Alder Judith, Stadlmayr Werner, Tschudin Sibil, Bitzer Johannes
Women's Hospital, University Clinic Basel, Spitalstrasse 21, CH-4031 Basel, Switzerland.
J Psychosom Obstet Gynaecol. 2006 Jun;27(2):107-12. doi: 10.1080/01674820600714632.
Most studies on post-traumatic stress symptoms after childbirth have focused on prevalence of and looked at etiological factors and predictors. While most authors agree that around 1.5% of the women develop post-traumatic stress disorder (PTSD) and significantly more present with post-traumatic stress symptoms, the studies still lack a proper diagnosis using diagnostic interviews to validate the enhanced stress scores found in questionnaires. Also, some relevant predicting factors such as pre-existing psychopathology and dissociation during labor have not been investigated so far. Mostly, however, research on counseling strategies for women with post-traumatic symptoms after childbirth has been neglected. While most women remain in a mother-child unit during the first days after birth, there is a unique opportunity to systematically assess birth experience in this setting and screen for women at risk for developing trauma symptoms. This article presents a multilevel counseling approach including postnatal counseling and counseling in a subsequent pregnancy.
大多数关于产后创伤后应激症状的研究都集中在患病率上，并探讨了病因和预测因素。虽然大多数作者一致认为，约1.5%的女性会患上创伤后应激障碍（PTSD），且出现创伤后应激症状的女性数量要多得多，但这些研究仍缺乏使用诊断访谈进行的适当诊断，以验证问卷中发现的压力得分升高情况。此外，一些相关的预测因素，如既往精神病理学和分娩期间的解离，目前尚未得到研究。然而，大多数情况下，产后有创伤后症状女性的咨询策略研究一直被忽视。虽然大多数女性在产后的头几天仍留在母婴单元，但在这种环境下有一个独特的机会来系统地评估分娩经历，并筛查有发展为创伤症状风险的女性。本文提出了一种多层次咨询方法，包括产后咨询和后续妊娠咨询。
