1
|
Zhang T, Chen WT, He Q, Li Y, Peng H, Xie J, Hu H, Qin C. Coping strategies following the diagnosis of a fetal anomaly: A scoping review. Front Public Health 2023; 11:1055562. [PMID: 37089477 PMCID: PMC10118031 DOI: 10.3389/fpubh.2023.1055562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Accepted: 03/07/2023] [Indexed: 04/25/2023] Open
Abstract
Introduction Many women experience severe emotional distress (such as grief, depression, and anxiety) following a diagnosis of fetal anomaly. The ability to cope with stressful events and regulate emotions across diverse situations may play a primary role in psychological wellbeing. This study aims to present coping strategies after disclosing a fetal anomaly to pregnant women. Methods This is a scoping review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews (PRISMA-ScR). Electronic databases, including Web of Science (WOS, BCI, KJD, MEDLINE, RSCI, SCIELO), CINAHL, and EBSCO PsycARTICLES, were used to search for primary studies from the inception of each database to 2021. The keywords were determined by existing literature and included: "fetal anomaly," "fetal abnormality," "fetal anomaly," "fetal abnormality" AND "cope," "coping," "deal," "manage," "adapt*," "emotion* regulate*," with the use of Boolean operators AND/OR. A total of 16 articles were reviewed, followed by advancing scoping review methodology of Arksey and O'Malley's framework. Results In this review, we identified 52 coping strategies using five questionnaires in seven quantitative studies and one mixed-method study. The relationship between coping strategies and mental distress was explored. However, the results were inconsistent and incomparable. We synthesized four coping categories from qualitative studies and presented them in an intersection. Conclusion This scoping review identified the coping strategies of women with a diagnosis of a fetal anomaly during pregnancy. The relationship between coping strategies and mental distress was uncertain and needs more exploration. We considered an appropriate measurement should be necessary for the research of coping in women diagnosed with fetal anomaly pregnancy.
Collapse
Affiliation(s)
- Tingting Zhang
- Department of Health Management, The Third Xiangya Hospital and Xiangya School of Nursing, Central South University, Changsha, China
- Xiangya School of Nursing, Central South University, Changsha, Hunan, China
| | - Wei-Ti Chen
- School of Nursing, University of California, Los Angeles, Los Angeles, CA, United States
| | - Qingnan He
- Pediatric Department of the Third Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Ying Li
- Pediatric Department of the Third Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Huiting Peng
- Xiangya School of Nursing, Central South University, Changsha, Hunan, China
| | - Jiaying Xie
- Xiangya School of Nursing, Central South University, Changsha, Hunan, China
| | - Hengfen Hu
- Hunan Polytechnic of Environment and Biology, Hengyang, Hunan, China
| | - Chunxiang Qin
- Department of Health Management, The Third Xiangya Hospital and Xiangya School of Nursing, Central South University, Changsha, China
- Xiangya School of Nursing, Central South University, Changsha, Hunan, China
| |
Collapse
|
2
|
Allen GEK, Ming M, Hyde S, Bozzelli A, Rodgers G, Sagebin FM, Thompson M. Investigating religious commitment, perceived religious oppression, self-esteem, depression, and life satisfaction among Latter-day Saint women. JOURNAL OF SPIRITUALITY IN MENTAL HEALTH 2023. [DOI: 10.1080/19349637.2022.2163956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Affiliation(s)
- G. E. Kawika Allen
- Counseling Psychology and Special Education, Brigham Young University, Provo, Utah, USA
| | - Mason Ming
- Psychology Department, Loma Linda University, Loma Linda, California, USA
| | - Steven Hyde
- Psychology Department, Southern Utah University, Cedar City, Utah, USA
| | - Andrew Bozzelli
- Psychology Department, Southern Utah University, Cedar City, Utah, USA
| | - Greg Rodgers
- Psychology Department, Southern Utah University, Cedar City, Utah, USA
| | - Fabio M. Sagebin
- UCI Health Cardiovascular Center, University of California-Irvine, Irvine, California, USA
| | - Michael Thompson
- Counseling Psychology and Special Education, Brigham Young University, Provo, Utah, USA
| |
Collapse
|
3
|
Polat F, Karasu F, Yıldız M. The Effect of Religious Attitudes on Anxiety and Psychological Well-being in Risky Pregnancies: A Cross-Sectional Study from Turkey. JOURNAL OF RELIGION AND HEALTH 2022; 61:2992-3010. [PMID: 35729300 DOI: 10.1007/s10943-022-01597-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/29/2022] [Indexed: 06/15/2023]
Abstract
The aim of this study was to determine how religious attitudes of risky pregnant women affect their anxiety and psychological well-being. This is a cross-sectional study. It was carried out on 137 women diagnosed with risky pregnancy between December 2021 and February 2022 in a state hospital in Osmaniye, located in the southern Turkey. The findings of the study revealed that the participants' religious attitudes affected their trait anxiety and psychological well-being. Being religious in fact, boosted psychological well-being of the participants and lowered their trait anxiety level. They had a moderate religious attitude and a moderate psychological well-being but they also suffered from high trait anxiety levels.
