Research Article
Year 2023,
Volume: 3 Issue: 1, 16 - 22, 15.01.2023
Abstract
Amaç: Bu araştırma, Postpartum maternal psikolojik dayanıklılığın travmatik strese etkisini incelemek amacıyla yürütülmüştür.
Yöntemler: Tanımlayıcı tipte olan bu araştırmanın verileri, Google Form aracılığı ile sanal ortamda Şubat-Mayıs 2022 tarihleri arasında 215 anneden toplanmıştır. Verilerin toplanmasında tanımlayıcı bilgi formu, City Doğum Travması Ölçeği ve Yetişkinler İçin Dayanıklılık Ölçeği kullanılmıştır.
Bulgular: Araştırma kapsamına alınan kadınların yaş ortalaması 26.2± 3.88 olduğu, %92.6’sının çekirdek ailede yaşadığı ve bebeklerinin 9.14±4.69 aylık olduğu bulunmuştur. Kadınların psikolojik dayanıklılık puan ortalamasının 117.76±16.17 olduğu ve eğitim düzeyi yüksek olan, gebelikleri planlı olan ve doğumda özel ebe/hemşire desteği alan kadınların psikolojik dayanıklılık puanlarının daha yüksek olduğu görülmüştür (p˂0.05). City Doğum Travması Ölçeği toplam puan ortalaması 13.31±10.32 olan kadınların, geliri giderinden az olan, gebeliğinde sağlık sorunu yaşayan, doğum süreci uzayan, acil sezaryen olan, ilk emzirmeye geç başlayan, doğum sürecinde kendisine saygılı davranılmadığını belirten ve yeterince desteklenmediğini hisseden kadınların travmatik stres puanları yüksek bulunmuştur (p˂0.05). Kadınların psikolojik dayanıklılık toplam puanları ve travmatik stres toplam puanları arasında yapılan korelasyon analizinde, çok zayıf düzeyde negatif yönlü anlamlı bir ilişki olduğu belirlenmiştir (p= 0.033).
Sonuç: Postpartum psikolojik dayanıklılık ve travmatik stres açısından riskli grupta bulunan kadınlar daha yakından izlenmelidir.
Supporting Institution
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Project Number
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Thanks
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References
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- 2. Andersson S, Bathula DR, Iliadis SI, Walter M, Skalkidou A. Predicting women with depressive symptoms postpartum with machine learning methods. Sci. Rep. 2021,11, 7877
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- 5. Ayers S, Wright DB, Thornton A. Development of a measure of postpartum PTSD: The City Birth Trauma Scale. Front Psychiatry. 2018;18:409.
- 6. Ayers S. Birth trauma and post-traumatic stress disorder: the importance of risk and resilience, Journal of Reproductive and Infant Psychology 2017; 35(5):427–430.
- 7. Barnes DL. Women's Reproductive Mental Health Across the Lifespan. Basel, Switzerland: Springer Publishing; 2015.
- 8. Basım HN, Çetin,F. Yetişkinler için Psikolojik Dayanıklılık Ölçeği’nin Güvenilirlik ve Geçerlilik Çalışması, Türk Psikiyatri Dergisi, 2011;22(2):104-114.
- 9. Bayrı Bingöl F, Bal MD, Dişsiz M, Sormageç MT, Yildiz PD. Validity and reliability of the Turkish version of the City Birth Trauma Scale (CityBiTS). Journal of obstetrics and gynaecology: the journal of the Institute of Obstetrics and Gynaecology, 2021;41(7),1023–1031. https://doi.org/10.1080/01443615.2020.1821354
- 10. Bayri Bingol F, Demirgoz Bal M. The risk factors for postpartum posttraumatic stress disorder and depression. Perspect Psychiatr Care. 2020;56(4):851-857. doi:10.1111/ppc.12501
- 11. Beck CT, Driscoll JW, Watson S. Traumatic Childbirth. Routledge Publishing. Simultaneously published in the USA and Canada. 2013.
- 12. Bennett AE, Kearney JM. Factors associated with maternal wellbeing at four months post-partum in Ireland. Nutrients 2018, 10, 5.
- 13. Capik A, Durmaz H. Fear of childbirth, postpartum depression, and birth‐related variables as predictors of posttraumatic stress disorder after childbirth. Worldviews Evid Based Nurs. 2018;15:455‐463.
- 14. De Schepper S, Vercauteren T, Tersago J, Jacquemyn Y, Raes F, Franck E. Post‐traumatic stress disorder after child birth and the influence of maternity team care during labour and birth: a cohort study. Midwifery. 2016;32:87‐92.
