■这项研究的目的是检查女性对青少年围产期死亡后悲伤强度的影响的回忆寿命感知。
■19名成年女性在青春期经历过流产或流产。该研究涉及对3至28年前发生的经历的事件的回忆。
■一项55项在线调查被用来收集青少年流产和堕胎经历的回忆。围产期悲伤强度量表被嵌入在这项调查中。参与者被指示回忆他们在青少年时期(T1;时间1)对围产期损失的反应,以及他们目前作为成年人对他们以前的青少年围产期死亡的感觉(T2;时间2)。在T1和T2收集数据。围产期悲伤强度量表附有适当加权的Excel评分表,用于分析T1和T2的数据。
■作为青少年,当按损失类型进行比较时,参与者感觉到相似的高悲伤强度和中等悲伤强度(流产,n=6;流产,n=6)。然而,与流产的参与者(n=2)相比,更多的流产女性(n=5)经历了较低的悲伤强度.作为成年人,与损失类型相比,参与者继续感觉到相似的高悲伤强度和中等悲伤强度(流产,n=6;流产,n=5)。此外,与流产的参与者(n=2)相比,流产的女性的悲伤强度继续较低(n=6).大约四分之一的成年女性受访者,26%(n=5)的悲伤强度随着时间的推移而增加。37%(n=7)的分数没有变化,37%(n=7)的青少年流产或流产得分随着时间的推移而下降。
■支持采用围产期悲伤强度量表来识别青少年流产或终止妊娠后需要对悲伤强度进行随访的女性。这项研究的结果表明,成年女性在对整个生命周期中的事件做出反应时,悲伤可以重新产生或出现,包括进一步的生殖经历。因此,卫生保健专业人员有义务确定由于先前的共同事件而有强烈悲伤反应风险的妇女。
医疗保健提供者应筛查曾经历过青春期流产或终止妊娠的成年女性,以应对其成年后的不良心理健康问题。
UNASSIGNED: The purpose of this study was to examine women\'s recollected lifespan perceptions of the effect of
grief intensity following adolescent perinatal death.
UNASSIGNED: Nineteen adult women who had experienced either a miscarriage or an abortion during adolescence. The study involved the recollection of events surrounding the experience which had occurred between three and 28 years previously.
UNASSIGNED: A 55-item online survey was used to gather recollected perceptions of adolescent miscarriage and abortion experiences. The Perinatal
Grief Intensity Scale was embedded within this survey. The participants were instructed to recall their responses to the perinatal loss at the time of the event as an adolescent (T1; Time 1) and how they feel currently as adults about their previous adolescent perinatal death (T2; Time 2). Data were collected at both T1 and T2. The Perinatal Grief Intensity Scale is accompanied by an appropriately weighted Excel scoring sheet which was utilised to analyse the data at both T1 and T2.
UNASSIGNED: As adolescents, participants perceived similar high and medium
grief intensity when compared by type of loss (miscarriage, n = 6; abortion, n = 6). However, more women who had an abortion (n = 5) experienced low grief intensity compared with participants who had a miscarriage (n = 2). As adults, participants continued to perceive similar high and medium
grief intensity when compared by type of loss (miscarriage, n = 6; abortion, n = 5). In addition, women who had an abortion continued to experience more low grief intensity (n = 6) compared with participants who had a miscarriage (n = 2). Approximately one quarter of adult female respondents, 26 % (n = 5) exhibited increased grief intensity as measured by the scores over time. Thirty seven percent (n = 7) exhibited no change in scores, and 37 % (n = 7) exhibited decreased scores over time in response to adolescent miscarriage or abortion.
UNASSIGNED: Support for the adoption of the Perinatal Grief Intensity Scale to identify women in need of follow-up for grief intensity after an adolescent miscarried or terminated pregnancy is evident. The results of this study have demonstrated that
grief can resurge or appear in adult females as they respond to events across the lifespan, including further reproductive experiences. Therefore there is a compulsion for health care professionals to identify women at risk of intensive grief responses due to previous contributory events.
UNASSIGNED: Healthcare providers should screen adult women who have experienced a previous adolescent miscarriage or termination for adverse mental health issues in adulthood.