Dorfer M, Egger J, Häusler M
Geburtshilflich-gynäkologische Universitätsklinik Graz.
Psychother Psychosom Med Psychol. 1999 Jul;49(7):235-40.
Spontaneous abortion is the early and involuntary loss of pregnancy and occurs in about 15 to 20% of all pregnancies. In this study, Filipp's heuristic model for critical life events was used to evaluate general and specific causal attributions and depressive symptoms after spontaneous abortion. A sample of 100 women was investigated at four measuring points between diagnosis and five weeks after the spontaneous abortion. The results regarding depressive symptom levels showed that two days after the miscarriage, 50% of the women were severely depressed, and five weeks later 30% were still depressed. Depressive symptoms were increased in cases of prior reproductive loss and when pregnancy was planned or desired. With regard to general causal attributions, women who tended to more internal, stable, and global attributions showed a significantly higher level of depressive symptoms than women with external, unstable, and specific attributions. In the area of specific attributions regarding pregnancy loss, the same patterns of results were found.
自然流产是指妊娠早期的非自愿性流产，约占所有妊娠的15%至20%。在本研究中，采用菲利浦的关键生活事件启发式模型来评估自然流产后的一般和特定因果归因以及抑郁症状。在诊断至自然流产后五周的四个测量点，对100名女性样本进行了调查。关于抑郁症状水平的结果显示，流产后两天，50%的女性严重抑郁，五周后仍有30%的女性抑郁。既往有生殖损失以及计划内或期望妊娠的情况下，抑郁症状会加重。关于一般因果归因，倾向于更多内部、稳定和全局归因的女性比具有外部、不稳定和特定归因的女性表现出显著更高水平的抑郁症状。在妊娠丢失的特定归因方面，也发现了相同的结果模式。
