyblivna föräldrarna skulle uppfatta förlossningen som traumatisk. Slutsats: En negativ eller traumatisk förlossningsupplevelse kan leda till att de nyblivna föräldrarna får psykisk ohälsa. Det finns ett behov av ökad förståelse kring traumatiska förlossningsupplevelser för att minska prevalensen av perinatal psykisk ohälsa. Resultaten i denna studie är viktigt då den skapar förståelse för kvinnan och hennes partners utsatthet vid en negativ eller traumatisk förlossning samt vilka skyddsfaktorer som mer fokus borde läggas på av hälso-och sjukvården.
Introduction: Giving birth is something that women have done for many years and is usually associated with joy and love. But sometimes unpredictable events occur that leaves the new parents with a feeling that the birth was experienced as traumatic. Aim: The purpose of this literature review was to describe women's mental illness after childbirth and how this may affect the future mental health of the woman and her partner. Method: Choice of method for this study was literature review. Ten scientific articles were searched via the scientific databases PubMed and CINAHL to answer the purpose of the study. Thematic analysis was used to analyze the articles and the themes that were developed were perinatal PTSD, low social support and traumatic birth.Results: The results showed that a traumatic birth was a risk factor for suffering from perinatal depression, anxiety and perinatal PTSD. Furthermore, low social support from caregivers, history of traumatic events and instrumental births were risk factors for the new parents to perceive the birth as traumatic.Conclusion: A negative or traumatic birth experience can lead to that the new parents get mental illness. There is a need for increased understanding of risk factors correlated to traumatic birth experiences to reduce the prevalence of mental illness. The results of this study are important as it creates an understanding of the woman and her partner's vulnerability in the event of a negative or traumatic birth as well as which protective factors more focus should be placed on by the healthcare.joy and love. But sometimes unpredictable events occur that leaves the new parents with a feeling that the birth was experienced as traumatic.Aim: The purpose of this literature review was to describe women's mental illness after childbirth and how this may affect the future mental health of the woman and her partner.Method: Choice of method for this study was literature review. Ten scientific articles were searched via the scientific databases PubMed and CINAHL to answer the purpose of the study. Thematic analysis was used to analyze the articles and the themes that were developed were perinatal PTSD, low social support and traumatic birth.Results: The results showed that a traumatic birth was a risk factor for suffering from perinatal depression, anxiety and perinatal PTSD. Furthermore, low social support from caregivers, history of traumatic events and instrumental births were risk factors for the new parents to perceive the birth as traumatic.Conclusion: A negative or traumatic birth experience can lead to that the new parents get mental illness. There is a need for increased understanding of risk factors correlated to traumatic birth experiences to reduce the prevalence of mental illness. The results of this study are important as it creates an understanding of the woman and her partner's vulnerability in the event of a negative or traumatic birth as well as which protective factors more focus should be placed on by the healthcare.
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SPINELLI, MARIA. « Parenting preterm infants : implications for mothers and mother- infant relationship ». Doctoral thesis, Università degli Studi di Milano-Bicocca, 2013. http://hdl.handle.net/10281/45026.

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Prematurity and the associated neonatal complications are identified as risk factors that may bring psychological complications both for the baby’s development and for the early mother-infant relationship. The birth of a preterm infant, the sudden end of the pregnancy, and infant’s hospitalization, often represent stressful experiences for parents. Therefore, premature birth may affect parental perceptions and attitudes, thereby distorting parent-child interactions and relationship. The present dissertation aims to examine the complex experience of parenting a preterm infant from a transactional perspective with a mixed method design. The theoretical framework integrates the transactional model of development, attachment theory and recent theories of infant research. Three studies, analyzing the phenomenon from different perspectives and using different methodological frameworks, are reported. The first study qualitatively analyzed narratives of 30 preterm infant mothers. Mothers were interviewed during infant hospitalization on the experiences of pregnancy, delivery and infant recovery. The thematic analysis revealed three major themes relevant for mothers: The construction of maternal identity, The construction of the representation of the bond with the child; The relationship with the healthcare providers and external world. The second study is a microanalysis of mother-infant’s emotion regulation and play during free play interactions at 3 and 6 months of infant’s age. Comparisons between 22 preterm and 20 full-term infant dyads revealed more differences at a maternal and dyadic level than at the infant’s level. Mother-premature infant dyads presented a typical interactive style characterized by maternal overstimulation and the tendency to lead the interaction. These dyads showed more difficulties to adjust their interaction to infant’s growth and more interactive risk indicators emerged at 6 months. The role of infant and maternal characteristics and maternal attachment models as protective and risk factors was explored. The third study examined perinatal Post-Traumatic Stress Disorder and the levels of parenting stress in 156 mothers of full-term children and 87 mothers of preterm children. This study proposed a mediating role of PTSD symptoms between preterm/full-term birth and levels of parenting stress. The mothers were asked to complete a Web survey assessing perinatal PTSD symptoms, parenting stress and social support. The findings showed that mothers of preterm children experienced more post-traumatic symptoms and parenting stress than did mothers of full-term children. Levels of PTSD symptoms were higher for mothers with infants born at lower gestational age. The relationship between preterm/full-term birth and levels of parenting stress was mediated by PTSD symptoms. Moreover, the child’s age moderated the association between maternal PTSD and parenting stress. The discussions of the three studies are integrated in the final conclusions. Findings suggest that prematurity have implications for mothers’ transition to parenthood and for the development of mother-infant relationship confirming the need to examine the phenomenon from a transactional perspective. Implications for preventive interventions are addressed.
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Barry, Sarah A. « Interventions for supporting women before and after elective termination of pregnancy ». Honors in the Major Thesis, University of Central Florida, 2010. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1354.

