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[心理社会因素对住院人工流产前后心理健康和身体不适的影响]

[The influence of psychosocial factors on mental well-being and physical complaints before and after undergoing an in-patient abortion].

作者信息

Barnow S, Ball J, Döring K, Lucht M, Freyberger H J, Fischer W

机构信息

Fachbereich und Poliklinik für Psychiatrie und Psychotherapie der EMA-Universität Greifswald.

出版信息

Psychother Psychosom Med Psychol. 2001 Sep-Oct;51(9-10):356-64. doi: 10.1055/s-2001-16895.

DOI:10.1055/s-2001-16895
PMID:11533882
Abstract

In this study, 57 women were examined in terms of the influence of different psychosocial factors on their subsequent mental well-being and physical complaints one day before, one day after, and 3 months after undergoing an in-patient abortion. Furthermore a control group of 40 in-patients (women with pregnancy related problems) were included in the study. The results show that prior to the abortion, most women reported a multitude of psychological and physical problems. However, it was also shown that for the majority of the women interviewed, mental well-being and physical complaints improved significantly one day and 3 months after the abortion. While feelings such as relief predominated immediately postoperatively, after 3 months, participants reported feeling cheerful and interested in activities. Further, it was demonstrated that women whose general mood was more pronouncedly anxious-depressive one day prior to operation later (after 3 months) reported many complaints and worse well-being. It appears that these women were not able to experience the abortion as a problem solutions. Finally, the great importance of the quality of their relationship and cohesion was demonstrated in the decision to abort, while pregnancy counselling was found to have no effect.

摘要

在本研究中,对57名女性进行了检查,评估不同心理社会因素对她们在住院人工流产前一天、流产后一天及3个月后的心理健康和身体不适的影响。此外,研究还纳入了一个由40名住院患者(患有与妊娠相关问题的女性)组成的对照组。结果显示,在人工流产前,大多数女性报告存在多种心理和身体问题。然而,研究还表明,对于大多数接受访谈的女性来说,心理健康和身体不适在流产后一天及3个月时显著改善。术后立即主要是如宽慰等情绪,3个月后,参与者报告感到愉快并对活动感兴趣。此外,研究表明,术前一天总体情绪更明显焦虑抑郁的女性,之后(3个月后)报告有更多不适且幸福感较差。似乎这些女性无法将人工流产视为解决问题的方式。最后,在决定流产时,她们关系的质量和凝聚力的重要性得到了体现,而妊娠咨询被发现没有效果。

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[The influence of psychosocial factors on mental well-being and physical complaints before and after undergoing an in-patient abortion].[心理社会因素对住院人工流产前后心理健康和身体不适的影响]
Psychother Psychosom Med Psychol. 2001 Sep-Oct;51(9-10):356-64. doi: 10.1055/s-2001-16895.
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