Lafarge Caroline, Mitchell Kathryn, Fox Pauline
a School of Human & Social Sciences , University of West London , Brentford , UK.
b Executive Department , University of Derby , Derby , UK.
Anxiety Stress Coping. 2017 Sep;30(5):536-550. doi: 10.1080/10615806.2016.1278433. Epub 2017 Jan 12.
Research about termination for fetal abnormality (TFA) suggests that it is a traumatic event with potential negative psychological consequences. However, evidence also indicates that following traumatic events individuals may experience growth. Although TFA's negative psychological outcomes are well documented, little is known of the potential for growth following this event. Therefore, the study's objectives were to measure posttraumatic growth (PTG) post-TFA, examine the relationship between PTG, perinatal grief and coping, and determine the predictors of PTG.
An online, retrospective survey was conducted with 161 women.
Eligible participants were women over 18 who had undergone TFA. Participants were recruited from a support organisation. They completed the Brief COPE, Short Perinatal Grief Scale and Posttraumatic Growth Inventory. Data were analysed using regression analyses.
Moderate levels of PTG were observed for "relating to others," "personal strengths" and "appreciation of life." "Positive reframing" was a significant predictor of PTG. Despite using mainly "adaptive" coping strategies, women's grief levels were high.
"Adaptive" coping strategies such as, "positive reframing" are relevant to TFA. They may act as protective factors against distress and as foundations for growth, implicating that interventions such as Cognitive Behavioural Therapy, which aim to reframe women's experience, may be beneficial.
关于因胎儿异常而终止妊娠（TFA）的研究表明，这是一个具有潜在负面心理后果的创伤性事件。然而，有证据也表明，经历创伤性事件后，个体可能会实现成长。尽管TFA的负面心理结果已有充分记录，但对于该事件后成长的可能性却知之甚少。因此，本研究的目的是测量TFA后的创伤后成长（PTG），检验PTG、围产期悲伤与应对之间的关系，并确定PTG的预测因素。
对161名女性进行了一项在线回顾性调查。
符合条件的参与者为年龄超过18岁且经历过TFA的女性。参与者从一个支持组织招募。她们完成了简易应对方式问卷、简短围产期悲伤量表和创伤后成长量表。使用回归分析对数据进行分析。
在“与他人的关系”“个人优势”和“对生活的感激”方面观察到中等水平的PTG。“积极重新评价”是PTG的一个重要预测因素。尽管主要使用“适应性”应对策略，但女性的悲伤程度仍然很高。
“积极重新评价”等“适应性”应对策略与TFA相关。它们可能作为抵御痛苦的保护因素以及成长的基础，这意味着旨在重新构建女性经历的认知行为疗法等干预措施可能是有益的。
