分娩对随行父亲来说是一个创伤性事件。

IF 4.2 2区 医学 Q1 PSYCHIATRY European Journal of Psychotraumatology Pub Date : 2024-01-01 Epub Date: 2024-04-29 DOI:10.1080/20008066.2024.2338671
Anna Golubitsky, Carolyn Weiniger, Yaron Sela, Daniella Mouadeb, Sara Freedman
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引用次数: 0

摘要

背景:越来越多的报道称,母亲在分娩后会出现创伤后应激障碍(PTSD)等不良反应,尤其是在客观和主观上经历了难产之后。有一小部分研究探讨了父亲对分娩的反应,结果不一:本研究旨在进一步推动这些研究,调查父亲参与分娩的客观和主观方面是否与产后第一年的创伤后应激障碍水平和分娩恐惧症状有关:共有 224 名父亲的伴侣在过去 12 个月内生育过孩子,他们回答了在线问卷,问卷调查了父亲参与分娩的情况、主观评价、对分娩的恐惧程度以及创伤后应激障碍症状。我们使用结构方程模型对数据进行了分析,研究了直接和间接效应:结果:约有 6% 的父亲报告了可能患有创伤后应激障碍的症状。负面认知在紧急剖腹产和创伤后应激障碍之间起到了中介作用。对分娩的恐惧与紧急剖腹产和缺乏医疗团队的信息有关:未来的研究在评估父亲对分娩的反应时,应考察父亲的参与程度、他们对分娩的主观评价以及对分娩的恐惧。
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Childbirth as a traumatic event for attendant fathers.

Background: Negative reactions such as post-traumatic stress disorder (PTSD) following childbirth have been increasingly reported in mothers, particularly following objectively and subjectively difficult childbirth experiences. A small body of research has examined fathers' reactions to childbirth, with mixed results.Objective: The study aimed to further these studies, investigating whether objective and subjective aspects of fathers' participation in childbirth were related to levels of PTSD and fear of childbirth symptoms, in the first year following childbirth.Method: In total, 224 fathers whose partners had given birth within the previous 12 months answered online questionnaires that examined participation in childbirth, subjective appraisals, levels of fear of childbirth, and PTSD symptoms. Data were analysed using structural equation modelling, examining both direct and indirect effects.Results: Approximately 6% of fathers reported symptoms consistent with probable PTSD. Negative cognitions mediated the path between an emergency caesarean and PTSD. Fear of childbirth was related to emergency caesareans and lack of information from the medical team.Conclusions: Future studies should examine the level of fathers' participation, their subjective appraisal of childbirth, and fear of childbirth, when assessing fathers' reactions to childbirth.

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来源期刊
CiteScore
7.60
自引率
12.00%
发文量
153
审稿时长
18 weeks
期刊介绍: The European Journal of Psychotraumatology (EJPT) is a peer-reviewed open access interdisciplinary journal owned by the European Society of Traumatic Stress Studies (ESTSS). The European Journal of Psychotraumatology (EJPT) aims to engage scholars, clinicians and researchers in the vital issues of how to understand, prevent and treat the consequences of stress and trauma, including but not limited to, posttraumatic stress disorder (PTSD), depressive disorders, substance abuse, burnout, and neurobiological or physical consequences, using the latest research or clinical experience in these areas. The journal shares ESTSS’ mission to advance and disseminate scientific knowledge about traumatic stress. Papers may address individual events, repeated or chronic (complex) trauma, large scale disasters, or violence. Being open access, the European Journal of Psychotraumatology is also evidence of ESTSS’ stand on free accessibility of research publications to a wider community via the web. The European Journal of Psychotraumatology seeks to attract contributions from academics and practitioners from diverse professional backgrounds, including, but not restricted to, those in mental health, social sciences, and health and welfare services. Contributions from outside Europe are welcome. The journal welcomes original basic and clinical research articles that consolidate and expand the theoretical and professional basis of the field of traumatic stress; Review articles including meta-analyses; short communications presenting new ideas or early-stage promising research; study protocols that describe proposed or ongoing research; case reports examining a single individual or event in a real‑life context; clinical practice papers sharing experience from the clinic; letters to the Editor debating articles already published in the Journal; inaugural Lectures; conference abstracts and book reviews. Both quantitative and qualitative research is welcome.
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