Post-traumatic stress response in women with unintended pregnancy termination
10.3969/j.issn.1000-6729.2024.03.005
- VernacularTitle:意外妊娠终止女性创伤后心理应激反应状况
- Author:
Jing ZENG
1
,
2
;
Shengbin GUO
;
Qingxiang ZHENG
;
Zhumei LIN
;
Yan YANG
;
Qiujin QIU
;
Birong WEI
Author Information
1. 福建医科大学护理学院,福州 350000
2. 福建省妇幼保健院,福州 350000
- Keywords:
unintended pregnancy termination;
post-traumatic stress response;
related factors
- From:
Chinese Mental Health Journal
2024;38(3):218-224
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the post-traumatic stress response in women with unintended pregnancy termination and analyze its related factors.Methods:Totally 388 women with unintended pregnancy termination from two public hospitals in Fujian were selected as the research subjects.They were assessed with the Impact of E-vent Scale-Revised(IES-R),Hospital Anxiety and Depression Scale(HADS),Connor-Davidson Resilience Scale(CD-RISC)and Perinatal Grief Scale(PGS).The total score of IES-R ≥35 was positive for post-traumatic stress disorder screening.Results:The total score of IES-R was(20.6±12.4),and the positive rate of post-traumatic stress disorder screening was 16.5%.Multiple linear regression analysis showed that the IES-R total scores were higher in those who thought pregnancy timing was appropriate than those who thought pregnancy timing was wrong(β=0.13),and lower in women with moderate pain during termination than in those with severe pain(β=-0.09).The IES-R total scores were positively correlated with gestational weeks,depression scores of the HADS and grief scores of the PGS(β=0.18,0.27,0.16),and negatively correlated with optimism scores of the CD-RISC(β=-0.12).Conclusion:The post-traumatic stress response of unintended termination of pregnancy is at a moder-ate level.Post-traumatic stress symptoms are more likely to occur in women who thought pregnancy timing is ap-propriate,and those with severe pain during pregnancy termination,large gestational weeks,high level of depression during pregnancy,and high level of grief after pregnancy termination.