- 15. Fonseca A, Nazare B, Canavarro MC. Parenting an infant with a congenital anomaly: An exploratory study on patterns of adjustment from diagnosis to six months post birth. Child Health Care 2014:18,111–122.
- 16. Ford E, Ayers S. Stressful events and support during birth: The effect on anxiety, mood and perceived control, Journal of Anxiety Disorders. 2009; 23, 260-268.
- 17. Furuta M, Sandall J, Cooper D, Bick D. Predictors of birth‐related post‐traumatic stress symptoms: secondary analysis of a cohort study. Arch Womens Ment Health. 2016;19:987‐999.
- 18. Haagen JFG, Moerbeek M, Olde E, van der Hart O, Kleber RJ. PTSD after childbirth: a predictive ethological model for symptom development. J Affect Disord. 2015;185:135‐143.
- 19. Hain S, Oddo-Sommerfeld S, Bahlmann F, Louwen F, Schermelleh-Engel K. Risk and protective factors for antepartum and postpartum depression: a prospective study. J Psychosom Obstet Gynaecol 2016; 37(4): 119–29.
- 20. García-León MÁ, Caparrós-González RA, Romero-González B, González-Perez R, Peralta-Ramírez I. Resilience as a protective factor in pregnancy and puerperium: its relationship with the psychological state, and with hair cortisol concentrations. Midwifery 2019; 75: 138–45.
- 21. Joyce S, Shand F, Tighe J, Laurent SJ, Bryant RA, Harvey SB. Road to resilience: a systematic review and meta-analysis of resilience training programmes and interventions. BMJ Open 2018;8(6): e017858.
- 22. Kendall‐Tackett K. Birth trauma: the causes and consequences of childbirth‐related trauma and PTSD. In: Barnes DL, ed. Women’s Reproductive Mental Health Across the Lifespan. Basel, Switzerland: Springer Publishing; 2015.
- 23. Phillips R. The sacred hour: Uninterrupted skin‐to‐skin contact immediately after birth. Newborn Infant Nurs Rev. 2013;13:67‐72.
- 24. Polachek IS, Harari LH, Baum M, Strous RD. Postpartum posttraumatic stress disorder symptoms: the uninvited birth companion 2012;14:347-53.
- 25. Saxbe D, Horton KT, Tsai AB. The birth experiences questionnaire: A brief measure assessing psychosocial dimensions of childbirth. J Fam Psychol 2018;32(2):262–8.
- 26. Srkalović Imširagić A, Begić D, Šimičević L, Bajić Ž. Prediction of posttraumatic stress disorder symptomatology after childbirth—a Croatian longitudinal study. Women Birth. 2017;30:e17‐e23.
- 27. Stramrood C, Slade PA. Woman Afraid of Becoming Pregnant Again: Posttraumatic Stress Disorder Following Childbirth. Paarlberg, K.M., Van de Wiel, H.B.M. (Ed.), Bio-Psycho-Social Obstetrics and Gynecology. Switzerland: Springer. 2017; 33-47.
- 28. Terte de I, Stephens C. Psychological Resilience of Workers in High-Risk Occupations. Stress and Health: Journal of the International Society for the Investigation of Stress, 2014;30 (5):353–355.
- 29. Tobe H, Kita S, Hayashi M, Umeshita K, Kamibeppu K. Mediating effect of resilience during pregnancy on the association between maternal trait anger and postnatal depression. Compr Psychiatry 2020;102:152190.
- 30. Türkiye Cumhuriyeti, Sağlık Bakanlığı, Doğum Sonu Bakım Yönetim Rehberi, 2018, https://khgmsaglikhizmetleridb.saglik.gov.tr/Eklenti/28086/0/dogumsonubakimyonetimrehberipdf.pdf
- 31. Walker AL, Witteveen AB, Otten RHJ, Verhoeven CJ, Henrichs J, de Jonge A. Resilience-enhancing interventions for antepartum depressive symptoms: systematic review. BJPsych Open. 2022;8(3):e89. Published 2022 May 6. doi:10.1192/bjo.2022.60
- 32. Weeks F, Pantoja L, Ortiz J, Foster J, Cavada G, Binfa L. Labor and birth care satisfaction associated with medical ınterventions and accompaniment during labor among chilean women. J Midwifery Womens Health 2016;62(2):196–203.
- 33. Waugh CE, Koster EH. A resilience framework for promoting stable remission from depression. Clin Psychol Rev 2015; 41: 49–60.
