Lafarge Caroline, Mitchell Kathryn, Fox Pauline
School of Psychology, Social Work & Human Sciences, University of West London, Brentford, UK.
Prenat Diagn. 2013 Dec;33(12):1173-82. doi: 10.1002/pd.4218. Epub 2013 Sep 8.
Pregnancy termination for foetal abnormality (TFA) can have significant psychological repercussions, but little is known about the coping strategies involved in dealing with TFA. This study examined the relationships between women's coping strategies and perinatal grief.
A total of 166 women completed a survey online. Coping and perinatal grief were measured using the Brief COPE and Short Perinatal Grief Scales. Data were analysed through multiple regression analyses.
Despite using mostly adaptive coping strategies, women's levels of grief were high and varied according to obstetric and termination variables. Grief was predicted by behavioural disengagement, venting, planning, religion, self-blame, being recently bereaved, being childless at the time of TFA, not having had children/being pregnant since TFA and uncertainty about the decision to terminate the pregnancy. Acceptance and positive reframing negatively predicted grief.
Identifying women vulnerable to poor psychological adjustment and promoting coping strategies associated with lower levels of grief may be beneficial. This could be addressed through information provision and interventions such as Cognitive Behavioural Therapy or Acceptance and Commitment Therapy.
因胎儿异常而终止妊娠（TFA）可能会产生重大的心理影响，但对于应对TFA所涉及的应对策略知之甚少。本研究探讨了女性应对策略与围产期悲伤之间的关系。
共有166名女性在线完成了一项调查。使用简易应对方式问卷（Brief COPE）和简短围产期悲伤量表（Short Perinatal Grief Scales）测量应对方式和围产期悲伤。通过多元回归分析对数据进行分析。
尽管女性大多采用适应性应对策略，但她们的悲伤程度较高，且因产科和终止妊娠的变量而异。行为脱离、宣泄、计划、宗教、自责、近期丧亲、TFA时无子女、TFA后未生育/未怀孕以及终止妊娠决定的不确定性可预测悲伤情绪。接受和积极重新评价对悲伤情绪有负向预测作用。
识别易出现心理适应不良的女性并推广与较低悲伤水平相关的应对策略可能有益。这可以通过提供信息以及认知行为疗法或接受与承诺疗法等干预措施来实现。
