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围产期丧亲之痛:依恋、悲伤症状与女性生活质量。

Perinatal loss: attachment, grief symptoms and women's quality of life.

作者信息

Laura Vismara, Ahmad Monica, Enrica Serra, Cristina Sechi

机构信息

Department of Pedagogy, Psychology, Philosophy, Faculty of Human Studies, University of Cagliari, Cagliari, Italy.

出版信息

J Reprod Infant Psychol. 2024 Oct 25:1-17. doi: 10.1080/02646838.2024.2419374.

DOI:10.1080/02646838.2024.2419374
PMID:39450655
Abstract

AIMS/BACKGROUND: Perinatal loss may cause intense distress even psychiatric issues, affecting the woman's quality of life. Attachment may provide a useful perspective in understanding the outcomes of the mourning process. Thus, the objectives of the present study were to evaluate perinatal grief symptoms and the psychological and general quality of life among 137 Italian women (mean age 36,9. ± 6,88 years old) in relation to attachment, specifically measured through parental care and control.

DESIGN/METHODS: About 79.6% of the participants had miscarriages and 20.4% had stillbirths. About 45.3% were childless. The women completed the Parental Bonding Instrument, the Perinatal Grief Scale and the Psychosocial General Well-Being Index online most frequently between 3 and 6 months (56.2%) after the perinatal loss.

RESULTS

All the study participants showed intense grief and severe grief reactions to loss. Moreover, women experiencing optimal bonding towards their own mothers had a more positive effect on perinatal grief and psychological and general quality of life.

CONCLUSIONS

Attachment-based, tailored interventions for women who have experienced perinatal loss should improve their psychological and overall quality of life.

摘要

目的/背景:围产期丧子可能会导致强烈的痛苦甚至精神问题,影响女性的生活质量。依恋关系可能为理解哀伤过程的结果提供一个有用的视角。因此,本研究的目的是评估137名意大利女性(平均年龄36.9±6.88岁)的围产期悲伤症状以及与依恋关系相关的心理和总体生活质量,依恋关系具体通过父母的关爱和控制来衡量。

设计/方法:约79.6%的参与者有过流产经历,20.4%有过死产经历。约45.3%的人没有子女。这些女性在围产期丧子后3至6个月(56.2%)最常通过网络完成父母教养方式问卷、围产期悲伤量表和心理社会总体幸福感指数调查。

结果

所有研究参与者对丧子都表现出强烈的悲伤和严重的悲伤反应。此外,与自己母亲有最佳依恋关系的女性对围产期悲伤以及心理和总体生活质量有更积极的影响。

结论

针对经历过围产期丧子的女性,基于依恋关系的个性化干预措施应能改善她们的心理和整体生活质量。

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