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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.
Bachelors
Nursing
Nursing
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Leinweber, Julia. « Prevalence and Risk Factors for Posttraumatic Stress among Australian Midwives ». Thesis, Griffith University, 2016. http://hdl.handle.net/10072/367351.

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Background Midwives are frequently exposed to traumatic birth events which may place them at risk of developing posttraumatic stress (PTS) symptoms. Posttraumatic stress can reduce empathic and cognitive abilities and increase perceptions of risk and danger. PTSD research and theory have identified personal, trauma event-related and work environment related variables as risk factors for PTSD. It is not known whether these factors also apply among midwives. Aims 1. To identify prevalence of posttraumatic stress among Australian midwives. 2. To identify risk factors for posttraumatic stress and use a socioecological model to explain posttraumatic stress in midwives. Methods A national internet survey of midwives who are members of the Australian College of Midwives was conducted. Trauma symptoms were assessed with the PTSD Symptom Scale Self-Report version (PSS-SR). Probable PTSD was assessed as meeting DSM IV PTSD diagnostic criteria B, C and D (a score of at least ‘one’ on the four-point frequency scale for a minimum of one intrusion, three avoidance and two arousal symptoms) and a total PSS-SR score ≥14. The Traumatic Experiences in Perinatal Care List (TEPCL) assessed which types of birth events were perceived as traumatic by midwives. The Sensitivity in Perinatal Care Scale (SPCS) was developed to assess sensitivity in perinatal caregiving. Other measures included the Interpersonal Reactivity Index (IRI) to assess empathy and the Job Content Questionnaire (JCQ) to assess job demands and job control.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Nursing and Midwifery
Griffith Health
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Livres sur le sujet "Perinatal PTSD"

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Broderick, Sheila, et Ruth Cochrane. Trauma and Birth. Taylor & Francis Group, 2020.

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Broderick, Sheila, et Ruth Cochrane. Trauma and Birth : A Handbook for Maternity Staff. Taylor & Francis Group, 2020.

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Trauma and Birth : A Handbook for Maternity Staff. Taylor & Francis Group, 2020.

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Chapitres de livres sur le sujet "Perinatal PTSD"

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Hopkins, Tiffany, et Samantha N. Hellberg. « Trauma and PTSD in the Perinatal Period ». Dans Women's Mood Disorders, 191–229. Cham : Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-71497-0_16.

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Erickson, Nora L., Diana Morelen et Maria Muzik. « Trauma, Stress, and Post-Traumatic Stress Disorder (PTSD) in Perinatal Period ». Dans Key Topics in Perinatal Mental Health, 155–83. Cham : Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-91832-3_10.

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Hollins Martin, Caroline J., et Colin R. Martin. « Post-Traumatic Stress Disorder (PTSD) and Its Relationship with Perinatal Bereavement : Definitions, Reactions, Adjustments, and Grief ». Dans Comprehensive Guide to Post-Traumatic Stress Disorders, 599–626. Cham : Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-08359-9_44.

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Hollins Martin, Caroline J., et Colin R. Martin. « Post-Traumatic Stress Disorder (PTSD) and Its Relationship with Perinatal Bereavement : Definitions, Reactions, Adjustments, and Grief ». Dans Comprehensive Guide to Post-Traumatic Stress Disorder, 1–24. Cham : Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-08613-2_44-1.

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Baldwin, Andrew, Nina Hjelde, Charlotte Goumalatsou et Gil Myers. « Psychiatry ». Dans Oxford Handbook of Clinical Specialties, 312–409. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198719021.003.0004.

