Harrigan R, Naber M M, Jensen K A, Tse A, Perez D
Neonatal Netw. 1993 Aug;12(5):25-31.
The grief response of parents following loss of an infant from a multiple gestation pregnancy was explored to describe the experience, compare and contrast mother's and father's responses, and analyze the properties of the Perinatal Grief Scale. Twenty-seven parents participated. Parental responses were complex and variable. Most parents disagreed with experiencing difficulty coping and despair. Confrontive, self reliant, and supportant coping strategies were used most frequently, while supportant, confrontive and optimistic strategies were reported the most effective. Anxiety, depression and alterations in activities of daily living were reported. The total impact of life events was slightly positive for this group. Although the instruments were reliable in this population of parents, sensitivity was reduced. A model of grief associated with multiple gestation perinatal loss was generated. Selection and effectiveness of coping strategies appear to be not only interrelated, but dependent on the time since the infants death and the length of the infants life. The length of an infant's life and time since death were affirmed as related to both the strength and type of relationship between variables associated with the grief response and to use and effectiveness of coping strategies. Responses of mothers and fathers appear to be similar.
本研究旨在探讨多胎妊娠中婴儿夭折后父母的悲伤反应，以描述这一经历，比较和对比母亲与父亲的反应，并分析围产期悲伤量表的特性。27位父母参与了研究。父母的反应复杂且多变。大多数父母不同意自己在应对和绝望方面存在困难。对抗性、自力更生和支持性的应对策略使用最为频繁，而支持性、对抗性和乐观的策略被报告为最有效。研究报告了焦虑、抑郁以及日常生活活动的改变。生活事件对这组父母的总体影响略显积极。尽管这些工具在这组父母群体中具有可靠性，但敏感性有所降低。由此产生了一个与多胎妊娠围产期损失相关的悲伤模型。应对策略的选择和有效性似乎不仅相互关联，而且取决于婴儿死亡后的时间以及婴儿的生命时长。婴儿的生命时长和死亡后的时间被证实与悲伤反应相关变量之间关系的强度和类型以及应对策略的使用和有效性都有关系。母亲和父亲的反应似乎相似。
