Psychosocial adaptation to pregnancy and delivery: course, predictors and outcome
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | German |
| Veröffentlicht: |
Göttingen
Cuvillier
2007
|
| Ausgabe: | 1. Aufl. |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Zugl.: Zürich, Univ., Diss., 2006 |
| Beschreibung: | III, 133 S. |
| ISBN: | 9783867271677 3867271674 |
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| adam_text | ii
Table of Contents
Acknowledgements i
Table of Contents ii
List of Tables iv
1 Introduction 1
2 Theoretical and empirical background 3
2.1 Medical aspects of pregnancy, delivery and childbed 3
2.1.1 Pregnancy 3
2.1.2 Delivery 5
2.1.3 Childbed 7
2.2 Psychological aspects of pregnancy, delivery and childbed: Transition to
parenthood as a critical life event 8
2.2.1 Life event research 8
2.2.2 Birth of a child as a critical life event 11
2.2.3 Birth of a child as a successive, long-lasting and multidimensional
process of change 14
2.2.4 Quality of life of women after the birth of a child 23
2.3 Clinical psychological and psychiatric aspects of pregnancy, delivery and
childbed 26
2.3.1 Psychiatric disorders during pregnancy 26
2.3.1.1 Diagnoses and Epidemiology 26
2.3.1.2 Etiology 29
2.3.1.3 Therapy 31
2.3.2 Postpartum Blues 33
2.3.2.1 Diagnosis 33
2.3.2.2 Epidemiology 33
2.3.2.3 Aetiology 34
2.3.2.4 Therapy 36
2.3.3 Postpartum Depression 37
2.3.3.1 Diagnosis 37
2.3.3.2 Epidemiology 39
2.3.3.3 Aetiology 43
2.3.3.4 Therapy 46
2.3.4 Postpartum Posttraumatic Stress Disorder 50
2.3.4.1 Diagnosis 50
2.3.4.2 Epidemiology 51
2.3.4.3 Aetiology 54
2.3.4.4 Therapy 55
2.3.5 Postpartum Psychosis 57
2.3.5.1 Diagnosis 57
2.3.5.2 Epidemiology 59
2.3.5.3 Aetiology 59
2.3.5.4 Therapy 61
2.4 Summary and conclusions for experimental design 63
3 Empirical Studies 69
3.1 Depressive symptoms and symptoms of posttraumatic stress disorder in
women after childbirth 69
3.1.1 Introduction 69
3.1.2 Methods 72
3.1.2.1 Procedure 72
3.1.2.2 Questionnaires 73
3.1.2.3 Data Analysis 75
3.1.3 Results 76
3.1.3.1 Study population 76
3.1.3.2 Course of psychological problems from late pregnancy to 6 months
postpartum: psychiatric symptoms, anxiety, depressive and
posttraumatic stress symptoms 76
3.1.3.3 Subgroups of psychiatric disorders: Posttraumatic stress symptoms,
depressive and general psychiatric symptoms 78
3.1.3.4 Predictors of depressive, posttraumatic and general psychiatric
symptoms in women 6 months postpartum 80
3.1.4 Discussion 82
3.2 Subjective quality of life of women during late pregnancy and 6 months after
childbirth 87
3.2.1 Introduction 87
3.2.2 Methods 89
3.2.2.1 Procedure 89
3.2.2.2 Questionnaires 89
3.2.2.3 Data Analysis 91
3.2.3 Results 92
3.2.3.1 Study population 92
3.2.3.2 Course of the subjective quality of life of women in late pregnancy and
6 months after childbirth 92
3.2.3.3 Comparison of women with high subjective quality of life and women
with low subjective quality of life 6 months after childbirth 93
3.2.3.4 Predictors of quality of life of women 6 months after childbirth 96
Discussion 97
4 General discussion 101
4.1 Summary of the experimental studies 101
4.2 Discussion of the research approach 105
4.3 Clinical implications of the findings 108
4.4 Directions for future research 110
5 References 113
iv
List of Tables
Table 1: Frequency of psychiatric disorders of women during pregnancy 28
Table 2: Frequency of postpartum blues of women after childbirth 34
Table 3: Criteria for major depressive disorder starting postpartum according to
DSM-IV (APA, 1994; shortened) 38
Table 4: Prevalence and diagnostic criteria for postpartum depression (clinical
interviews) 40
