scholarly journals Posttraumatic Stress and Posttraumatic Stress Disorder after Termination of Pregnancy and Reproductive Loss: A Systematic Review

2015 ◽  
Vol 2015 ◽  
pp. 1-14 ◽  
Author(s):  
Viltė Daugirdaitė ◽  
Olga van den Akker ◽  
Satvinder Purewal

Objective. The aims of this systematic review were to integrate the research on posttraumatic stress (PTS) and posttraumatic stress disorder (PTSD) after termination of pregnancy (TOP), miscarriage, perinatal death, stillbirth, neonatal death, and failed in vitro fertilisation (IVF).Methods. Electronic databases (AMED, British Nursing Index, CINAHL, MEDLINE, SPORTDiscus, PsycINFO, PubMEd, ScienceDirect) were searched for articles using PRISMA guidelines.Results. Data from 48 studies were included. Quality of the research was generally good. PTS/PTSD has been investigated in TOP and miscarriage more than perinatal loss, stillbirth, and neonatal death. In all reproductive losses and TOPs, the prevalence of PTS was greater than PTSD, both decreased over time, and longer gestational age is associated with higher levels of PTS/PTSD. Women have generally reported more PTS or PTSD than men. Sociodemographic characteristics (e.g., younger age, lower education, and history of previous traumas or mental health problems) and psychsocial factors influence PTS and PTSD after TOP and reproductive loss.Conclusions. This systematic review is the first to investigate PTS/PTSD after reproductive loss. Patients with advanced pregnancies, a history of previous traumas, mental health problems, and adverse psychosocial profiles should be considered as high risk for developing PTS or PTSD following reproductive loss.

2013 ◽  
Vol 26 (4) ◽  
pp. 526-529 ◽  
Author(s):  
Laura E. W. Leenarts ◽  
Robert R. J. M. Vermeiren ◽  
Peter M. van de Ven ◽  
Henny P. B. Lodewijks ◽  
Theo A. H. Doreleijers ◽  
...  

2021 ◽  
Vol 12 ◽  
Author(s):  
Yingying Xu ◽  
Sizhen Su ◽  
Zhendong Jiang ◽  
Suihuai Guo ◽  
Qingdong Lu ◽  
...  

Background: University students who are exposed to coronavirus disease 2019 (COVID-19) could be mentally distressed. We aimed to evaluate the pattern and risk factors of mental health and suicidal behavior among students who experienced long-term school closure due to the COVID-19 pandemic.Methods: This large-sample, cross-sectional, online survey was conducted from June 29, 2020, to July 18, 2020. Eleven thousand two hundred fifty four participants were recruited from 30 universities located in Wuhan, Hubei Province, China. The prevalence of symptoms of depression, anxiety, insomnia, and posttraumatic stress disorder (PTSD) and suicidal behavior was evaluated using the Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Insomnia Severity Index, Posttraumatic Stress Disorder Checklist for DSM-5, and questions about suicidal ideation and attempts, respectively. Logistic regression was used to explore risk factors for mental health problems and suicidal behavior.Results: The prevalence of mental health problems was 41.5% for depressive symptoms, 32.6% for anxiety symptoms, 35.0% for insomnia symptoms, 8.5% for PTSD symptoms, and 2.0% for suicidal behavior. Participants with high stress during the pandemic were at higher risk of symptoms of depression [adjusted odds ratio (OR) = 1.67, 95% confidence interval (CI) = 1.43–1.95, p < 0.01), anxiety (adjusted OR = 1.90, 95% CI = 1.63–2.23, p < 0.01), insomnia (adjusted OR = 1.64, 95% CI = 1.44–1.87, p < 0.01), PTSD (adjusted OR = 1.71, 95% CI = 1.38–2.11, p < 0.01) and suicidal behavior (adjusted OR = 3.51, 95% CI = 2.28–5.40, p < 0.01). Distant relationship with parents, changes in lifestyle and alcohol use during the pandemic were associated with higher risk of mental health symptoms and suicidal behavior, whereas regular physical exercise reduced the risk of mental health problems.Conclusions: The psychological symptoms and suicidal behavior were relatively high among students who attended university in Wuhan, China after 6 months of the COVID-19 outbreak in China. Comprehensive mental health services and suicide prevention strategies are essential for university students during the COVID-19 pandemic.


