Department of Psychosomatics and Health Behaviour, Norwegian Institute of Public Health, Nydalen, Oslo, Norway.
Arch Womens Ment Health. 2013 Feb;16(1):1-10. doi: 10.1007/s00737-012-0301-3. Epub 2012 Sep 1.
The aim of this prospective study was to examine the etiology of post-traumatic stress symptoms following childbirth within a transactional framework of stress. Participants were women (N = 1,499) from the Akershus Birth Cohort. These women were followed from pregnancy to 8 weeks postpartum. We modeled predisposing factors (e.g., fear of childbirth) and precipitating factors (subjective and objective birth experiences) as predictors of post-traumatic stress symptoms. Post-traumatic stress symptoms were measured by means of the Impact of Event Scale, objective birth experiences by means of birth journals, and subjective birth experiences by means of three questions. A structural equation model showed that subjective birth experiences had the highest association with post-traumatic stress symptoms. Moreover, they mediated the effect of predisposing factors and objective birth experiences. The results suggest that women's subjective birth experiences are the most important factor in the development of post-traumatic stress symptoms following childbirth.
这项前瞻性研究旨在在应激的交互框架内检查分娩后创伤后应激症状的病因。参与者为阿克什胡斯出生队列中的女性（N=1499）。这些女性从怀孕到产后 8 周进行随访。我们将易感性因素（如对分娩的恐惧）和促成因素（主观和客观的分娩经历）建模为创伤后应激症状的预测因素。创伤后应激症状通过事件影响量表进行测量，客观的分娩经历通过分娩日记进行测量，主观的分娩经历通过三个问题进行测量。结构方程模型表明，主观的分娩经历与创伤后应激症状的关联度最高。此外，它们还介导了易感性因素和客观分娩经历的影响。研究结果表明，女性的主观分娩经历是分娩后创伤后应激症状发展的最重要因素。
