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产后创伤后应激障碍患者的生活经历。

Women's experiences of living with postnatal PTSD.

作者信息

Peeler Susanne, Stedmon Jacqui, Chung Man Cheung, Skirton Heather

机构信息

Health and Care Professions, University Centre Somerset, Wellington Road, Taunton TA1 5AX, United Kingdom.

School of Psychology, Faculty of Health and Human Sciences, Plymouth University, Room 507, Rolle Building, Drake Circus, Plymouth PL4 8AA, United Kingdom.

出版信息

Midwifery. 2018 Jan;56:70-78. doi: 10.1016/j.midw.2017.09.019. Epub 2017 Oct 13.

DOI:10.1016/j.midw.2017.09.019
PMID:29096282
Abstract

UNLABELLED

the mental health of new mothers is a public health concern as it is likely to have an impact on the mother herself, her close relationships and the behavioural and emotional health of her children. Post-traumatic stress disorder affects some women after childbirth.

OBJECTIVE

the aim of this study was to explore how women were affected by the memories of a birth that they perceived as traumatic.

DESIGN

in this paper the authors report the qualitative analysis of interview data from seven postnatal women reporting symptoms of PTSD. Participants were recruited from a large NHS Trust in the South West of England. Thematic analysis was used to analyse interview data collected from the seven women reporting symptoms of postnatal PTSD.

FINDINGS

complicating factors such as relationship difficulties and pre-existing health problems appeared to contribute to postnatal post-traumatic stress disorder and some women reported difficulty expressing emotions. The study findings confirm that women value good relationships with midwives during labour.

KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

antenatal screening for personality traits such as alexithymia (difficulty expressing emotions) may be useful and midwives should be alert to current life events that may increase women's vulnerability to post-traumatic stress disorder.

摘要

未标注

初为人母者的心理健康是一个公共卫生问题,因为它可能会对母亲自身、她的亲密关系以及孩子的行为和情绪健康产生影响。创伤后应激障碍会在分娩后影响一些女性。

目的

本研究的目的是探讨女性如何受到她们认为具有创伤性的分娩记忆的影响。

设计

在本文中,作者报告了对七名有创伤后应激障碍症状的产后女性访谈数据的定性分析。参与者从英格兰西南部的一个大型国民保健服务信托机构招募。采用主题分析法对从七名有产后创伤后应激障碍症状的女性收集的访谈数据进行分析。

研究结果

诸如关系困难和先前存在的健康问题等复杂因素似乎导致了产后创伤后应激障碍,一些女性报告说难以表达情绪。研究结果证实,女性重视分娩期间与助产士的良好关系。

关键结论及对实践的启示

对述情障碍(难以表达情绪)等人格特质进行产前筛查可能有用,助产士应警惕可能增加女性患创伤后应激障碍易感性的当前生活事件。

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