Collapse
Affiliation(s)
- Filiz Polat
- Department of Midwifery, Faculty of Health Sciences, Osmaniye Korkut Ata University, 80010, Osmaniye, Turkey.
| | - Fatma Karasu
- Department of Nursing, Yusuf Şerefoğlu Faculty of Health Sciences, Kilis 7 Aralık University, 79000, Kilis, Turkey
| | - Metin Yıldız
- Department of Midwifery, Faculty of Health Sciences, Sakarya University, 54050, Sakarya, Turkey
| |
Collapse
|
4
|
Pentaris P, Patlamazoglou L, Schaub J. The role of faith in the experience of grief among sexually diverse individuals: a systematic review. PSYCHOLOGY & SEXUALITY 2022. [DOI: 10.1080/19419899.2022.2057869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Panagiotis Pentaris
- School of Human Sciences & Institute for Lifecourse Development, University of Greenwich London United Kingdom
| | | | - Jason Schaub
- Department of Social Work and Social Care, University of Birmingham, Birmingham, UK
| |
Collapse
|
5
|
Köneş MÖ, Yıldız H. The level of grief in women with pregnancy loss: a prospective evaluation of the first three months of perinatal loss. J Psychosom Obstet Gynaecol 2021; 42:346-355. [PMID: 32370579 DOI: 10.1080/0167482x.2020.1759543] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Abstract
OBJECTIVE To prospectively investigate perinatal grief in women with pregnancy loss. METHODS A total of 215 women (mean (SD) age: 30.7 (5.9) years) who experienced pregnancy loss were included. Data on sociodemographic, marital and obstetric characteristics and Perinatal Grief Scale (PGS) (first 48 h, 1 week, 1 month and 3 months after the loss) were recorded. RESULTS Active grief scores were lower (p ranged < .05 to <.01), while difficulty coping (p < .05 for each) and despair (p < .05 for each) scores were higher in the 3rd month as compared with prior assessments. All PGS scores at the 48 h and 3rd month assessments were significantly higher in assisted and planned pregnancies (p < .01 for each). Maternal age was positively correlated with 48 h active grief (r = 0.19, p < .001), despair (r = 0.13, p < .05) and total PGS (r = 0.13, p < .05) scores. Parity and the number of children were negatively correlated (r ranged from -0.35 to -0.20, p < .01 for each) with all PGS scores. CONCLUSION Our findings revealed decrease in active grief levels, whereas gradual increase in difficulty coping and despair in women with pregnancy loss within the first 3 months of losing a child. Our finding indicate association of older maternal age, primiparity, assisted and planned pregnancies with regular antenatal follow up with higher total PGS scores as well as active grief, difficulty coping and despair scores in women regardless of the time of assessment within 3 months after the pregnancy loss.
Collapse
Affiliation(s)
- Miray Özgür Köneş
- Department of Obstetrics and Gynecology Nursing, Istanbul Faculty of Medicine Hospital, Istanbul University, Istanbul, Turkey
| | - Hatice Yıldız
- Department of Obstetrics and Gynecology Nursing, Division of Nursing, Faculty of Health Sciences, Marmara University, Istanbul, Turkey
| |
Collapse
|
6
|
A systematic review of instruments measuring grief after perinatal loss and factors associated with grief reactions. Palliat Support Care 2020; 19:246-256. [PMID: 32867873 DOI: 10.1017/s1478951520000826] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
OBJECTIVE Expectant parents who live through perinatal loss experience intense grief, which is not always acknowledged or accepted. A screening tool to detect bereaved parents' grief reactions can guide professionals, including perinatal palliative care teams, to provide follow-up for those in need. This review's goal is to identify and synthesize the international published literature on existent instruments specifically measuring the grieving process after any perinatal loss and to identify factors that could moderate grief reactions. METHOD Systematic review (PROSPERO # CRD42018092555) with critical synthesis. PUBMED, Cochrane, and PsycINFO databases were searched in English language articles using the keywords "perinatal" AND ("grief" OR "bereavement" OR mourning) AND ("scale" OR "questionnaire" OR "measure" OR "assessment") up to May 2018. Eligibility criteria included every study using a measure to assess perinatal grief after all kinds of perinatal losses, including validations and translations to other languages and interventions designed to alleviate grief symptoms. RESULTS A total of 67 papers met inclusion criteria. Seven instruments measuring perinatal grief published between 1984 and 2002 are described. The Perinatal Grief Scale (PGS) was used in 53 of the selected studies. Of those, 39 analyzed factors associated with grief reactions. Six articles used PGS scores to evaluate pre- and post-bereavement interventions. Studies in English language only might have limited the number of articles. SIGNIFICANCE OF RESULTS The PGS is the most used standardized measures to assess grief after perinatal loss. All parents living through any kind of perinatal loss should be screened.
