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Predicting posttraumatic stress disorder after childbirth

Citation

O'Donovan, A and Alcorn, KL and Patrick, J and Creedy, DK and Dawe, Sharon S and Devilly, Grant James GJ, Predicting posttraumatic stress disorder after childbirth, Midwifery, 30, (8) pp. 935-941. ISSN 0266-6138 (2014) [Refereed Article]

Copyright Statement

Copyright 2014 Elsevier Ltd.

DOI: doi:10.1016/j.midw.2014.03.011

Abstract

Objective: around 50% of women report symptoms that indicate some aspect of their childbirth experience was 'traumatic', and at least 3.1% meet diagnosis for PTSD six months post partum. Here we aimed to conduct a prospective longitudinal study and examine predictors of birth-related trauma - predictors that included a range of pre-event factors - as a first step in the creation of a screening questionnaire. Method: of the 933 women who completed an assessment in their third trimester, 866 were followed-up at four to six week post partum. Two canonical discriminant function analyses were conducted to ascertain factors associated with experiencing birth as traumatic and, of the women who found the birth traumatic, which factors were associated with those who developed PTSD. Findings: a mix of 16 pre-birth predictor variables and event-specific predictor variables distinguished women who reported symptoms consistent with trauma from those who did not. Fourteen predictor variables distinguished women who went on to develop PTSD from those who did not. Conclusions: anxiety sensitivity to possible birthing problems, breached birthing expectations, and severity of any actual birth problem, predicted those who found the birth traumatic. Prior trauma was the single most important predictive factor of PTSD. Evaluating the utility of brief, cost-effective, and accurate screening for women at risk of developing birth-related PTSD is suggested. © 2014 Elsevier Ltd.

Item Details

Item Type:Refereed Article
Keywords:PTSD posttraumatic stress disorderchildbirth
Research Division:Economics
Research Group:Applied Economics
Research Field:Health Economics
Objective Division:Health
Objective Group:Health and Support Services
Objective Field:Evaluation of Health Outcomes
Author:Patrick, J (Dr Jeff Patrick)
ID Code:98113
Year Published:2014
Web of Science® Times Cited:12
Deposited By:Tasmanian School of Business and Economics
Deposited On:2015-02-02
Last Modified:2015-05-06
Downloads:0

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