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孕妇的创伤后应激症状及与战争相关的担忧:自我掌控和对不确定性的不耐受的作用

Post-traumatic stress symptoms and war-related concerns among pregnant women: The contribution of self-mastery and intolerance of uncertainty.

作者信息

Ring Lia, Mijalevich-Soker Elad, Joffe Esther, Awad-Yasin Maram, Taubman-Ben-Ari Orit

机构信息

The Louis and Gabi Weisfeld School of Social Work, Bar-Ilan University, Ramat Gan, Israel.

出版信息

J Reprod Infant Psychol. 2024 Dec 17:1-14. doi: 10.1080/02646838.2024.2442471.

DOI:10.1080/02646838.2024.2442471
PMID:39688286
Abstract

BACKGROUND

Exposure to traumatic events can significantly impact individuals' mental health, particularly of more vulnerable populations, such as pregnant women. This study focuses on Israeli pregnant women following the terror attack on October 7, 2023, and the subsequent war. It aims to examine the contribution of background and pregnancy-related characteristics, exposure to the traumatic events and personal resources (self-mastery, intolerance of uncertainty) to post-traumatic stress symptoms (PTSS) and war-related concerns about oneself, close others, the fetus and raising the baby who is about to be born.

METHOD

Pregnant women ( = 175) aged 20-45 ( = 31.14,  = 5.26) were recruited through social media and completed online self-report questionnaires.

RESULTS

Direct traumatic exposure, lower self-mastery and higher intolerance of uncertainty contributed to women's PTSS; lower self-mastery and higher intolerance of uncertainty contributed to most concerns; direct exposure to the traumatic events contributed to concerns about the fetus and raising the baby.

CONCLUSIONS

The findings expand existing knowledge concerning resources related to PTSS and various war-related concerns. Mental health professionals should be informed of these variables when planning interventions with this population.

摘要

背景

接触创伤性事件会对个人心理健康产生重大影响,尤其是对孕妇等更脆弱的人群。本研究聚焦于2023年10月7日恐怖袭击及随后的战争发生后的以色列孕妇。其目的是探讨背景和与怀孕相关的特征、接触创伤性事件以及个人资源(自我掌控、对不确定性的不耐受)对创伤后应激症状(PTSS)以及与战争相关的对自身、亲密他人、胎儿和即将出生婴儿养育问题的担忧的影响。

方法

通过社交媒体招募了年龄在20 - 45岁(平均年龄 = 31.14,标准差 = 5.26)的175名孕妇,她们完成了在线自我报告问卷。

结果

直接的创伤暴露、较低的自我掌控以及较高的对不确定性的不耐受导致了女性的PTSS;较低的自我掌控和较高的对不确定性的不耐受导致了大多数担忧;直接接触创伤性事件导致了对胎儿和养育婴儿的担忧。

结论

这些发现扩展了关于与PTSS及各种与战争相关担忧相关资源的现有知识。在为这一人群制定干预措施时,心理健康专业人员应了解这些变量。

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