Collapse
|
7
|
Kamranpour B, Noroozi M, Bahrami M. The Needs of Women Who Have Experienced Pregnancy Termination Due to Fetal Anomalies: A Literature Review. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2019; 24:1-10. [PMID: 30622571 PMCID: PMC6298172 DOI: 10.4103/ijnmr.ijnmr_80_18] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Pregnancy termination due to fetal anomalies is associated with emotional, psychological, and social injuries for women. Determining the needs of women with these experiences is the key for programming to provide high quality and desirable care. Hence, the present study was conducted to determine the needs of women who have experienced pregnancy termination due to fetal anomalies. MATERIALS AND METHODS The present literature review was conducted in March 2018 by searching databases such as Irandoc, SID, MagIran, Iranmedex, Cochrane, Science Direct, ISI Web of science, PubMed, Google Scholar, and Scopus. The used keywords for the search included "fetal anomalies," "pregnancy termination due to fetal anomalies," "therapeutic abortion," "need assessment," and "care program." Publication date was restricted to 2004-2017, and publication language was restricted to English and Farsi. Article search was conducted by two independent reviewers, and all of the studies were evaluated by these two individuals. The searches resulted in finding 88 articles related to the subject from which 16 articles that had more appropriately covered the topic were selected for the present study. RESULTS From the results, the needs of these women could be categorized into two groups of "needs related to the care system" and "needs related to the husband, family members, friends, and peers." CONCLUSIONS Considering that women who have experienced pregnancy termination due to fetal anomalies have different needs, educating healthcare providers and husbands, family members, friends, and peers for providing comprehensive care tailored to the needs of these individuals seems necessary.
Collapse
Affiliation(s)
- Bahareh Kamranpour
- Student Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
- Department of Midwifery, Rasht Branch, Islamic Azad University, Rasht, Iran
| | - Mahnaz Noroozi
- Department of Midwifery and Reproductive Health, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Masoud Bahrami
- Department of Adult Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| |
Collapse
|
8
|
Impact of Cognitive Behavioral-Based Counseling on Grief Symptoms Severity in Mothers After Stillbirth. IRANIAN JOURNAL OF PSYCHIATRY AND BEHAVIORAL SCIENCES 2018. [DOI: 10.5812/ijpbs.9275] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
|
9
|
Vitorino LM, Chiaradia R, Low G, Cruz JP, Pargament KI, Lucchetti ALG, Lucchetti G. Association of spiritual/religious coping with depressive symptoms in high‐ and low‐risk pregnant women. J Clin Nurs 2017; 27:e635-e642. [DOI: 10.1111/jocn.14113] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/06/2017] [Indexed: 11/24/2022]
Affiliation(s)
- Luciano M Vitorino
- Faculty of Medicine Federal University of Juiz de Fora Juiz de Fora Brazil
| | | | - Gail Low
- Faculty of Nursing University of Alberta Edmonton AB Canada
| | - Jonas Preposi Cruz
- Nursing Department College of Applied Medical Sciences Shaqra University Al Dawadmi, Riyadh Saudi Arabia
- Graduate School Union Christian College San Fernando City La Union Philippines
| | - Kenneth I Pargament
- Department of Psychology Bowling Green State University Bowling Green OH USA
- Menninger Department of Psychiatry and Behavioral Sciences Baylor College of Medicine Bowling Green State University Bowling Green OH USA
| | | | | |
Collapse
|
10
|
Hawthorne DM, Youngblut JM, Brooten D. Use of spiritual coping strategies by gender, race/ethnicity, and religion at 1 and 3 months after infant's/child's intensive care unit death. J Am Assoc Nurse Pract 2017; 29:591-599. [PMID: 28834324 PMCID: PMC5640480 DOI: 10.1002/2327-6924.12498] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2017] [Revised: 06/19/2017] [Accepted: 06/26/2017] [Indexed: 11/12/2022]
Abstract
BACKGROUND AND PURPOSE In the United States, 57,000 children (newborn to 18 years) die annually. Bereaved parents may rely on religious or spiritual beliefs in their grief. The study's purpose was to examine differences in parents' use of spiritual and religious coping practices by gender, race/ethnicity, and religion at 1 and 3 months after infant/ICU death. METHODS The sample consisted of 165 bereaved parents, 78% minority. The Spiritual Coping Strategies Scale was used to measure religious and spiritual coping practices, separately. One-way ANOVAs indicated that Black non-Hispanic mothers used significantly more religious coping practices at 3 months than White non-Hispanic mothers. Protestant and Catholic parents used more religious coping practices than the "no" and "other" religion groups at 1 and 3 months. Within the 30 mother-father dyads (paired t-tests), mothers reported significantly greater use of religious coping practices at 1 and 3 months and spiritual coping practices at 3 months than fathers. CONCLUSION Religious coping practices were most commonly used by Black mothers and Protestant and Catholic parents. Within dyads, mothers used more spiritual and religious coping practices than fathers. IMPLICATIONS FOR PRACTICE These findings are beneficial for healthcare personnel in providing support to bereaved parents of diverse races/ethnicities and religions.