Table 5: Prevalence and diagnostic criteria for postpartum depression
(questionnaire) 42
Table 6: Symptoms of PTSD according to DSM-IV (APA, 1994) 50
Table 7: Frequency of PTSD of women after childbirth 52
Table 8: Diagnostic categories of postpartum psychoses according to DSM-IV
(APA, 1994) 57
Table 9: Multivariate tests (MANOVA) of psychological problems in women
from late pregnancy (1), 1-3 days after delivery (2), 6 weeks
postpartum (3) to 6 months postpartum (4) measured by the GHQ, the
subscalcs of the GHQ (somatic symptoms, anxiety and insomnia, social
dysfunction and depression), by the STAI-state, the EPDS and the PDS. 77
Table 10: Subgroups of psychiatric disorders: Posttraumatic stress symptoms,
depressive and general psychiatric symptoms 6 weeks after delivery
(N=50) 79
Table 11: Subgroups of psychiatric disorders: Posttraumatic stress symptoms,
depressive and general psychiatric symptoms 6 months after delivery
(N=47) 79
Table 12: Sequential multiple linear regression analyses on depressive symptoms
6 months after delivery measured by the EPDS 80
Table 13: Sequential multiple linear regression analyses on posttraumatic stress
symptoms 6 months after delivery measured by the PDS 81
Table 14: Sequential multiple linear regression analyses on psychiatric symptoms
6 months after delivery measured by the GHQ 81
Table 15: T-tcst for paired groups: Course of the perceived pressure for change as
a measure of subjective quality of life of women in late pregnancy and
6 months after childbirth 93
Table 16: Women with high quality of life and women with low quality of life
measured by the ScV 6 months after childbirth: groups formed by
median split 94
Table 17: T-tcst for unpaired groups: Comparison of women with high quality of
life and women with low quality of life measured by the ScV 6 months
after childbirth for several demographic and psychological variables 94
Table 18: T-tcst for paired groups: Course of the perceived pressure for change as
a measure of subjective quality of life of women in late pregnancy and
6 months after childbirth in the two groups formed by median split:
group of women with low and high subjective quality of life,
respectively. 95
Table 19: Logistic regression on the groups of women with high and low quality
of life 6 months after childbirth 96
Table 20: Logistic regression on the groups of women with high and low quality
of life 6 months after childbirth 97
|
| adam_txt |
ii
Table of Contents
Acknowledgements i
Table of Contents ii
List of Tables iv
1 Introduction 1
2 Theoretical and empirical background 3
2.1 Medical aspects of pregnancy, delivery and childbed 3
2.1.1 Pregnancy 3
2.1.2 Delivery 5
2.1.3 Childbed 7
2.2 Psychological aspects of pregnancy, delivery and childbed: Transition to
parenthood as a critical life event 8
2.2.1 Life event research 8
2.2.2 Birth of a child as a critical life event 11
2.2.3 Birth of a child as a successive, long-lasting and multidimensional
process of change 14
2.2.4 Quality of life of women after the birth of a child 23
2.3 Clinical psychological and psychiatric aspects of pregnancy, delivery and
childbed 26
2.3.1 Psychiatric disorders during pregnancy 26
2.3.1.1 Diagnoses and Epidemiology 26
2.3.1.2 Etiology 29
2.3.1.3 Therapy 31
2.3.2 Postpartum Blues 33
2.3.2.1 Diagnosis 33
2.3.2.2 Epidemiology 33
2.3.2.3 Aetiology 34
2.3.2.4 Therapy 36
2.3.3 Postpartum Depression 37
2.3.3.1 Diagnosis 37
2.3.3.2 Epidemiology 39
2.3.3.3 Aetiology 43
2.3.3.4 Therapy 46
2.3.4 Postpartum Posttraumatic Stress Disorder 50
2.3.4.1 Diagnosis 50
2.3.4.2 Epidemiology 51
2.3.4.3 Aetiology 54
2.3.4.4 Therapy 55
2.3.5 Postpartum Psychosis 57
2.3.5.1 Diagnosis 57
2.3.5.2 Epidemiology 59
