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The longitudinal course of post-traumatic stress after childbirth
Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Molecular and Clinical Medicine, Gender and Medicine. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Medical Psychology. Linköping University, Faculty of Health Sciences.
2006 (English)In: Journal of Psychosomatic Obstetrics and Gynaecology, ISSN 0167-482X, E-ISSN 1743-8942, Vol. 27, no 2, 113-119 p.Article in journal (Refereed) Published
Abstract [en]

Post-traumatic stress was assessed in early and late pregnancy, and 1, 4, 7, and 11 months postpartum by means of questionnaires among 1224 women. Thirty-seven women (3%) had post-traumatic stress (meeting criteria B, C, and D for PTSD) at least once within 1–11 months postpartum. In pregnancy, depression, severe fear of childbirth, ‘pre’-traumatic stress, previous counseling related to pregnancy/childbirth, and self-reported previous psychological problems were associated with an increased risk of having post-traumatic stress within 1–11 months postpartum. Sum-scores of post-traumatic stress did not decrease over time among women who at least once had post-traumatic stress (criteria B, C, and D) within 1–11 months postpartum. Women with post-traumatic stress also showed a decrease in perceived social support over time postpartum.

Place, publisher, year, edition, pages
2006. Vol. 27, no 2, 113-119 p.
Keyword [en]
Post-traumatic stress, longitudinal course, depression, risk factors, pregnancy, postpartum
National Category
Social Sciences
Identifiers
URN: urn:nbn:se:liu:diva-35630DOI: 10.1080/01674820600712172Local ID: 28018OAI: oai:DiVA.org:liu-35630DiVA: diva2:256478
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2012-09-19Bibliographically approved
In thesis
1. Posttraumatic stress after childbirth
Open this publication in new window or tab >>Posttraumatic stress after childbirth
2002 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of the thesis was to study the occunence of posttraumatic stress after childbirth, as seen in Posttraumatic Stress Disorder (PTSD). Furthermore the studies explored potential risk factors, in pregnancy and during the delivery, for posttraumatic stress after childbirth and its longitudinal course, one to eleven months postpartum. Posttraumatic stress was also studied in comparison with the occunence of depression, in pregnancy and after childbirth.

Study 1 and 2 had a cross-sectional design and comprised 1640 consecutively delivered women in Linköping, Sweden. The variables were assessed once, using questimmaires measuring posttraumatic stress and fear of childbirth. Obstetric data were collected from the medical records.

Study 3, 4 and 5 were based on a cohort of 1224 women who were recruited in Linköping and Kalmar. Variables were assessed in early and late pregnancy. After the delivery the variables were assessed four times: 1, 4, 7, and 11 months postpartum. Measurements by means of questionnaires comprised demographic data, potential risk factors, posttraumatic stress, fear of childbirth, and depression.

Within 1-11 months after the delivery, 1-2% of the women developed posttraumatic stress. Emergency cesarean section and vaginal instrumental delivery were associated with an increased risk for posttraumatic stress postpartum.

Severe fear of childbirth, "pre"-traumatic stress (similar to posttraumatic stress but future oriented) and depression in pregnancy were associated with an increased tisk of suffedng from posttraumatic stress within 1-11 months postpartum. During that period, 24 of the 37 women with posttraumatic stress also had depression.

Place, publisher, year, edition, pages
Linköping: Linköpings universitet, 2002. 41 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 761
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-26671 (URN)11238 (Local ID)91-7373-203-6 (ISBN)11238 (Archive number)11238 (OAI)
Public defence
2002-12-20, Berzeliussalen, Hälsouniversitetet, Linköping, 09:00 (Swedish)
Opponent
Available from: 2009-10-08 Created: 2009-10-08 Last updated: 2012-09-19Bibliographically approved

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Söderquist, JohanWijma, BarbroWijma, Klaas

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