Year 2023,
Volume: 3 Issue: 1, 16 - 22, 15.01.2023
Abstract
Objective:This study was conducted to examine the effect of postpartum maternal resilience on traumatic stress.
Methods:The data of this descriptive study were collected from 215 mothers between February and May, 2022 via Google Form. Descriptive information form, City Birth Trauma Scale and Resilience Scale for Adults were used to collect data.
Results:It was found that the mean age of the women included in the study was 26.26±3.88, 92.6% of them lived in a small family and their babies were 9.14±4.69 months. It was observed that the mean psychological resilience score of the women was 117.76±16.179 and the psychological resilience scores of the women with a high level of education, planned pregnancies and receiving private midwife/nurse support during delivery were higher(p˂0.05). The traumatic stress scores of the women with a total mean score of 13.31±10.32 on the City Birth Trauma Scale, who had less income than their expenses, who had health problems during their pregnancy, who had a prolonged delivery period, women with emergency cesarean section, who started breastfeeding late, who stated that they were not treated with respect during the birth process and who felt that they were not supported enough, were found to be high(p˂0.05). In the correlation analysis between the psychological resilience total scores and the traumatic stress total scores of the women, it was determined that there was a very weak negative significant relationship(p= 0.033).
Conclusion:Women in the risk group in terms of postpartum psychological resilience and traumatic stress should be follow up more closely.
Project Number
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References
- 1. Abdollahpour S, Khosravi A, Bolbolhaghighi N. The effect of the magical hour on post‐traumatic stress disorder (PTSD) in traumatic childbirth: a clinical trial. J Reprod Infant Psychol. 2016;34:403‐412.
- 2. Andersson S, Bathula DR, Iliadis SI, Walter M, Skalkidou A. Predicting women with depressive symptoms postpartum with machine learning methods. Sci. Rep. 2021,11, 7877
- 3. APA, 2014; American Psychological Association. The Road to Resilience. American Psychological Association, 2014 (https://uncw.edu/studentaffairs/committees/pdc/documents/the%20road%20to%20resilience.pdf)
- 4. Assal-Zrike S, Marks K, Atzaba-Poria N. Prematurity, maternal emotional distress, and infant social responsiveness among arab-bedouin families: The role of social support as a resilience factor. Child Dev. 2021, 93, 582–593.
- 5. Ayers S, Wright DB, Thornton A. Development of a measure of postpartum PTSD: The City Birth Trauma Scale. Front Psychiatry. 2018;18:409.
- 6. Ayers S. Birth trauma and post-traumatic stress disorder: the importance of risk and resilience, Journal of Reproductive and Infant Psychology 2017; 35(5):427–430.
- 7. Barnes DL. Women's Reproductive Mental Health Across the Lifespan. Basel, Switzerland: Springer Publishing; 2015.
- 8. Basım HN, Çetin,F. Yetişkinler için Psikolojik Dayanıklılık Ölçeği’nin Güvenilirlik ve Geçerlilik Çalışması, Türk Psikiyatri Dergisi, 2011;22(2):104-114.
- 9. Bayrı Bingöl F, Bal MD, Dişsiz M, Sormageç MT, Yildiz PD. Validity and reliability of the Turkish version of the City Birth Trauma Scale (CityBiTS). Journal of obstetrics and gynaecology: the journal of the Institute of Obstetrics and Gynaecology, 2021;41(7),1023–1031. https://doi.org/10.1080/01443615.2020.1821354
- 10. Bayri Bingol F, Demirgoz Bal M. The risk factors for postpartum posttraumatic stress disorder and depression. Perspect Psychiatr Care. 2020;56(4):851-857. doi:10.1111/ppc.12501
- 11. Beck CT, Driscoll JW, Watson S. Traumatic Childbirth. Routledge Publishing. Simultaneously published in the USA and Canada. 2013.
- 12. Bennett AE, Kearney JM. Factors associated with maternal wellbeing at four months post-partum in Ireland. Nutrients 2018, 10, 5.
- 13. Capik A, Durmaz H. Fear of childbirth, postpartum depression, and birth‐related variables as predictors of posttraumatic stress disorder after childbirth. Worldviews Evid Based Nurs. 2018;15:455‐463.
- 14. De Schepper S, Vercauteren T, Tersago J, Jacquemyn Y, Raes F, Franck E. Post‐traumatic stress disorder after child birth and the influence of maternity team care during labour and birth: a cohort study. Midwifery. 2016;32:87‐92.
- 15. Fonseca A, Nazare B, Canavarro MC. Parenting an infant with a congenital anomaly: An exploratory study on patterns of adjustment from diagnosis to six months post birth. Child Health Care 2014:18,111–122.