2.3.5.3 Aetiology 59
2.3.5.4 Therapy 61
2.4 Summary and conclusions for experimental design 63
3 Empirical Studies 69
3.1 Depressive symptoms and symptoms of posttraumatic stress disorder in
women after childbirth 69
3.1.1 Introduction 69
3.1.2 Methods 72
3.1.2.1 Procedure 72
3.1.2.2 Questionnaires 73
3.1.2.3 Data Analysis 75
3.1.3 Results 76
3.1.3.1 Study population 76
3.1.3.2 Course of psychological problems from late pregnancy to 6 months
postpartum: psychiatric symptoms, anxiety, depressive and
posttraumatic stress symptoms 76
3.1.3.3 Subgroups of psychiatric disorders: Posttraumatic stress symptoms,
depressive and general psychiatric symptoms 78
3.1.3.4 Predictors of depressive, posttraumatic and general psychiatric
symptoms in women 6 months postpartum 80
3.1.4 Discussion 82
3.2 Subjective quality of life of women during late pregnancy and 6 months after
childbirth 87
3.2.1 Introduction 87
3.2.2 Methods 89
3.2.2.1 Procedure 89
3.2.2.2 Questionnaires 89
3.2.2.3 Data Analysis 91
3.2.3 Results 92
3.2.3.1 Study population 92
3.2.3.2 Course of the subjective quality of life of women in late pregnancy and
6 months after childbirth 92
3.2.3.3 Comparison of women with high subjective quality of life and women
with low subjective quality of life 6 months after childbirth 93
3.2.3.4 Predictors of quality of life of women 6 months after childbirth 96
Discussion 97
4 General discussion 101
4.1 Summary of the experimental studies 101
4.2 Discussion of the research approach 105
4.3 Clinical implications of the findings 108
4.4 Directions for future research 110
5 References 113
iv
List of Tables
Table 1: Frequency of psychiatric disorders of women during pregnancy 28
Table 2: Frequency of postpartum blues of women after childbirth 34
Table 3: Criteria for major depressive disorder starting postpartum according to
DSM-IV (APA, 1994; shortened) 38
Table 4: Prevalence and diagnostic criteria for postpartum depression (clinical
interviews) 40
Table 5: Prevalence and diagnostic criteria for postpartum depression
(questionnaire) 42
Table 6: Symptoms of PTSD according to DSM-IV (APA, 1994) 50
Table 7: Frequency of PTSD of women after childbirth 52
Table 8: Diagnostic categories of postpartum psychoses according to DSM-IV
(APA, 1994) 57
Table 9: Multivariate tests (MANOVA) of psychological problems in women
from late pregnancy (1), 1-3 days after delivery (2), 6 weeks
postpartum (3) to 6 months postpartum (4) measured by the GHQ, the
subscalcs of the GHQ (somatic symptoms, anxiety and insomnia, social
dysfunction and depression), by the STAI-state, the EPDS and the PDS. 77
Table 10: Subgroups of psychiatric disorders: Posttraumatic stress symptoms,
depressive and general psychiatric symptoms 6 weeks after delivery
(N=50) 79
Table 11: Subgroups of psychiatric disorders: Posttraumatic stress symptoms,
depressive and general psychiatric symptoms 6 months after delivery
(N=47) 79
Table 12: Sequential multiple linear regression analyses on depressive symptoms
6 months after delivery measured by the EPDS 80
Table 13: Sequential multiple linear regression analyses on posttraumatic stress
symptoms 6 months after delivery measured by the PDS 81
Table 14: Sequential multiple linear regression analyses on psychiatric symptoms
6 months after delivery measured by the GHQ 81
Table 15: T-tcst for paired groups: Course of the perceived pressure for change as
a measure of subjective quality of life of women in late pregnancy and
6 months after childbirth 93
Table 16: Women with high quality of life and women with low quality of life
measured by the ScV 6 months after childbirth: groups formed by
median split 94
