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围产期悲伤会增加后续妊娠时焦虑的易感性:丧亲相关内疚感的中介作用。

Perinatal grief creates vulnerability to anxiety in subsequent pregnancy: the mediating role of bereavement-related guilt.

作者信息

Keser Emrah, Kahya Yasemin

机构信息

Department of Psychology, TED University, Ankara, Turkey.

Department of Psychology, Social Sciences University of Ankara, Ankara, Turkey.

出版信息

J Reprod Infant Psychol. 2024 Mar 26:1-13. doi: 10.1080/02646838.2024.2335176.

DOI:10.1080/02646838.2024.2335176
PMID:38529818
Abstract

AIM

This study examines the associations among perinatal grief symptoms, bereavement-related guilt, and pregnancy-related anxiety in subsequent pregnancy within the framework of a hypothesised mourning model.

METHOD

Pregnant women with history of a perinatal loss were recruited using convenience sampling methods and completed a questionnaire set including the Perinatal Grief Scale, Bereavement Guilt Scale, and Pregnancy-related Anxiety Scale.

RESULTS

Mediation analysis was performed to evaluate the hypothesised model in a sample of pregnant women with history of a perinatal loss ( = 111). The results indicated that bereavement-related guilt functions as a mediator in the relationship between perinatal grief severity and pregnancy-related anxiety experienced in subsequent pregnancies.

CONCLUSION

These findings were evaluated in light of previous studies, providing a bereavement-based perspective on the potential transmission of the mental effects of perinatal loss to subsequent pregnancy.

摘要

目的

本研究在一个假设的哀伤模型框架内,探讨围产期悲伤症状、丧亲相关内疚感与后续妊娠中与妊娠相关焦虑之间的关联。

方法

采用便利抽样方法招募有围产期丧亲史的孕妇,并让她们完成一套问卷,包括围产期悲伤量表、丧亲内疚量表和与妊娠相关焦虑量表。

结果

对111名有围产期丧亲史的孕妇样本进行中介分析,以评估假设模型。结果表明,丧亲相关内疚感在围产期悲伤严重程度与后续妊娠中经历的与妊娠相关焦虑之间的关系中起中介作用。

结论

根据先前的研究对这些结果进行了评估,为围产期丧亲的心理影响向后续妊娠的潜在传递提供了一个基于丧亲的视角。

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引用本文的文献

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Bereavement and maternal mental disorders during the perinatal period: a nationwide register-based study in Sweden.围产期丧亲之痛与母亲精神障碍:瑞典一项基于全国登记数据的研究
Eur J Psychotraumatol. 2025 Dec;16(1):2545661. doi: 10.1080/20008066.2025.2545661. Epub 2025 Sep 3.