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孕早期自然流产后的创伤应激障碍

Traumatic stress disorders following first-trimester spontaneous abortion.

作者信息

Bowles Stephen V, Bernard Rebecca S, Epperly Ted, Woodward Stephanie, Ginzburg Karni, Folen Raymond, Perez Theresita, Koopman Cheryl

机构信息

Department of Psychology, Walter Reed Army Medical Center, Washington, DC, USA.

出版信息

J Fam Pract. 2006 Nov;55(11):969-73.

PMID:17090356
Abstract

Provide counsel and support to women after a spontaneous abortion. Research indicates that many women will talk with their physician about their emotional distress and that physicians provide good information after the spontaneous abortion. Evaluate women for acute stress disorder (ASD) after a spontaneous abortion. Research found that women reporting physical, emotional, or sexual abuse are more likely to experience ASD. Patients should be assessed for post-traumatic stress disorder in follow-up visits 1 month after the initial visit. Research has found that up to 25% of women meet criteria for PTSD 1 month post the spontaneous abortion and 7% met criteria at 4 months. Physicians should refer women who are experiencing traumatic stress to a behavioral health professional.

摘要

为自然流产后的女性提供咨询和支持。研究表明,许多女性会与医生谈论她们的情绪困扰,并且医生在自然流产后会提供良好的信息。评估自然流产后女性的急性应激障碍(ASD)。研究发现,报告遭受身体、情感或性虐待的女性更有可能患急性应激障碍。在初次就诊后1个月的随访中,应对患者进行创伤后应激障碍评估。研究发现,高达25%的女性在自然流产后1个月符合创伤后应激障碍的标准,7%在4个月时符合标准。医生应将经历创伤性应激的女性转介给行为健康专业人员。

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Posttraumatic stress and posttraumatic stress disorder after termination of pregnancy and reproductive loss: a systematic review.
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Trauma of Pregnancy Loss and Infertility for Mothers and Involuntarily Childless Women in the Contemporary United States.当代美国母亲及非自愿不育女性的妊娠丢失与不孕创伤
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Exploring posttraumatic stress disorder symptom profile among pregnant women.探讨孕妇创伤后应激障碍症状特征。
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