Beck Cheryl Tatano, Twomey Teresa
MCN Am J Matern Child Nurs. 2023;48(6):303-311. doi: 10.1097/NMC.0000000000000954.
To explore positive changes in women's beliefs, emotions, and behaviors following their struggles with postpartum psychosis.
This is a descriptive qualitative study of women who experienced posttraumatic growth after postpartum psychosis. We recruited participants from postings on three Facebook groups. Participants sent their stories of posttraumatic growth after postpartum psychosis via email attachment. We used the following five domains from Tedeschi and Calhoun's (2004) posttraumatic growth model to guide our deductive content analysis: Relating to Others, Personal Strength, Appreciation of Life, New Possibilities, and Spiritual and Existential Change .
Thirteen women participated. Relating to Others was the posttraumatic growth domain most often described by the participants followed in order of frequency by Personal Strength, Appreciation of Life, New Possibilities , and Spiritual and Existential Change . Partners and family members' support was instrumental in recovery from postpartum psychosis.
When considering the total sample, participants experienced all five domains of posttraumatic growth after postpartum psychosis though not every individual experienced growth in all five domains. Interventions can be tailored to meet the needs of women depending on which phase of recovery from postpartum psychosis women are in, acute, early recovery, or advanced recovery. Advanced recovery is the most appropriate phase to discuss the possibility of posttraumatic growth with women. Such discussion should be done with caution and sensitivity as not all women experience positive growth, and it can be harmful to frame this in a way that indicates or encourages expectation.
探讨女性在产后精神病发作后的挣扎中，其信念、情绪和行为方面的积极变化。
这是一项对产后精神病发作后经历创伤后成长的女性进行的描述性定性研究。我们通过在三个脸书群组上发布招募信息来招募参与者。参与者通过电子邮件附件发送她们产后精神病发作后的创伤后成长故事。我们使用了泰德eschi和卡尔霍恩（2004年）创伤后成长模型中的以下五个领域来指导我们的演绎性内容分析：与他人的关系、个人力量、对生活的欣赏、新的可能性以及精神和存在的改变。
13名女性参与了研究。与他人的关系是参与者最常描述的创伤后成长领域，其次按频率依次为个人力量、对生活的欣赏、新的可能性以及精神和存在的改变。伴侣和家庭成员的支持对产后精神病的康复起到了重要作用。
考虑到整个样本，参与者在产后精神病发作后经历了创伤后成长的所有五个领域，尽管并非每个个体都在所有五个领域中实现了成长。干预措施可以根据女性处于产后精神病康复的哪个阶段进行调整，即急性期、早期康复期或晚期康复期。晚期康复期是与女性讨论创伤后成长可能性的最合适阶段。进行这样的讨论时应谨慎且保持敏感，因为并非所有女性都经历积极成长，以暗示或鼓励期望的方式来阐述这一点可能是有害的。
