Posttraumatic stress and affecting factors in couples after perinatal loss: A Turkish sample

Baransel, Esra Sabancı; Uçar, Tuba

doi:10.1111/ppc.12390

Cited by 9 publications

(11 citation statements)

References 25 publications

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“…Baransel and Uçar [ 24 ] found that the scores on the IES suggested a statistically significantly higher risk for PTSD 12 to 24 hours post-loss. Christiansen et al found scores that statistically significantly correlated with a probable or subclinical diagnosis of PTSD in 12.3% and 5.7% of the fathers, respectively, 1.2 months to 18 years post-loss with a mean of 3.4 years ( p < 0.01) [ 19 ].…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, intrusive thoughts statistically significantly increased, while avoidance of thoughts statistically significantly remained unchanged over time [27]. Finally, five studies investigated a gender effect [18,21,27,31,32]. Four of them described more overall PTS symptoms in mothers compared to fathers, although only in two studies, the difference was statistically significant [18,32].…”

Section: Post-traumatic Stress Symptoms / Ptsdmentioning

confidence: 97%

“…Assessment scales varied greatly: HTQ (Harvard Trauma Questionnaire) part IV, and the PTSD-I interview each were used in one study; the IES (Impact of Event Scale) in three studies. Baransel et al found that the scores on the IES suggested a statistically significantly higher risk for PTSD 12 to 24 hours post-loss [32]. Christiansen et al found scores that statistically significantly correlated with a probable or subclinical diagnosis of PTSD in 12.3% and 5.7% of the fathers, respectively, 1.2 months to 18 years post-loss with a mean of 3.4 years (p<0.01) [19].…”

Section: Post-traumatic Stress Symptoms / Ptsdmentioning

confidence: 99%

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Depression and post-traumatic stress disorder after perinatal loss in fathers: A systematic review

Lamon¹,

Hert²,

Detraux³

et al. 2022

Eur. Psychiatr.

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Background: Research indicates that perinatal loss can cause profound psychological consequences in parents. However, a comprehensive summary of existing quantitative literature describing the association between perinatal loss and the development of depression/depressive symptoms or PTSD/post-traumatic stress symptoms in fathers has not been published. Methods: A systematic literature search (from inception to December 2021), using the PubMed, EMBASE, and Web of Science databases to articles assessing depressive or posttraumatic stress symptoms, was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Only studies investigating the period of intrauterine death from 20 weeks of gestation, stillbirth, or neonatal death within the first month after birth were included. Results: A final sample of 13 articles were eligible for inclusion. Some studies showed an increased risk of depressive and post-traumatic stress symptoms in fathers after perinatal loss. However, many study results did not show significant differences, symptoms generally decreased over time and the majority of studies showed higher levels of depressive and post-traumatic stress symptoms in mothers, compared with fathers. Conclusion: Although the majority of the included studies showed elevated levels of depressive and/or PTSD symptoms after perinatal loss in fathers, no clear firm conclusion can be drawn, as the included studies were very heterogeneous. More homogeneous research measuring depressive and PTS symptoms in fathers is needed at the time of the loss, as the current literature available shows several limitations and gaps.

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Section: Resultsmentioning

confidence: 99%

Section: Post-traumatic Stress Symptoms / Ptsdmentioning

confidence: 97%

Section: Post-traumatic Stress Symptoms / Ptsdmentioning

confidence: 99%

See 1 more Smart Citation

Depression and post-traumatic stress disorder after perinatal loss in fathers: A systematic review

Lamon¹,

Hert²,

Detraux³

et al. 2022

Eur. Psychiatr.

