Prenatal depression, mode of delivery and perinatal dissociation as predictors of postpartum posttraumatic stress: an empirical study

Son, Maarten van; Verkerk, Gerda; Hart, Onno van der; Komproe, Ivan H.; Pop, Victor J.M.

doi:10.1002/cpp.446

Cited by 63 publications

(81 citation statements)

References 61 publications

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“…Results have to be treated with care. High drop-outs are unfortunate yet common in longitudinal studies, such as König et al (2016) and van Son et al (2005). We did not ask for dropout reasons and recommend to do so in future studies.…”

Section: Discussionmentioning

confidence: 99%

“…Peritrauma variables, on the other hand, could influence posttraumatic stress either directly or indirectly through posttrauma variables occurring after the trauma. Childbirth, like elective spine surgery, is a possibly traumatizing event that is highly predictable and therefore a suitable subject for research on the relevance of pre- and peritrauma risk factors in longitudinal studies (Garthus-Niegel, Von Soest, Vollrath, & Eberhard-Gran, 2013; König et al, 2016; van Son, Verkerk, van der Hart, Komproe, & Pop, 2005). While some studies (e.g.…”

Section: Introductionmentioning

confidence: 99%

“…While some studies (e.g. König et al, 2016; van Son et al, 2005) suggest both a vulnerability and a stress pathway, Garthus-Niegel et al (2013) found that subjective experiences during birth are the most relevant predictor of PTSD symptoms.…”

Section: Introductionmentioning

confidence: 99%

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Peritraumatic distress fully mediates the relationship between posttraumatic stress symptoms preoperative and three months postoperative in patients undergoing spine surgery

Shiban

Lehmberg

Hoffmann

et al. 2018

European Journal of Psychotraumatology

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Background: Growing evidence shows the significance of illness and surgical procedures as traumatizing stressors. Risk factors are widely investigated in various settings and samples, using numerous measures of posttraumatic stress and posttraumatic stress disorder (PTSD). While pretrauma psychological distress is acknowledged as an influential factor, peritraumatic experiences are controversially still being discussed as relevant to the development of PTSD. Objective: In a group of patients consecutively undergoing elective spine surgery (N = 89) in a German hospital, this longitudinal study addressed the question of how pretrauma PTSD symptoms and peritrauma distress interact with one another in regard to the amount of posttrauma symptoms of PTSD. Methods: Pre- and posttrauma symptoms of PTSD as well as peritrauma distress were assessed through questionnaires one week before, one week after or three months after surgery. Results: Even though all three variables showed significant correlations with one another, mediation analysis revealed that peritrauma distress fully mediated the relationship between pre- and posttrauma PTSD symptoms. Conclusions: These results add new insights to the controversial discussion on the role peritraumatic experiences play in the development of PTSD, especially in medical settings.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Peritraumatic distress fully mediates the relationship between posttraumatic stress symptoms preoperative and three months postoperative in patients undergoing spine surgery

Shiban

Lehmberg

Hoffmann

et al. 2018

European Journal of Psychotraumatology

View full text Add to dashboard Cite

show abstract

“…Conceptual frameworks of the aetiology of postpartum PTSD draw together key vulnerability, risk and maintaining factors that are thought to be important in the development of birth-related PTSD (Ayers, 2004;Slade, 2006;van Son, Verkerk, van der Hart, Komproe, & Pop, 2005). These usually draw on psychological approaches, such as the diathesis-stress model which explains health outcomes as an interaction between an individual's predispositional vulnerability and stressful experiences.…”

Section: Introductionmentioning

confidence: 99%

The aetiology of post-traumatic stress following childbirth: a meta-analysis and theoretical framework

et al. 2016

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“…Verkerk, van der Hart, Komproe, & Pop, 2005) and dissociation (van Son et al, 2005) to be key predictors.…”

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Predicting posttraumatic stress disorder after childbirth

et al. 2014

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Objective: Around 50% of women report symptoms that indicate some aspect of their childbirth experience was "traumatic", and at least 3.1% meet diagnosis for PTSD 6 months post partum. Here we aimed to conduct a prospective longitudinal study and examine predictors of birth-related trauma -predictors that included a range of pre-event factors -as a first step in the creation of a screening questionnaire. Method:Of the 933 women who completed an assessment in their third trimester, 866 were followed-up at 4 to 6 week postpartum. Two canonical discriminant function analyses were conducted to ascertain factors associated with experiencing birth as traumatic and, of the women who found the birth traumatic, which factors were associated with those who developed PTSD.Results: A mix of 16 pre-birth predictor variables and event-specific predictor variables distinguished women who reported symptoms consistent with trauma from those who did not. Fourteen predictor variables distinguished women who went on to develop PTSD from those who did not. Conclusions:Anxiety sensitivity to possible birthing problems, breached birthing expectations, and severity of any actual birth problem, predicted those who found the birth traumatic. Prior trauma was the single most important predictive factor of PTSD. Evaluating the utility of brief, cost-effective, and accurate screening for women at risk of developing birth-related PTSD is suggested.

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Prenatal depression, mode of delivery and perinatal dissociation as predictors of postpartum posttraumatic stress: an empirical study

Cited by 63 publications

References 61 publications

Peritraumatic distress fully mediates the relationship between posttraumatic stress symptoms preoperative and three months postoperative in patients undergoing spine surgery

Peritraumatic distress fully mediates the relationship between posttraumatic stress symptoms preoperative and three months postoperative in patients undergoing spine surgery

The aetiology of post-traumatic stress following childbirth: a meta-analysis and theoretical framework

Predicting posttraumatic stress disorder after childbirth

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