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围产期丧亲后的创伤后成长:一项系统综述。

Posttraumatic growth after perinatal loss: A systematic review.

作者信息

Alvarez-Calle María, Chaves Covadonga

机构信息

School of Psychology, Complutense University of Madrid, Madrid, Spain.

School of Psychology, Complutense University of Madrid, Madrid, Spain.

出版信息

Midwifery. 2023 Jun;121:103651. doi: 10.1016/j.midw.2023.103651. Epub 2023 Mar 10.

DOI:10.1016/j.midw.2023.103651
PMID:36963142
Abstract

Perinatal loss is a potentially painful event for parents and a grief that is often not recognised socially. Research has widely shown that grief responses can coexist with posttraumatic growth responses. The aim of this systematic review was to assess the available evidence of studies investigating posttraumatic growth in people who have suffered a perinatal loss. A search was conducted in PROQUEST and Web of Science for articles published from 2011 to 2021. After reviewing 10 selected articles, it was found that the participants showed moderate levels of posttraumatic growth, mostly in the domains of personal strength, relationships with others, appreciation of life, and to a lesser extent in the perception of new possibilities and spiritual growth. Factors that facilitated the growth experience were finding meaning in the loss, changes in core beliefs, adaptive coping strategies, deliberate rumination, continued bonds with the deceased baby, and social support. It is expected that this systematic review will provide a basis for the design of future interventions aimed at promoting growth when facing perinatal loss.

摘要

围产期丧亲之痛对父母来说是一个潜在的痛苦事件,而这种悲痛往往在社会上得不到认可。研究广泛表明,悲伤反应可能与创伤后成长反应并存。本系统综述的目的是评估有关调查围产期丧亲者创伤后成长的研究的现有证据。在PROQUEST和科学网中检索了2011年至2021年发表的文章。在审查了10篇选定的文章后,发现参与者表现出中等程度的创伤后成长,主要体现在个人力量、与他人的关系、对生活的欣赏等方面,在对新可能性的感知和精神成长方面程度较低。促进成长体验的因素包括在丧亲之痛中找到意义、核心信念的改变、适应性应对策略、刻意反思、与已故婴儿的持续联系以及社会支持。预计本系统综述将为未来旨在促进面对围产期丧亲之痛时成长的干预措施设计提供依据。

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