Abstract：
UNASSIGNED: Insecure adult attachment, shame, self-blame, and isolation following perinatal loss place bereaved women at risk of adverse psychological outcomes, which can impact child and family outcomes. To date, no research has considered how these variables continue to influence women\'s psychological health in pregnancy subsequent to loss.
UNASSIGNED: This study explored associations between prenatal psychological adjustment (less grief and distress) and adult attachment, shame, and social connectedness, in women pregnant after loss.
UNASSIGNED: Twenty-nine pregnant Australian women accessing a Pregnancy After Loss Clinic (PALC) completed measures of attachment styles, shame, self-blame, social connectedness, perinatal grief, and psychological distress.
UNASSIGNED: Four 2-step hierarchical multiple regression analyses revealed adult attachment (secure/avoidant/anxious; Step 1), shame, self-blame, and social connectedness (Step 2) explained 74% difficulty coping, 74% total grief, 65% despair, and 57% active grief. Avoidant attachment predicted more difficulty coping and higher levels of despair. Self-blame predicted more active grief, difficulty coping, and despair. Social connectedness predicted lower active grief, and significantly mediated relationships between perinatal grief and all three attachment patterns (secure/avoidant/anxious).
UNASSIGNED: Although avoidant attachment and self-blame can heighten grief in pregnancy after loss, focusing on social connectedness may be a helpful way for prenatal clinicians to support pregnant women during their subsequent pregnancy - and in grief.
UNASSIGNED: This study explored associations between prenatal psychological adjustment (less grief and distress) and adult attachment, shame, and social connectedness, in women pregnant after loss.
UNASSIGNED: Twenty-nine pregnant Australian women accessing a Pregnancy After Loss Clinic (PALC) completed measures of attachment styles, shame, self-blame, social connectedness, perinatal grief, and psychological distress.
UNASSIGNED: Four 2-step hierarchical multiple regression analyses revealed adult attachment (secure/avoidant/anxious; Step 1), shame, self-blame, and social connectedness (Step 2) explained 74% difficulty coping, 74% total grief, 65% despair, and 57% active grief. Avoidant attachment predicted more difficulty coping and higher levels of despair. Self-blame predicted more active grief, difficulty coping, and despair. Social connectedness predicted lower active grief, and significantly mediated relationships between perinatal grief and all three attachment patterns (secure/avoidant/anxious).
UNASSIGNED: Although avoidant attachment and self-blame can heighten grief in pregnancy after loss, focusing on social connectedness may be a helpful way for prenatal clinicians to support pregnant women during their subsequent pregnancy - and in grief.
摘要：
未经证实：不安全的成人依恋，羞耻,自责,围产期丧失后的隔离使失去亲人的妇女面临不良心理结局的风险，这可能会影响儿童和家庭的结果。迄今为止,没有研究考虑这些变量如何继续影响妇女在怀孕后的心理健康。
UNASSIGNED：这项研究探讨了产前心理调整（减少悲伤和痛苦）与成人依恋之间的关联，羞耻,和社会联系，在妇女怀孕后失去。
UNASHSIGNED：29名澳大利亚孕妇在怀孕后就诊（PALC）完成了依恋方式的测量，羞耻,自责,社会联系，围产期悲伤,和心理困扰。
UNASSIGNED：四个两步分层多元回归分析显示成人依恋（安全/回避/焦虑；步骤1），羞耻,自责,社会联系(步骤2)解释了74%的应对困难，74%的总悲伤，65%的绝望57%的积极悲伤。回避依恋预示着更多的应对困难和更高的绝望程度。自责预示着更积极的悲伤，应对困难，和绝望。社会联系预示着较低的活跃悲伤，围产期悲伤与所有三种依恋模式（安全/回避/焦虑）之间的显着中介关系。
未经评估：尽管避免依恋和自责会增加怀孕后的悲伤，对于产前临床医生来说，关注社会联系可能是一种有益的方式，可以帮助孕妇在随后的怀孕期间和悲伤中支持孕妇。
UNASSIGNED：这项研究探讨了产前心理调整（减少悲伤和痛苦）与成人依恋之间的关联，
UNASHSIGNED：29名澳大利亚孕妇在怀孕后就诊（PALC）完成了依恋方式的测量，
UNASSIGNED：四个两步分层多元回归分析显示成人依恋（安全/回避/焦虑；步骤1），
未经评估：尽管避免依恋和自责会增加怀孕后的悲伤，