Table 17: T-tcst for unpaired groups: Comparison of women with high quality of
life and women with low quality of life measured by the ScV 6 months
after childbirth for several demographic and psychological variables 94
Table 18: T-tcst for paired groups: Course of the perceived pressure for change as
a measure of subjective quality of life of women in late pregnancy and
6 months after childbirth in the two groups formed by median split:
group of women with low and high subjective quality of life,
respectively. 95
Table 19: Logistic regression on the groups of women with high and low quality
of life 6 months after childbirth 96
Table 20: Logistic regression on the groups of women with high and low quality
of life 6 months after childbirth 97 |
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| discipline | Psychologie Medizin |
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| index_date | 2024-07-02T17:17:41Z |
| indexdate | 2024-07-09T20:56:45Z |
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| language | German |
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| spelling | Zaers, Stefanie Verfasser aut Psychosocial adaptation to pregnancy and delivery course, predictors and outcome Stefanie Zaers 1. Aufl. Göttingen Cuvillier 2007 III, 133 S. txt rdacontent n rdamedia nc rdacarrier Zugl.: Zürich, Univ., Diss., 2006 Psychische Störung (DE-588)4047686-8 gnd rswk-swf Wochenbettpsychose (DE-588)4190138-1 gnd rswk-swf Wochenbettdepression (DE-588)4190136-8 gnd rswk-swf Schwangerschaft (DE-588)4053724-9 gnd rswk-swf (DE-588)4113937-9 Hochschulschrift gnd-content Schwangerschaft (DE-588)4053724-9 s Psychische Störung (DE-588)4047686-8 s DE-604 Wochenbettdepression (DE-588)4190136-8 s Wochenbettpsychose (DE-588)4190138-1 s HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015607818&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Zaers, Stefanie Psychosocial adaptation to pregnancy and delivery course, predictors and outcome Psychische Störung (DE-588)4047686-8 gnd Wochenbettpsychose (DE-588)4190138-1 gnd Wochenbettdepression (DE-588)4190136-8 gnd Schwangerschaft (DE-588)4053724-9 gnd |
| subject_GND | (DE-588)4047686-8 (DE-588)4190138-1 (DE-588)4190136-8 (DE-588)4053724-9 (DE-588)4113937-9 |
| title | Psychosocial adaptation to pregnancy and delivery course, predictors and outcome |
| title_auth | Psychosocial adaptation to pregnancy and delivery course, predictors and outcome |
| title_exact_search | Psychosocial adaptation to pregnancy and delivery course, predictors and outcome |
| title_exact_search_txtP | Psychosocial adaptation to pregnancy and delivery course, predictors and outcome |
| title_full | Psychosocial adaptation to pregnancy and delivery course, predictors and outcome Stefanie Zaers |
| title_fullStr | Psychosocial adaptation to pregnancy and delivery course, predictors and outcome Stefanie Zaers |
| title_full_unstemmed | Psychosocial adaptation to pregnancy and delivery course, predictors and outcome Stefanie Zaers |
| title_short | Psychosocial adaptation to pregnancy and delivery |
| title_sort | psychosocial adaptation to pregnancy and delivery course predictors and outcome |
| title_sub | course, predictors and outcome |
| topic | Psychische Störung (DE-588)4047686-8 gnd Wochenbettpsychose (DE-588)4190138-1 gnd Wochenbettdepression (DE-588)4190136-8 gnd Schwangerschaft (DE-588)4053724-9 gnd |
| topic_facet | Psychische Störung Wochenbettpsychose Wochenbettdepression Schwangerschaft Hochschulschrift |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015607818&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT zaersstefanie psychosocialadaptationtopregnancyanddeliverycoursepredictorsandoutcome |