背景:妊娠丢失(PL)是常见的,然而,很少检查与心理健康受损风险增加相关的公共卫生问题,尤其是抑郁症。目标:先前的研究表明,无子女与PL后的抑郁症有关。第一批研究还表明损失类型的关联,多重损失,关系质量,以及怀孕后抑郁的应对策略。然而,结果不一致,少数现有研究显示方法学缺陷。因此,我们期望没有活孩子的女性抑郁得分更高,我们探索性地研究了损失类型之间的关联,损失的数量,关系质量,以及患有PL的女性抑郁评分的应对策略。方法:在联机设置中,在过去的12个月中,n=172例流产(n=137)或死产(n=35)的妇女完成了患者健康问卷(PHQ-D),简短-COPE,和Partnerschaftsfragebogen(PFB),衡量关系质量的德国问卷。结果:在多元层次回归分析中,死产,β=0.15,p=.035,存在活着的孩子,β=-0.17,p=0.022,自责/情绪回避,β=0.34,p<.001,是抑郁评分的预测因子。然而,抑郁症状和其他应对策略之间没有关联,关系质量,多重损失。结论:特别是对于没有活孩子的妇女,患有死胎,或者受到自责/情感回避的影响,卫生保健提供者应监测抑郁症状的存在。我们的结果表明,PL后需要特定的工具来衡量应对方式和关系质量,因为PFB和Brief-COPE的标准项目似乎不适合此设置。
与流产相比,死产与更高的产妇抑郁评分相关。有活着孩子的女性在怀孕后比没有孩子的女性表现出更低的抑郁评分。自责和情绪回避与怀孕失败后更高的母亲抑郁评分相关。
Background: Pregnancy loss (PL) is a common, yet rarely examined public health issue associated with an increased risk of impaired mental health, particularly depression.Objective: Previous research shows childlessness to be a correlate of depression after PL. First studies also indicate associations of the type of loss, multiple losses, relationship quality, and coping strategies with depression after the loss of a pregnancy. However, results are inconsistent and the few existing studies show methodological deficits. Therefore, we expect higher depression scores for women without living children, and we exploratively examine the associations between the type of loss, the number of losses, relationship quality, and coping strategies with depression scores for women who suffered a PL.Method: In an online setting, N = 172 women with miscarriage (n = 137) or stillbirth (n = 35) throughout the last 12 months completed the Patient Health Questionnaire (PHQ-D), Brief-COPE, and Partnerschaftsfragebogen (PFB), a German questionnaire measuring relationship quality.Results: In a multiple hierarchical regression analysis, stillbirth, β = 0.15, p = .035, presence of living children, β = -0.17, p = .022, and self-blame/emotional avoidance, β = 0.34, p < .001, are predictors of depression scores. However, there was no association between depression symptoms and other coping strategies, relationship quality, and multiple losses.Conclusions: Especially with regard to women who have no living children, have suffered a stillbirth, or are affected by self-blame/emotional avoidance, health care providers should monitor the presence of depressive symptoms. Our results indicate the need for specific instruments measuring coping style and relationship quality after PL, since the standard items of the PFB and the Brief-COPE seem inappropriate for this setting.
Stillbirth is associated with higher maternal depression scores than miscarriage.Women with living children show lower depression scores after pregnancy loss than childless women.Self-blame and emotional avoidance are associated with higher maternal depression scores after pregnancy loss.