Collapse
Affiliation(s)
- Dawn M Hawthorne
- Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, Florida
| | - JoAnne M Youngblut
- Nicole Wertheim College of Nursing & Health Sciences, Florida International University, Miami, Florida
| | - Dorothy Brooten
- Nicole Wertheim College of Nursing & Health Sciences, Florida International University, Miami, Florida
| |
Collapse
|
11
|
Navidian A, Saravani Z, Shakiba M. Impact of Psychological Grief Counseling on the Severity of Post-Traumatic Stress Symptoms in Mothers after Stillbirths. Issues Ment Health Nurs 2017; 38:650-654. [PMID: 28745912 DOI: 10.1080/01612840.2017.1315623] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Planned support and interventions are necessary in the care and support of women who have experienced stillbirth. The present study was conducted to determine the effect of psychological grief counseling on the symptom severity of post-traumatic stress disorder (PTSD) in mothers after stillbirths. This interventional study is semi-experimental. The study was conducted on 100 women who had recently had stillbirths. Eligible samples were selected and randomly divided into the two groups of intervention and control. The data collection tool was the PPQ,1 which was completed as a pre-test and post-test in both groups. The intervention group received four sessions of psychological grief counseling over two weeks, and the control group received only routine postnatal care. PTSD severity was evaluated in both groups at the end of the fourth week after the final session. The results showed that there was a statistically significant difference in the mean score of the severity of the PTSD symptoms in both groups after the intervention (P = 0.0001), which means that psychological grief counseling led to the reduction of PTSD severity in mothers. Given the positive impact of psychological grief counseling on reducing the severity of PTSD, integration of intensive psychological interventions in the maternity care system seems essential for faster transition of grief stages and for the prevention of severe cases of PTSD.
Collapse
Affiliation(s)
- Ali Navidian
- a Department of Counseling, Community Nursing Research Center , Zahedan University of Medical Sciences , Zahedan , Iran
| | - Zahra Saravani
- b Department of Midwifery, Nursing and Midwifery School , Zahedan University of Medical Sciences , Zahedan , Iran
| | - Mansour Shakiba
- c Department of Psychiatry , Zahedan University of Medical Sciences , Zahedan , Iran
| |
Collapse
|
12
|
Nuzum D, Meaney S, O'Donoghue K. The Spiritual and Theological Challenges of Stillbirth for Bereaved Parents. JOURNAL OF RELIGION AND HEALTH 2017; 56:1081-1095. [PMID: 28154999 DOI: 10.1007/s10943-017-0365-5] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Stillbirth is recognized as one of the most challenging experiences of bereavement raising significant spiritual and theological questions. Semi-structured qualitative interviews were conducted with bereaved parents cared for in a tertiary maternity hospital to explore the spiritual impact of stillbirth. Data were analysed using interpretative phenomenological analysis. Stillbirth was identified as an immensely challenging spiritual and personal experience with enduring impact for parents. The superordinate themes to emerge were searching for meaning, maintaining hope and questioning core beliefs. Most parents reported that their spiritual needs were not adequately addressed while in hospital. The faith of all parents was challenged with only one parent experiencing a stronger faith following stillbirth. This study reveals the depth of spiritual struggle for parents bereaved following stillbirth with a recommendation that spiritual care is provided as part of comprehensive perinatal bereavement care in the obstetric setting.
Collapse
Affiliation(s)
- Daniel Nuzum
- Department of Obstetrics and Gynaecology, University College Cork, Cork University Maternity Hospital, Wilton, Cork, Ireland.
