Conway K, Russell G
Department of Psychology, Macquarie University, NSW, Australia.
Br J Med Psychol. 2000 Dec;73(4):531-45. doi: 10.1348/000711200160714.
The aim of this prospective study involving 39 women and 32 partners was to investigate the grief response of both the woman and her partner to miscarriage and to ascertain if support received was adequate and appropriate to their needs. Previous research shows that partners' grief can often be delayed and chronic. Special emphasis is placed on this area in this study. The miscarriage was found to be a significant event and the majority of women and partners still experienced feelings of loss up to 4 months afterwards, describing their reactions as sad or very sad. Scores on the first administration of the Perinatal Grief Scale showed that, in contrast with previous findings, partners scored significantly higher than the women on the three subscales and overall. Partners' scores on the second administration were also higher than those for the women but the difference was not significant. The women tended to receive and welcome social support more than the partners. Support received from health professionals was not always optimal, particularly for partners. Pregnancy subsequent to miscarriage was often viewed with some anxiety. It is argued that the results of the study have important implications for health practice.
这项前瞻性研究涉及39名女性及其32名伴侣,旨在调查女性及其伴侣对流产的悲伤反应,并确定所获得的支持是否充分且符合他们的需求。先前的研究表明,伴侣的悲伤往往会延迟且持续时间较长。本研究特别关注这一领域。研究发现流产是一个重大事件,大多数女性及其伴侣在流产后长达4个月仍会经历失落感,他们将自己的反应描述为悲伤或非常悲伤。围产期悲伤量表首次施测的得分显示,与先前的研究结果相反,伴侣在三个子量表及总分上的得分显著高于女性。伴侣在第二次施测时的得分也高于女性,但差异不显著。女性比伴侣更倾向于接受并欢迎社会支持。来自健康专业人员的支持并不总是理想的,尤其是对伴侣而言。流产后的再次怀孕往往会让人有些焦虑。有人认为,该研究结果对健康实践具有重要意义。