LaRoche C, Lalinec-Michaud M, Engelsmann F, Fuller N, Copp M, McQuade-Soldatos L, Azima R
Can J Psychiatry. 1984 Feb;29(1):14-9. doi: 10.1177/070674378402900104.
Thirty mothers who experienced a perinatal death were offered crisis intervention aimed at facilitating their grief process at a few days, 3 weeks and 3 months after the loss. Evaluation of maternal grief reactions and their general psychological adjustment took place at these 3 early contacts and 1 to 2 years later. This last assessment included a semi-structured clinical interview and a number of self-rating scales (Life Events Schedule, Beck Depression Inventory (BDI) and a Mourning Scale). Six of the 30 mothers showed inappropriate grief reactions at the 3 week and 3 month assessment. By the long term follow up only 1 of these 6 displayed depression or other psychiatric disorder. Three other women not identified as high risk candidates by the 3 month evaluation developed high BDI scores and clinical depressions at the 1 to 2 year assessment. Variables associated with abnormal grief and depression such as social support systems, communication between the parents, maternal dreams, and hospital practices were examined and discussed indicating possibilities for future research.
三十位经历围产期死亡的母亲接受了危机干预，旨在在丧子后的几天、3周和3个月时促进她们的悲伤过程。在这三次早期接触时以及1至2年后对母亲的悲伤反应及其总体心理调适情况进行了评估。最后一次评估包括一次半结构化临床访谈以及一些自评量表（生活事件量表、贝克抑郁量表（BDI）和哀伤量表）。在3周和3个月评估时，30位母亲中有6位表现出不适当的悲伤反应。到长期随访时，这6人中只有1人出现抑郁或其他精神障碍。另外3名在3个月评估时未被认定为高风险对象的女性在1至2年评估时BDI得分很高并出现临床抑郁。对与异常悲伤和抑郁相关的变量，如社会支持系统、父母之间的沟通、母亲的梦境以及医院做法等进行了检查和讨论，指出了未来研究的可能性。