- 16. Ford E, Ayers S. Stressful events and support during birth: The effect on anxiety, mood and perceived control, Journal of Anxiety Disorders. 2009; 23, 260-268.
- 17. Furuta M, Sandall J, Cooper D, Bick D. Predictors of birth‐related post‐traumatic stress symptoms: secondary analysis of a cohort study. Arch Womens Ment Health. 2016;19:987‐999.
- 18. Haagen JFG, Moerbeek M, Olde E, van der Hart O, Kleber RJ. PTSD after childbirth: a predictive ethological model for symptom development. J Affect Disord. 2015;185:135‐143.
- 19. Hain S, Oddo-Sommerfeld S, Bahlmann F, Louwen F, Schermelleh-Engel K. Risk and protective factors for antepartum and postpartum depression: a prospective study. J Psychosom Obstet Gynaecol 2016; 37(4): 119–29.
- 20. García-León MÁ, Caparrós-González RA, Romero-González B, González-Perez R, Peralta-Ramírez I. Resilience as a protective factor in pregnancy and puerperium: its relationship with the psychological state, and with hair cortisol concentrations. Midwifery 2019; 75: 138–45.
- 21. Joyce S, Shand F, Tighe J, Laurent SJ, Bryant RA, Harvey SB. Road to resilience: a systematic review and meta-analysis of resilience training programmes and interventions. BMJ Open 2018;8(6): e017858.
- 22. Kendall‐Tackett K. Birth trauma: the causes and consequences of childbirth‐related trauma and PTSD. In: Barnes DL, ed. Women’s Reproductive Mental Health Across the Lifespan. Basel, Switzerland: Springer Publishing; 2015.
- 23. Phillips R. The sacred hour: Uninterrupted skin‐to‐skin contact immediately after birth. Newborn Infant Nurs Rev. 2013;13:67‐72.
- 24. Polachek IS, Harari LH, Baum M, Strous RD. Postpartum posttraumatic stress disorder symptoms: the uninvited birth companion 2012;14:347-53.
- 25. Saxbe D, Horton KT, Tsai AB. The birth experiences questionnaire: A brief measure assessing psychosocial dimensions of childbirth. J Fam Psychol 2018;32(2):262–8.
- 26. Srkalović Imširagić A, Begić D, Šimičević L, Bajić Ž. Prediction of posttraumatic stress disorder symptomatology after childbirth—a Croatian longitudinal study. Women Birth. 2017;30:e17‐e23.
- 27. Stramrood C, Slade PA. Woman Afraid of Becoming Pregnant Again: Posttraumatic Stress Disorder Following Childbirth. Paarlberg, K.M., Van de Wiel, H.B.M. (Ed.), Bio-Psycho-Social Obstetrics and Gynecology. Switzerland: Springer. 2017; 33-47.
- 28. Terte de I, Stephens C. Psychological Resilience of Workers in High-Risk Occupations. Stress and Health: Journal of the International Society for the Investigation of Stress, 2014;30 (5):353–355.
- 29. Tobe H, Kita S, Hayashi M, Umeshita K, Kamibeppu K. Mediating effect of resilience during pregnancy on the association between maternal trait anger and postnatal depression. Compr Psychiatry 2020;102:152190.
- 30. Türkiye Cumhuriyeti, Sağlık Bakanlığı, Doğum Sonu Bakım Yönetim Rehberi, 2018, https://khgmsaglikhizmetleridb.saglik.gov.tr/Eklenti/28086/0/dogumsonubakimyonetimrehberipdf.pdf
- 31. Walker AL, Witteveen AB, Otten RHJ, Verhoeven CJ, Henrichs J, de Jonge A. Resilience-enhancing interventions for antepartum depressive symptoms: systematic review. BJPsych Open. 2022;8(3):e89. Published 2022 May 6. doi:10.1192/bjo.2022.60
- 32. Weeks F, Pantoja L, Ortiz J, Foster J, Cavada G, Binfa L. Labor and birth care satisfaction associated with medical ınterventions and accompaniment during labor among chilean women. J Midwifery Womens Health 2016;62(2):196–203.
- 33. Waugh CE, Koster EH. A resilience framework for promoting stable remission from depression. Clin Psychol Rev 2015; 41: 49–60.
There are 33 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Nursing |
| Journal Section | Research Articles |
| Authors | |
| Project Number | - |
| Publication Date | January 15, 2023 |
| Submission Date | October 13, 2022 |
| Published in Issue | Year 2023 Volume: 3 Issue: 1 |
