Cognitive predictors and risk factors of PTSD following stillbirth: a short-term longitudinal study.

Details

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State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_59D338A78F83
Type
Article: article from journal or magazin.
Collection
Publications
Title
Cognitive predictors and risk factors of PTSD following stillbirth: a short-term longitudinal study.
Journal
Journal of traumatic stress
Author(s)
Horsch A., Jacobs I., McKenzie-McHarg K.
ISSN
1573-6598 (Electronic)
ISSN-L
0894-9867
Publication state
Published
Issued date
04/2015
Peer-reviewed
Oui
Volume
28
Number
2
Pages
110-117
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
This short-term longitudinal study investigated cognitive predictors and risk factors of posttraumatic stress disorder (PTSD) in mothers following stillbirth. After a stillbirth at ≥ 24 weeks gestational age, 65 women completed structured clinical interviews and questionnaires assessing PTSD symptoms, cognitive predictors (appraisals, dysfunctional strategies), and risk factors (perceived social support, trauma history, obstetric history) at 3 and 6 months. PTSD symptoms decreased between 3 and 6 months (Cohen's d ranged .34-.52). Regression analyses also revealed a specific positive relationship between Rumination and concurrent frequency of PTSD symptoms (β = .45). Negative Self-View and Negative World-View related positively and Self-Blame related negatively to concurrent number of PTSD symptoms (β = .48, .44, -.45, respectively). Suppression and Distraction predicted a decrease and Numbing predicted an increase in time-lagged number of PTSD symptoms (β = -.33, -.28, .30, respectively). Risk factors for PTSD symptoms were younger age (β = -.25), lower income (β = -.29), fewer previous pregnancies (β = -.31), and poorer perceived social support (β = -.26). Interventions addressing negative appraisals, dysfunctional strategies, and social support are recommended for mothers with PTSD following stillbirth. Knowledge of cognitive predictors and risk factors of PTSD may inform the development of a screening instrument.

Keywords
Adult, Age Factors, Female, Gravidity, Guilt, Humans, Income, Longitudinal Studies, Pessimism/psychology, Psychiatric Status Rating Scales, Risk Factors, Self Concept, Social Support, Stillbirth/psychology, Stress Disorders, Post-Traumatic/etiology, Time Factors
Pubmed
Web of science
Open Access
Yes
Create date
11/05/2015 12:47
Last modification date
20/08/2019 14:13
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