Klock S C, Chang G, Hiley A, Hill J
Division of Psychiatry, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Psychosomatics. 1997 Sep-Oct;38(5):503-7. doi: 10.1016/S0033-3182(97)71428-2.
Fifty-seven of 100 women with recurrent abortion completed questionnaires designed to assess demographic and reproductive variables, depression, anxiety, social desirability, self-esteem, locus of control, and marital adjustment. The results indicated that 32% of the women could be classified as depressed. The subjects also reported higher than average levels of acute and chronic anxiety. Fifty-three percent of the subjects reported below average marital adjustment. Post hoc analyses indicated that the women who had a previous elective abortion had higher levels of anxiety, lower marital adjustment, and different attributions regarding their pregnancy losses than the women who had not had an elective abortion. Having a living child was not a protective buffer against psychological distress.
100名复发性流产女性中有57人完成了旨在评估人口统计学和生殖变量、抑郁、焦虑、社会期望、自尊、控制点和婚姻调适的问卷。结果表明,32%的女性可被归类为抑郁。这些受试者还报告了高于平均水平的急性和慢性焦虑。53%的受试者报告婚姻调适低于平均水平。事后分析表明,与未进行过选择性流产的女性相比,曾进行过选择性流产的女性焦虑水平更高、婚姻调适更低,且对妊娠丢失的归因不同。有一个在世子女并不能成为抵御心理困扰的保护缓冲因素。