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This chapter discusses psychiatry. It outlines psychiatric history skills (principles, mental state exam, risk assessment, confidentiality, and physical ecamination), assessment of psychiatric symptoms (descriptive psychopathology, classification of disorders (ICD-10, DSM-V)), community psychiatry (community care, schizophrenia, depression, bipolar affective disorder, anxiety, OCD, and PTSD, and the withdrawal of psychotropics), emergency department psychiatry (suicide and suicidal ideation, deliberate self-harm, crisis intervention, urgent psychiatry situations, and managing violence), liaison psychiatry and organix illness (delirium and dementia), child and adolescent psychiatry (depression, psychosis, behavioural difficulties, sleep disorders, ASD, and ADHD), psychiatric subspecialties (substance and alcohol misuse, intellectual disability, personality disorders, eating disorders, psychosexual disorders, and perinatal disorders), psychological treatment and psychotherapy (cognitive therapy, behavioural therapy, dynamic psychotherapy, systemic/family therapy, counselling and supportive psychotherapy, group psychotherapy, play and art therapy), and mental health and the law (compulsory hospitalisation, consent, capacity, and the Mental Health Act).
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Actes de conférences sur le sujet "Perinatal PTSD"

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Savenysheva, S. S., M. E. Blokh, N. L. Pleshkova et M. A. Mayer. « ПРЕНАТАЛЬНЫЕ ФАКТОРЫ ПСИХИЧЕСКОГО РАЗВИТИЯ МЛАДЕНЦА В ПЕРИОД ПАНДЕМИИ КОРОНАВИРУСА ». Dans ПЕРВЫЙ МЕЖКОНТИНЕНТАЛЬНЫЙ ЭКСТЕРРИТОРИАЛЬНЫЙ КОНГРЕСС «ПЛАНЕТА ПСИХОТЕРАПИИ 2022 : ДЕТИ. СЕМЬЯ. ОБЩЕСТВО. БУДУЩЕЕ». Crossref, 2022. http://dx.doi.org/10.54775/ppl.2022.22.74.001.

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The coronavirus-19 pandemic has become a serious stressor and can provoke an increase in emotional distress in pregnant women. The influence of unfavorable factors during pregnancy causes a responsive "adaptive response" in both the pregnant woman and the fetus, which has various long-term consequences for the child's development. The aim of our study was to investigate influence of perinatal factors such as anxiety, depression, PTSD and attachment of women in pregnancy and after birth on infants’ development during a pandemic. Sample. 1 st stage: 120 women age 28,7 years, 61% in 3rd trimester living in Russia. Measures: Achenbach System of Empirically Based Assessment, Impact of Events Scale, State and Trait Anxiety, Maternal Antenatal Attachment Scale, Maternal Postnatal Attachment Scale, Pregnant woman attitude test, Kent Infant Development Scale. Result. A study of the emotional state in pregnant women during the COVID-19 pandemic revealed a high level of state anxiety in 39% of pregnant women, a level of PTSD exceeding critical in 16% of pregnant women, the presence of various syndromes and DSM-associated disorders, including depressive disorder (10.3%) combined with mental health problem such as avoidance (9.7%). The study of the attitude towards pregnancy and the child revealed a high level of prenatal attachment and the predominance of the optimal type of attitude towards pregnancy. Preliminary data on the mental development of infants (29 infants, mean age 6,6 months) show lagging on the social, cognition, and self-care scales. Data on postnatal factors and its influence on child development will be presented later. Пандемия коронавируса-19 стала серьезным стресс-фактором и может спровоцировать усиление стресса у беременных. Воздействие неблагоприятных факторов во время беременности вызывает ответную «приспособительную реакцию» как у беременной, так и у плода, что имеет различные отдаленные последствия для развития ребенка. Целью нашего исследования является изучение влияния перинатальных факторов, таких как тревога, депрессия, посттравматическое стрессовое расстройство и привязанность женщин во время беременности и после рождения, на психическое развитие младенцев в условиях пандемии коронавируса. Выборка. На первом этапе в исследовании приняло участие 120 женщин (средний возраст – 28,7 лет), 61% в 3 триместре, проживающих в России. Методики: шкала психологического функционирования (The Achenbach System of Empirically Based Assessment), шкала посттравматического стресса, шкала ситуативной тревоги, методика пренатальной привязанности матери, методика постнатальной привязанности матери, тест отношения беременной женщины, шкала развития младенцев (KID). Результаты. Изучение эмоционального состояния беременных в период пандемии COVID-19 выявило высокий уровень ситуационной тревожности у 39% беременных, уровень ПТСР, превышающий критический у 16% беременных, наличие различных синдромов и ДСМ-ассоциированных расстройств, в том числе депрессивное расстройство (10,3%) в сочетании с проблемами психического здоровья, такими как избегание (9,7%). Изучение отношения к беременности и ребенку выявило высокий уровень пренатальной привязанности и преобладание оптимального типа отношения к беременности. Предварительные данные об психическом развитии младенцев (29 детей, средний возраст 6,6 мес.) показывают отставание по шкалам социального и когнитивного развития, и самообслуживания. Данные о постнатальных факторах и их влиянии на развитие ребенка будут представлены в докладе.
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