An Evidence Review and Model for Prevention and Treatment of Postpartum Posttraumatic Stress Disorder

Vesel, J; Nickasch, Bonnie

doi:10.1111/1751-486x.12234

Cited by 25 publications

(22 citation statements)

References 71 publications

(190 reference statements)

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“…The IPHF divides a woman's life into a preconception phase (childhood until pregnancy or menopause); childbearing period or intraconceptual phase (prenatal, intrapartum and postpartum); and an interconception or between pregnancy period. Others also indicate socio‐economic, environmental, psychological, behavioural and biological forces contribute to PPTSD as possible determinates (Vesel & Nickasch, ). Thus, the results of this concept analysis demonstrate PPTSD is a multideterminant, lifespan health issue, reflecting a more current modelling of women's health issues, and providing a more nuanced approach to the understanding of PPTSD.…”

Section: Discussionmentioning

confidence: 99%

“…The current extant healthcare literature is focused mainly on PPTSD in the postpartum period, not antenatally; thus, this analysis is limited by a current lack of documentation of the phenomenon. Most studies also included self‐selected participants and included high‐risk pregnancies (Muzik et al., ; Vesel & Nickasch, ). Most studies are correlational in nature as trauma is not usually predicted highlighting the need for additional longitudinal designs (König et al., ).…”

Section: Discussionmentioning

confidence: 99%

“…For high‐risk and ethnically diverse populations including veterans, an advanced practice psychiatric nurse may need to routinely screen high‐risk women (Sorenson & Tschetter, ). International models of health care that promote access and affordable care are paramount for treatment (Vesel & Nickasch, ).…”

Section: Relevance To Clinical Practicementioning

confidence: 99%

“…In developing countries, maternal mental health prevalence may be as high as 15.6% and 19.8%, respectively (WHO, ). One understudied perinatal mental health disorder is post‐traumatic stress disorder (PTSD; Vesel & Nickasch, ). Perinatal post‐traumatic stress disorder (PPTSD) occurs in women during the perinatal period, not just postpartum, and is a phenomenon with unique characteristics when contrasted with PTSD occurring in adults in other contexts.…”

Section: Introduction and Aimsmentioning

confidence: 99%

“…Perinatal post-traumatic stress disorder remains an understudied phenomenon with lack of conceptual clarity and diverse population samples to guide future research in this area (Grekin & O'Hara, 2014;Schwab et al, 2012;Seng, Low, Sperlich, Ronis, & Liberzon, 2011;Seng et al, 2010;Vesel & Nickasch, 2015). Without enhanced conceptual clarity, the development of research models to examine the relationships between its characteristics and negative health outcomes remains difficult.…”

Section: Introduction and Aimsmentioning

confidence: 99%

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Post‐traumatic stress disorder in the perinatal period: A concept analysis

Vignato

Georges

Bush

et al. 2017

Journal of Clinical Nursing

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Aims and objectives To report an analysis of the concept of perinatal posttraumatic stress disorder (PPTSD). Background Prevalence of PPTSD is rising in the United States, with 9% of the U.S. perinatal population diagnosed with the disorder and an additional 18% being at risk for the condition. Left untreated, adverse maternal-child outcomes result in increased morbidity, mortality, and healthcare costs. Design Concept analysis via Walker and Avant’s approach. Methods The databases Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, Academic Search Premier, and PsychINFO were searched for articles, written in English, published between 2006 and 2015, containing the terms perinatal and PTSD. Results PPTSD owns unique attributes, antecedents, and outcomes when compared to PTSD in other contexts, and may be defined as a disorder arising after a traumatic experience; diagnosed any time from conception to 6 months postpartum; lasting longer than 1 month; leading to specific negative maternal symptoms, and poor maternal-infant outcomes. Attributes include a diagnostic time frame (conception to 6 months postpartum), harmful prior or current trauma, and specific diagnostic symptomatology defined in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition. Antecedents were identified as trauma (perinatal complications and abuse), postpartum depression, and previous psychiatric history. Consequences comprised adverse maternal-infant outcomes. Conclusions Further research on PPTSD antecedents, attributes and outcomes in ethnically diverse populations may provide clinicians a more comprehensive framework for identifying and treating PPTSD. Relevance to clinical practice Nurses are encouraged to increase their awareness of PPTSD for early assessment and intervention, and prevention of adverse maternal-infant outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Relevance To Clinical Practicementioning

confidence: 99%

Section: Introduction and Aimsmentioning

confidence: 99%

Section: Introduction and Aimsmentioning

confidence: 99%

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Post‐traumatic stress disorder in the perinatal period: A concept analysis

Vignato

Georges

Bush

et al. 2017

Journal of Clinical Nursing

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Exploring Contributing Factors to Psychological Traumatic Childbirth from the Perspective of Midwives: A Qualitative Study

Huang

Dai

Zeng

et al. 2019

Asian Nursing Research

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As midwives witness and attend the whole process of childbirth, they have a better understanding of which factors may cause traumatic childbirth. However, because most of the studies paid their attention on mothers, little is known about psychological birth trauma from the perspective of midwives. This study aims to gain a full understanding of which factors may contribute to psychological traumatic childbirth from the perspective of midwives. Methods: A qualitative research was conducted using in-depth interviews, which involved fourteen midwives from the maternal ward of a tertiary hospital. The interviews were recorded and transcribed, and then, Colaizzi's method was used to analyze the contents of the interviews. Results: We proposed four themes and eight subthemes on the influencing factors of psychological traumatic childbirth from the perspective of midwives: low perceived social support (lack of support from family and lack of support from medical staff), hard times (protracted labor in the first stage and futile efforts during the second stage), poor birth outcomes (poor birth outcomes of the mother and poor birth outcomes of the baby), and excruciating pain (unbearable pain of uterine contraction and labor pain was incongruent with the mother's expectations). Conclusion: Medical staff should pay attention to psychological traumatic childbirth and its effects, and emphasis on the screening and assessment of birthing women with negative feelings so that their psychological traumatic childbirth can be prevented and decreased.

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Validating the Psychometric Characteristics of the Perinatal Posttraumatic Stress Disorder Questionnaire (PPQ) in a Chinese Context

Zhang

Gan

et al. 2018

Archives of Psychiatric Nursing

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An Evidence Review and Model for Prevention and Treatment of Postpartum Posttraumatic Stress Disorder

Cited by 25 publications

References 71 publications

Post‐traumatic stress disorder in the perinatal period: A concept analysis

Post‐traumatic stress disorder in the perinatal period: A concept analysis

Exploring Contributing Factors to Psychological Traumatic Childbirth from the Perspective of Midwives: A Qualitative Study

Validating the Psychometric Characteristics of the Perinatal Posttraumatic Stress Disorder Questionnaire (PPQ) in a Chinese Context

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