| | - Sarah Meaney
- National Perinatal Epidemiology Centre, University College Cork, Cork, Ireland
| | - Keelin O'Donoghue
- Department of Obstetrics and Gynaecology, University College Cork, Cork University Maternity Hospital, Wilton, Cork, Ireland
- Irish Centre for Fetal and Neonatal Translational Research (INFANT), Department of Obstetrics and Gynaecology, University College Cork, Cork University Maternity Hospital, Cork, Ireland
| |
Collapse
|
13
|
Lifshin U, Helm PJ, Greenberg J, Soenke M, Ashish D, Sullivan D. Managing the death of close others: Evidence of higher valuing of ingroup identity in young adults who have experienced the death of a close other. SELF AND IDENTITY 2017. [DOI: 10.1080/15298868.2017.1294106] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Uri Lifshin
- Department of Psychology, The University of Arizona, Tucson, AZ, USA
| | - Peter J. Helm
- Department of Psychology, The University of Arizona, Tucson, AZ, USA
| | - Jeff Greenberg
- Department of Psychology, The University of Arizona, Tucson, AZ, USA
| | - Melissa Soenke
- Department of Psychology, California State University, Channel Islands, Camarillo, CA, USA
| | - Dev Ashish
- Department of Psychology, The University of Arizona, Tucson, AZ, USA
| | - Daniel Sullivan
- Department of Psychology, The University of Arizona, Tucson, AZ, USA
| |
Collapse
|
14
|
Christiansen DM. Posttraumatic stress disorder in parents following infant death: A systematic review. Clin Psychol Rev 2016; 51:60-74. [PMID: 27838460 DOI: 10.1016/j.cpr.2016.10.007] [Citation(s) in RCA: 35] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2016] [Revised: 10/24/2016] [Accepted: 10/24/2016] [Indexed: 11/19/2022]
Abstract
Parents who have lost an infant prior to, during, or following birth often interpret the event as highly traumatic. The present systematic review included 46 articles based on 31 different studies of posttraumatic stress disorder (PTSD) in parents bereaved by infant death. The PTSD prevalence in mothers differed widely across studies with estimated rates at 0.6-39%. PTSD in fathers following infant loss has been less extensively studied but PTSD levels were generally much lower than in mothers with reported prevalence rates at 0-15.6% across studies. PTSD symptoms were not found to differ much depending on whether the death occurred prior to, during, or following birth and nor was gestational age consistently associated with PTSD severity. A number of risk and protective factors have been found to be associated with PTSD severity. Relevant focus areas for future research are presented along with considerations for future pregnancies and children. The suffering associated with PTSD following infant loss is overwhelming because of the rates at which such losses occur around the world. For this reason, it is problematic that not all types of infant loss resulting in sufficient symptoms of re-experiencing, avoidance, and arousal can elicit a DSM-5 PTSD diagnosis.
Collapse
Affiliation(s)
- Dorte M Christiansen
- Institute of Psychology, Aarhus University, Bartholins Allé 9, 8000 Aarhus C, Denmark; National Center for Psychotraumatology, Institute of Psychology, University of Southern Denmark, Campusvej 55, 5230 Odense M, Denmark.
| |
Collapse
|
15
|
Pisnoli L, O’Connor A, Goldsmith L, Jackson L, Skirton H. Impact of fetal or child loss on parents’ perceptions of non-invasive prenatal diagnosis for autosomal recessive conditions. Midwifery 2016; 34:105-110. [DOI: 10.1016/j.midw.2015.12.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2015] [Accepted: 12/26/2015] [Indexed: 11/26/2022]
|
16
|
Prouty AM, Fischer J, Purdom A, Cobos E, Helmeke KB. Spiritual Coping: A Gateway to Enhancing Family Communication During Cancer Treatment. JOURNAL OF RELIGION AND HEALTH 2016; 55:269-287. [PMID: 26311053 DOI: 10.1007/s10943-015-0108-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The researchers examined the spiritual coping, family communication, and family functioning of 95 participants in 34 families by an online survey. Multilevel linear regression was used to test whether individuals' and families' higher endorsement of more use of spiritual coping strategies to deal with a member's cancer would be associated with higher scores on family communication and family functioning, and whether better communication would also be associated with higher family functioning scores. Results revealed that spiritual coping was positively associated with family communication, and family communication was positively associated with healthier family functioning. The researchers provide suggestions for further research.
Collapse
Affiliation(s)
| | | | - Ann Purdom
- Texas Tech University System, Lubbock, TX, USA
| | | | | |
Collapse
|
17
|
Puente CP, Morales DM, Monge FJC. Religious Coping and Locus of Control in Normal Pregnancy: Moderating Effects Between Pregnancy Worries and Mental Health. JOURNAL OF RELIGION AND HEALTH 2015; 54:1598-1611. [PMID: 24833162 DOI: 10.1007/s10943-014-9881-8] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Most studies about coping in pregnancy focus on risk pregnancies where it has generally been found that the use of religious coping has a positive effect, although to our knowledge there are no studies that associate religious coping to locus of control. We analyzed, in a sample of 285 Spanish women with normal pregnancies, the effect of both variables on psychiatric symptoms and on the relationship between psychiatric symptoms and pregnancy worries. The results show no association between locus of control and religious coping. Locus of control has a significant influence on the pregnant women's mental health, while religious coping just adds an additional influence.