2019 ◽  
Author(s):  
Elizabeth Schindler ◽  
Allison Cowan

Almost half of all women and almost a quarter of all men in the United States have experienced sexual violence in their lifetime. Treating individuals who have survived sexual assault can pose challenges for psychiatric and medical treatment. The rates of posttraumatic stress disorder (PTSD) are higher with sexual assault, and people with sexual trauma often feel stigmatized and have difficulty presenting for care. This chapter reviews epidemiology and neurobiology of sexual assault as well as the physical and psychological sequelae of sexual assault. Here, the authors review and propose practical treatment recommendations to assist in the treatment of individuals with a history of sexual assault. This review 5 figures, 5 tables, and 53 references. Key Words: posttraumatic stress disorder, rape recovery, sexual assault, treatment recommendations, women’s mental health, rape survivor treatment, rape


Partner Abuse ◽  
2016 ◽  
Vol 7 (1) ◽  
pp. 26-43 ◽  
Author(s):  
Amanda R. Levine ◽  
Patti A. Timmons Fritz

Intimate relationships involving psychological abuse, particularly those characterized by coercive control (CC), a pattern of behaviors aimed at gaining control over one’s romantic partner, have been associated with poorer mental health for victims than among victims of physical partner abuse alone (Johnson & Leone, 2005). This study investigated whether CC predicted posttraumatic stress disorder (PTSD) and depression above and beyond the effects of childhood maltreatment and frequency and severity of physical partner abuse among a sample of homeless women. This is the first known study to date to investigate the role of CC in the partner abuse experiences of homeless women. Fifty-one ethnically diverse women with a history of partner abuse victimization residing in a homeless shelter in Southwest Ontario, Canada, completed questionnaires assessing partner abuse, CC, depression, and PTSD. As predicted, CC was found to predict PTSD but not depression, after controlling for childhood maltreatment and frequency and severity of physical partner abuse. In addition, women exhibited very high rates of both PTSD and depression. The relation between CC and mental health of victims, particularly the development of PTSD, should be considered in partner abuse prevention programs and interventions. Furthermore, the high rates of psychopathology reported by the women indicate a great need for psychological aid among women residing in homeless shelters.


2015 ◽  
Vol 38 ◽  
Author(s):  
Nathan A. Kimbrel ◽  
Eric C. Meyer ◽  
Jean C. Beckham

AbstractLane et al.'s proposal that psychotherapeutic change comes about through memory reconsolidation is compelling; however, the model would be strengthened by the inclusion of predictions regarding additional factors that might influence treatment response, predictions for improving outcomes for non-responsive patients, and a discussion of how the proposed model might explain individual differences in vulnerability for mental health problems.


2020 ◽  
pp. 000486742096981
Author(s):  
Richard A Bryant ◽  
Lisa Gibbs ◽  
H Colin Gallagher ◽  
Phillipa Pattison ◽  
Dean Lusher ◽  
...  

Objectives: To profile the long-term mental health outcomes of those affected by the 2009 Black Saturday bushfires and to document the course of mental health since the disaster. Method: The longitudinal Beyond Bushfires study included 1017 respondents (Wave 1; 3–4 years after the fires), 736 (76.1%) at Wave 2 (5 years after the fires) and 525 (51.6%) at Wave 3 (10 years after the fires). The survey indexed fire-related and subsequent stressful events, probable posttraumatic stress disorder, major depressive disorder, alcohol use, severe distress and receipt of health services for mental health problems. Results: Relative to their status 3–4 years after the fires, there were reduced rates of fire-related posttraumatic stress disorder (6.2% vs 12.2%), general posttraumatic stress disorder (14.9% vs 18.7%) and severe distress (4.4% vs 7.5%) at 10 years. There were comparable rates between Wave 1 and Wave 3 for depression (10.9% vs 8.3%) and alcohol abuse (21.8% vs 18.5%). Of people in high-affected regions, 22.1% had posttraumatic stress disorder, depression or severe distress at Wave 3. One-third to one-half of participants who reported probable posttraumatic stress disorder or depression at any assessment did not display the disorder at the next assessment. Worsening of mental health at Wave 3 was associated with the extent of property loss, exposure to recent traumatic events or recent stressful life events. Only 24.6% of those with a probable disorder had sought professional help for this in the previous 6 months. Conclusion: Approximately one-fifth of people from high-affected areas have a probable psychological disorder a decade after the fires. Mental health appears to fluctuate for those who are not consistently resilient, apparently as a result of ongoing stressors. The observation that most people with probable disorder are not receiving care highlights the need for further planning about managing long-term mental health needs of disaster-affected communities.


2019 ◽  
Vol 73 ◽  
pp. 101776 ◽  
Author(s):  
Ana Mikolić ◽  
Suzanne Polinder ◽  
Isabel R.A. Retel Helmrich ◽  
Juanita A. Haagsma ◽  
Maryse C. Cnossen

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