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Database - Alliance francophone pour l'accouchement respecté (AFAR)

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https://afar.info/id=2943

Created on : 05 Apr 2018
Modified on : 05 Apr 2018

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Bibliographical entry (without author) :

Prevalence and risk factors of postpartum posttraumatic stress disorder: a meta-analysis. Clinical Psychology Review, 34(5), 389-401.

Author(s) :

Grekin, R., & O’Hara, M. W.

Year of publication :

2014

URL(s) :

http://www.sciencedirect.com/science/article/pii/S…
https://doi.org/10.1016/j.cpr.2014.05.003

Résumé (français)  :

La recherche a démontré que les femmes développent un ESPT post-partum. La prévalence du ESPT postpartum variait de 1% à 30%, et de nombreux facteurs de risque ont été identifiés comme facteurs prédictifs du TSPT postpartum. Bien que des examens qualitatifs aient permis de cerner des profils de risque, le manque d’examens quantitatifs empêche le domaine d’identifier des facteurs de risque précis et de faire une seule estimation de la prévalence du ESPT postpartum. La méta-analyse actuelle a étudié la prévalence et les facteurs de risque du SSPT post-partum, à la fois en raison de l’accouchement et d’autres événements, au sein d’échantillons communautaires et ciblés. La prévalence du SSPT post-partum dans les échantillons communautaires était estimée à 3,1% et dans les échantillons à risque à 15,7%. Les facteurs de risque importants dans les échantillons communautaires comprenaient la dépression actuelle, les expériences de travail telles que les interactions avec le personnel médical, ainsi que des antécédents de psychopathologie. Dans les échantillons à risque, les facteurs de risque percutants comprenaient la dépression actuelle et les complications chez le nourrisson. D’autres recherches devraient étudier comment les attitudes envers la grossesse et l’accouchement peuvent interagir avec les expériences des femmes pendant l’accouchement. De plus, des études doivent commencer à évaluer les effets possibles à long terme que ces symptômes peuvent avoir sur les femmes et leurs familles.

Abstract (English)  :

Research has demonstrated that women develop postpartum PTSD. Prevalence of postpartum PTSD has ranged from 1% to 30%, and many risk factors have been identified as predictors of postpartum PTSD. While qualitative reviews have identified patterns of risk, the lack of quantitative reviews prevents the field from identifying specific risk factors and making a single estimate of the prevalence of postpartum PTSD. The current meta-analysis investigated prevalence and risk factors of postpartum PTSD, both due to childbirth and other events, among community and targeted samples. Prevalence of postpartum PTSD in community samples was estimated to be 3.1% and in at-risk samples at 15.7%. Important risk factors in community samples included current depression, labor experiences such as interactions with medical staff, as well as a history of psychopathology. In at-risk samples, impactful risk factors included current depression and infant complications. Further research should investigate how attitudes towards pregnancy and childbirth may interact with women’s experiences during delivery. Additionally, studies need to begin to evaluate possible long-term effects that these symptoms may have on women and their families.

Sumário (português)  :

A pesquisa mostrou que as mulheres desenvolvem TEPT no pós-parto. A prevalência de TEPT no período pós-parto variou de 1% a 30% e muitos fatores de risco foram identificados como preditores de TEPT no pós-parto. Embora revisões qualitativas tenham identificado perfis de risco, a falta de revisões quantitativas impede que o campo identifique fatores de risco específicos e faça uma única estimativa da prevalência de TEPT no pós-parto. A meta-análise atual investigou a prevalência e os fatores de risco do TEPT no pós-parto, tanto como resultado de partos e outros eventos, em amostras comunitárias e direcionadas. A prevalência de TEPT no pós-parto em amostras comunitárias foi estimada em 3,1% e nas amostras de risco em 15,7%. Fatores de risco importantes nas amostras da comunidade incluíram a depressão atual, experiências de trabalho como interações com a equipe médica e um histórico de psicopatologia. Nas amostras de risco, os fatores de risco do impacto incluíram depressão atual e complicações no lactente. Outras pesquisas devem investigar como as atitudes em relação à gravidez e ao parto podem interagir com as experiências das mulheres durante o parto. Além disso, os estudos precisam começar a avaliar os possíveis efeitos a longo prazo que esses sintomas podem ter sobre as mulheres e suas famílias.

Comments :

A lire avec attention pour potentiel bias pour cesarean (i.e possiblement aveugle aux effets de hypermeidcalisation sur la populaiton qui n’ont pas peur de la naissance physiologique)

Argument (français) :

Dans les échantillons à risque, les facteurs de risque percutants comprenaient la dépression actuelle et les complications chez le nourrisson. D’autres recherches devraient étudier comment les attitudes envers la grossesse et l’accouchement peuvent interagir avec les expériences des femmes pendant l’accouchement. De plus, des études doivent commencer à évaluer les effets possibles à long terme que ces symptômes peuvent avoir sur les femmes et leurs familles.

Argument (English):

Important risk factors in community samples included current depression, labor experiences such as interactions with medical staff, as well as a history of psychopathology. In at-risk samples, impactful risk factors included current depression and infant complications. Further research should investigate how attitudes towards pregnancy and childbirth may interact with women’s experiences during delivery. Additionally, studies need to begin to evaluate possible long-term effects that these symptoms may have on women and their families.

Argumento (português):

Nas amostras de risco, os fatores de risco do impacto incluíram depressão atual e complicações no lactente. Outras pesquisas devem investigar como as atitudes em relação à gravidez e ao parto podem interagir com as experiências das mulheres durante o parto. Além disso, os estudos precisam começar a avaliar os possíveis efeitos a longo prazo que esses sintomas podem ter sobre as mulheres e suas famílias.

Keywords :

➡ evidence-based medicine/midwifery ; psychology ; public health ; traumatism ; post-traumatic stress

Author of this record :

Veronica Graham — 05 Apr 2018
➡ latest update : Alison Passieux — 05 Apr 2018

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