Collapse
Affiliation(s)
- Cecilia Peñacoba Puente
- Department of Psychology, Universidad Rey Juan Carlos, Avda de Atenas s/n, 28922, Alcorcón, Madrid, Spain,
| | | | | |
Collapse
|
18
|
Basile ML, Thorsteinsson EB. Parents' evaluation of support in Australian hospitals following stillbirth. PeerJ 2015; 3:e1049. [PMID: 26137430 PMCID: PMC4485727 DOI: 10.7717/peerj.1049] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2015] [Accepted: 06/03/2015] [Indexed: 11/20/2022] Open
Abstract
The present study evaluated the level of support and satisfaction among parents of stillborn babies in Australian hospitals. One-hundred and eighty-nine mothers and fathers completed an online survey designed by the researcher based on the guidelines designed by the Perinatal Society of Australia and New Zealand. Support was inconsistent with guidelines implemented on average only 55% of the time. Areas of support regarding creating memories, birth options and autopsy were most problematic. A significant positive correlation was found between support and satisfaction and there is indication that there has been some increase in support and satisfaction over time. There has been a significant increase in both support and satisfaction since the release of the guidelines in 2009. Creating memories was regarded by parents as the most influential to their grief. It is recommended that health professionals review guidelines and seek feedback from parents as to how they can improve the support they provide.
Collapse
Affiliation(s)
- Melanie L. Basile
- School of Behavioural, Cognitive and Social Sciences, University of New England, Armidale, NSW, Australia
| | - Einar B. Thorsteinsson
- School of Behavioural, Cognitive and Social Sciences, University of New England, Armidale, NSW, Australia
| |
Collapse
|
19
|
Cope H, Garrett ME, Gregory S, Ashley-Koch A. Pregnancy continuation and organizational religious activity following prenatal diagnosis of a lethal fetal defect are associated with improved psychological outcome. Prenat Diagn 2015; 35:761-768. [PMID: 25872901 DOI: 10.1002/pd.4603] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2014] [Revised: 04/07/2015] [Accepted: 04/07/2015] [Indexed: 12/18/2022]
Abstract
OBJECTIVE The aim of the article is to examine the psychological impact, specifically symptoms of grief, post-traumatic stress and depression, in women and men who either terminated or continued a pregnancy following prenatal diagnosis of a lethal fetal defect. METHOD This project investigated a diagnostically homogeneous group composed of 158 women and 109 men who lost a pregnancy to anencephaly, a lethal neural tube defect. Participants completed the Perinatal Grief Scale, Impact of Event Scale - Revised and Beck Depression Inventory-II, which measure symptoms of grief, post-traumatic stress and depression, respectively. Demographics, religiosity and pregnancy choices were also collected. Gender-specific analysis of variance was performed for instrument total scores and subscales. RESULTS Women who terminated reported significantly more despair (p = 0.02), avoidance (p = 0.008) and depression (p = 0.04) than women who continued the pregnancy. Organizational religious activity was associated with a reduction in grief (Perinatal Grief Scale subscales) in both women (p = 0.02, p = 0.04 and p = 0.03) and men (p = 0.047). CONCLUSION There appears to be a psychological benefit to women to continue the pregnancy following a lethal fetal diagnosis. Following a lethal fetal diagnosis, the risks and benefits, including psychological effects, of termination and continuation of pregnancy should be discussed in detail with an effort to be as nondirective as possible.
Collapse
Affiliation(s)
- Heidi Cope
- Center for Human Disease Modeling, Duke University Medical Center, Durham, NC, USA
| | - Melanie E Garrett
- Center for Human Disease Modeling, Duke University Medical Center, Durham, NC, USA
| | - Simon Gregory
- Duke Molecular Physiology Institute, Duke University Medical Center, Durham, NC, USA
| | - Allison Ashley-Koch
- Center for Human Disease Modeling, Duke University Medical Center, Durham, NC, USA
| |
Collapse
|
20
|
Brooten D, Youngblut JM, Hannan J, Caicedo C, Roche R, Malkawi F. Infant and child deaths: Parent concerns about subsequent pregnancies. J Am Assoc Nurse Pract 2015; 27:690-7. [PMID: 25761229 DOI: 10.1002/2327-6924.12243] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2014] [Accepted: 12/22/2014] [Indexed: 11/10/2022]
Abstract
PURPOSE Examine parents' concerns about subsequent pregnancies after experiencing an infant or child death (newborn to 18 years). DATA SOURCES Thirty-nine semistructured parent (white, black, Hispanic) interviews 7 and 13 months post infant/child death conducted in English and/or Spanish, audio-recorded, transcribed, and content analyzed. Mothers' mean age was 31.8 years, fathers' was 39 years; 11 parents were white, 16 black, and 12 Hispanic. CONCLUSIONS Themes common at 7 and 13 months: wanting more children; fear, anxiety, scared; praying to God/God's will; thinking about/keeping the infant's/child's memory and at 7 months importance of becoming pregnant for family members; and at 13 months happy about a new baby. Parents who lost a child in neonatal intensive care unit (NICU) commented more than those who lost a child in pediatric intensive care unit (PICU). Black and Hispanic parents commented more on praying to God and subsequent pregnancies being God's will than white parents. IMPLICATIONS FOR PRACTICE Loss of an infant/child is a significant stressor on parents with documented negative physical and mental health outcomes. Assessing parents' subsequent pregnancy plans, recognizing the legitimacy of their fears about another pregnancy, discussing a plan should they encounter problems, and carefully monitoring the health of all parents who lost an infant/child is an essential practitioner role.
