Scheidt Carl Eduard, Waller Nicola, Wangler Jutta, Hasenburg Anette, Kersting Anette
Universitätsklinik Feiburg, Abteilung Psychosomatische Medizin und Psychotherapie, Freiburg.
Psychother Psychosom Med Psychol. 2007 Jan;57(1):4-11. doi: 10.1055/s-2006-951906.
Miscarriage and perinatal loss are associated with considerable psychosocial distress. A substantial proportion of women who suffered the loss of a child develop a psychological disorder. Depression, anxiety disorder, post-traumatic stress disorder and somatoform disorder all have been linked in various studies to grief reactions in response to perinatal loss. A number of studies based on clinical and empirical evidence suggest various therapeutic procedures. However, a current Cochrane review fails to provide empirical evidence favouring a specific treatment strategy. In Germany in routine care in gynaecology no psychological support is offered to women suffering from grief reactions due to perinatal loss. Further research is needed to develop evidence based treatment strategies for secondary prevention in this field.
流产和围产期损失与相当大的心理社会困扰相关。很大一部分经历过丧子之痛的女性会患上心理障碍。在各种研究中，抑郁症、焦虑症、创伤后应激障碍和躯体形式障碍都与对围产期损失的悲伤反应有关。一些基于临床和实证证据的研究提出了各种治疗方法。然而，目前的一项考克兰系统评价未能提供支持特定治疗策略的实证证据。在德国，妇科常规护理中不会为因围产期损失而出现悲伤反应的女性提供心理支持。需要进一步研究以制定该领域二级预防的循证治疗策略。