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“…Parents face psychological distress in perinatal and neonatal death with an increased risk of post-traumatic stress disorder, depression, and anxiety. Reports have identified the relationship between perinatal death and the devastating impact on parents, including stress and mental health issues lasting for at least 6 months after the death of their infant (44,45). During our parent consultation round to discuss our study protocol, parents indicated that they did not want a 6 months follow-up survey.…”

Section: Discussionmentioning

confidence: 99%

Testing a Family Supportive End of Life Care Intervention in a Chinese Neonatal Intensive Care Unit: A Quasi-experimental Study With a Non-randomized Controlled Trial Design

et al. 2022

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Background:Neonatal death often occurs in tertiary Neonatal Intensive Care Units (NICUs). In China, end-of-life-care (EOLC) does not always involve parents.AimThe aim of this study is to evaluate a parent support intervention to integrate parents at the end of life of their infant in the NICU.MethodsA quasi-experimental study using a non-randomized clinical trial design was conducted between May 2020 and September 2021. Participants were infants in an EOLC pathway in the NICU and their parents. Parents were allocated into a family supportive EOLC intervention group or a standard EOLC group based on their wishes. The primary outcomes depression (Edinburgh Postnatal Depression Scale for mothers; Hamilton Depression rating scale for fathers) and Satisfaction with Care were measured 1 week after infants' death. Student t-test for continuous variables and the Chi-square test categorical variables were used in the statistical analysis.ResultsIn the study period, 62 infants died and 45 infants and 90 parents were enrolled; intervention group 20 infants, standard EOLC group 25 infants. The most common causes of death in both groups were congenital abnormalities (n = 20, 44%). Mean gestational age of infants between the family supportive EOLC group and standard EOLC group was 31.45 vs. 33.8 weeks (p = 0.234). Parents between both groups did not differ in terms of age, delivery of infant, and economic status. In the family support group, higher education levels were observed among mother (p = 0.026) and fathers (p = 0.020). Both mothers and fathers in the family supportive EOLC group had less depression compared to the standard EOLC groups; mothers (mean 6.90 vs. 7.56; p = 0.017) and fathers (mean 20.7 vs. 23.1; p < 0.001). Parents reported higher satisfaction in the family supportive EOLC group (mean 88.9 vs. 86.6; p < 0.001).ConclusionsSupporting parents in EOLC in Chinese NICUs might decreased their depression and increase satisfaction after the death of their infant. Future research needs to focus on long-term effects and expand on larger populations with different cultural backgrounds.Clinical Trial Registrationwww.ClinicalTrials.gov, identifier: NCT05270915.

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“…There are different opinions regarding these coping measures, some parents state that seeing the dead baby is an opportunity to say “goodbye” and fix it in their memory [ 41 ]. These parents suffer less post-traumatic stress than those who have not seen their baby [ 42 ]. On the other hand, the shock that this causes and the decision not to see the baby in order to cut the attachment may avoid greater suffering [ 41 ] as this can cause considerable anxiety [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Nursing Interventions to Facilitate the Grieving Process after Perinatal Death: A Systematic Review

Fernández‐Férez

Ventura-Miranda

Camacho-Ávila

et al. 2021

IJERPH

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Perinatal death is the death of a baby that occurs between the 22nd week of pregnancy (or when the baby weighs more than 500 g) and 7 days after birth. After perinatal death, parents experience the process of perinatal grief. Midwives and nurses can develop interventions to improve the perinatal grief process. The aim of this review was to determine the efficacy of nursing interventions to facilitate the process of grief as a result of perinatal death. A systematic review of the literature was carried out. Studies that met the selection criteria underwent a quality assessment using the Joanna Briggs Institute critical appraisal tool. Four articles were selected out of the 640 found. Two are quasi-experimental studies, and two are randomized controlled clinical studies. The interventions that were analyzed positively improve psychological self-concept and role functions, as well as mutual commitment, depression, post-traumatic stress and symptoms of grief. These interventions are effective if they are carried out both before perinatal loss and after it has occurred. The support of health professionals for affected parents, their participation in the loss, expressing feelings and emotions, using distraction methods, group sessions, social support, physical activity, and family education are some of the effective interventions.

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Posttraumatic stress and affecting factors in couples after perinatal loss: A Turkish sample

Cited by 9 publications

References 25 publications

Depression and post-traumatic stress disorder after perinatal loss in fathers: A systematic review

Depression and post-traumatic stress disorder after perinatal loss in fathers: A systematic review

Testing a Family Supportive End of Life Care Intervention in a Chinese Neonatal Intensive Care Unit: A Quasi-experimental Study With a Non-randomized Controlled Trial Design

Nursing Interventions to Facilitate the Grieving Process after Perinatal Death: A Systematic Review

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