Collapse
Affiliation(s)
- Dorothy Brooten
- Nicole Wertheim College of Nursing & Health Sciences, Florida International University, Miami, Florida
| | - JoAnne M Youngblut
- Nicole Wertheim College of Nursing & Health Sciences, Florida International University, Miami, Florida
| | - Jean Hannan
- Nicole Wertheim College of Nursing & Health Sciences, Florida International University, Miami, Florida
| | - Carmen Caicedo
- Nicole Wertheim College of Nursing & Health Sciences, Florida International University, Miami, Florida
| | - Rosa Roche
- Nicole Wertheim College of Nursing & Health Sciences, Florida International University, Miami, Florida
| | - Fatima Malkawi
- Nicole Wertheim College of Nursing & Health Sciences, Florida International University, Miami, Florida
| |
Collapse
|
21
|
Posttraumatic stress and posttraumatic stress disorder after termination of pregnancy and reproductive loss: a systematic review. J Pregnancy 2015; 2015:646345. [PMID: 25734016 PMCID: PMC4334933 DOI: 10.1155/2015/646345] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2014] [Accepted: 01/20/2015] [Indexed: 11/17/2022] Open
Abstract
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.
Collapse
|
22
|
Nath K, Bhattacharya A, Sinha P, Praharaj SK. Devaki syndrome: a culture-bound psychological reaction in Indian Hindu women in response to repeated pregnancy loss? Asian J Psychiatr 2015; 13:13-5. [PMID: 25583112 DOI: 10.1016/j.ajp.2014.12.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2014] [Revised: 11/26/2014] [Accepted: 12/21/2014] [Indexed: 10/24/2022]
Abstract
Depression and anxiety are observed in pregnant women with previous foetal loss due to spontaneous abortions. Culture has important influence on the expression of psychopathology. We report two Hindu women during second trimester of pregnancy with symptoms of depression and anxiety along with identification with a mythological figure - Devaki, with extreme preoccupations with child Krishna and expecting a male child, which precipitated after a series of unfortunate foetal losses.
Collapse
Affiliation(s)
- Kamal Nath
- Department of Psychiatry, Silchar Medical College and Hospital, Silchar, Assam, India.
| | | | | | | |
Collapse
|
23
|
Hutti MH, Armstrong DS, Myers JA, Hall LA. Grief Intensity, Psychological Well‐Being, and the Intimate Partner Relationship in the Subsequent Pregnancy after a Perinatal Loss. J Obstet Gynecol Neonatal Nurs 2015; 44:42-50. [DOI: 10.1111/1552-6909.12539] [Citation(s) in RCA: 61] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
|
24
|
Ravishankar N, Bernstein M. Religion benefiting brain tumour patients: a qualitative study. JOURNAL OF RELIGION AND HEALTH 2014; 53:1898-1906. [PMID: 24906899 DOI: 10.1007/s10943-014-9895-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
As the focus on modern neurosurgery has shifted to the realm of technological advancement, some patients and their loved ones still hold a strong faith in their religion to guide them through the process. This study aimed to determine whether religion as a coping mechanism was beneficial for patients before, during and after craniotomy. Qualitative case study methodology was used. Interviews were conducted with randomly selected 36 adult patients who underwent surgery for a benign or malignant brain tumour. Interviews were audio recorded and transcribed, and the data subjected to thematic analysis. Four overarching themes emerged from the data: (1) religion significantly benefited neurosurgical patients; (2) neurosurgical patients did not require a dedicated religious room in the hospital; (3) neurosurgical patients required religious resources such as leaders and/or groups; and (4) patients were not in favour of their physician engaging in the religious ritual. Most patients found religion to be an effective coping mechanism, offering them strength, comfort, and hope through the surgery. The findings from this study emphasize the need for including a "religious time-out" before and after surgery and the inclusion of religious leaders/groups for those in favour to ensure quality care and patient satisfaction.
Collapse
Affiliation(s)
- Nidhi Ravishankar
- Division of Neurosurgery, Toronto Western Hospital, University of Toronto, 399 Bathurst Street, 4 West Wing, Toronto, ON, M5T 2S8, Canada,
| | | |
Collapse
|
25
|
Heidari T, Ziaei S, Ahmadi F, Mohammadi E. Powerful leverages and counter-currents in the unborn child spiritual care: a qualitative study. Glob J Health Sci 2014; 7:122-32. [PMID: 25560343 PMCID: PMC4796445 DOI: 10.5539/gjhs.v7n1p122] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2014] [Revised: 07/23/2014] [Accepted: 07/09/2014] [Indexed: 12/02/2022] Open
Abstract
In different cultures, pregnancy, birth and motherhood are perceived as spiritual events through their miraculous processes and create an ideal context for spiritual enrichment. However, studies on spirituality and birth are at very early stages. The purpose of this study was to understand the facilitators and barriers of the unborn child spiritual care in Iranian women. Twenty-two mothers with live pregnancy experience who were willing and able to share their life stories were selected purposefully in Tehran (Iran) from May 2012 to April 2013. Qualitative content analysis was used to analyze 27 interviews. Active and passive acquisition of information, inner inspirational messages, receiving effective support from the people around as well as modeling of self and significant others created “powerful leverages” to accelerate mother for caring her unborn child. “Counter-currents” in the form of unsuitable physical conditions during pregnancy, poor economic and social conditions, unsuitable psychological and cognitive conditions and finally understanding unsuitable ideological conditions of the self and care giver were identified as barriers. Iranian cultural and religious perspective on the unborn child physical and mental influence from mother has an important role in mother’s self-care behaviors during pregnancy. It seems that using interdisciplinary professionals’ skills based on understanding facilitators and barriers of mother care of the unborn child can lead to providing comprehensive prenatal care according to mothers’ cultural, religious and social context.
Collapse
Affiliation(s)
| | - Saeideh Ziaei
- Correspondence: Saeedeh Ziaei, Professor, Department of Midwifery & Reproductive Health, Faculty of Medical Sciences, Tarbiat Modares University, P.O. Box 14115-111, Tehran, Iran. E-mail: .
| | | | | |
Collapse
|
26
|
Nuzum D, Meaney S, O'Donoghue K. The provision of spiritual and pastoral care following stillbirth in Ireland: a mixed methods study: Table 1. BMJ Support Palliat Care 2014; 6:194-200. [DOI: 10.1136/bmjspcare-2013-000533] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2013] [Accepted: 05/25/2014] [Indexed: 11/03/2022]
|
27
|
Hafizi S, Memari AH, Pakrah M, Mohebi F, Saghazadeh A, Koenig HG. The Duke University Religion Index (DUREL): Validation and Reliability of the Farsi Version. Psychol Rep 2013; 112:151-9. [DOI: 10.2466/08.07.17.pr0.112.1.151-159] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study examined the validation and reliability of the Farsi version of the Duke University Religion Index (FDUREL), a brief measure designed to evaluate the primary dimensions of religiosity. The study was conducted in two phases. In the first phase, after translation of the original version of DUREL by using standard forward-backward translation, the FDUREL was administered to 427 medical students at different training levels. Reliability of the FDUREL was assessed by internal consistency and test-retest reliability. Principal components factor analysis was employed to assess the construct validity of the measure. In the second phase, 557 medical students were asked to fill out the FDUREL and Hoge Intrinsic Religiosity Scale to examine concurrent validity. The FDUREL was unidimensional and had good internal consistency and test-retest reliability. Results suggest that the FDUREL is a reliable and valid measure of religiosity in Farsispeaking populations.
Collapse
Affiliation(s)
- Sina Hafizi
- Tehran University of Medical Sciences, Tehran, Iran
| | | | | | | | | | - Harold G. Koenig
- Duke University Medical Center, Durham, North Carolina and King Abdulaziz University, Jeddah, Saudi Arabia
| |
Collapse
|
28
|
Coussons-Read ME. The Psychoneuroimmunology of Stress in Pregnancy. CURRENT DIRECTIONS IN PSYCHOLOGICAL SCIENCE 2012. [DOI: 10.1177/0963721412453720] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The rate of preterm birth in the United States remains high. In up to 40% of cases of preterm birth, the mothers are healthy women who have no clear risk factors. Accordingly, research has begun to explore the effect of prenatal stress on the risk of preterm birth and shortened gestational age at birth. There is increasing evidence that psychosocial stress throughout gestation increases the risk of preterm birth through changes in maternal endocrine, immune, and inflammatory activity during pregnancy. In this article, I describe foundational and current research examining the effects and biological mechanisms of prenatal stress in preterm birth and shortened gestational age at birth. I emphasize psychoneuroimmunology-focused studies showing that prenatal stress alters inflammatory and endocrine markers during gestation and that these changes are associated with preterm birth and shortened gestational age at birth.
Collapse
|