Maternal coping, appraisals and adjustment following diagnosis of fetal anomaly
ABSTRACT Objective So far, associations between appraisals, maternal adjustment and coping following diagnosis of fetal anomaly have not been investigated in women who continue with their pregnancy. Method This study measured maternal coping and adjustment after and appraisal of a diagnosis of fetal...
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| Veröffentlicht in: | Prenatal diagnosis 2013-12, Vol.33 (12), p.1137-1145 |
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| container_title | Prenatal diagnosis |
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| creator | Horsch, Antje Brooks, Chloe Fletcher, Helen |
| description | ABSTRACT
Objective
So far, associations between appraisals, maternal adjustment and coping following diagnosis of fetal anomaly have not been investigated in women who continue with their pregnancy.
Method
This study measured maternal coping and adjustment after and appraisal of a diagnosis of fetal anomaly in 40 mothers who had continued with their pregnancy using a cross‐sectional questionnaire design.
Results
Based on retrospective reporting, 35% of participants met full diagnostic criteria for post‐traumatic stress disorder after having received the diagnosis. Women were significantly more depressed (p |
| doi_str_mv | 10.1002/pd.4207 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1465864357</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3169896831</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4827-4d84836f65e85bdd9b5501ecf0a59608b3e3150dc6dd1f1edeb2f2b4cb9225eb3</originalsourceid><addsrcrecordid>eNp10E1P20AQBuAVKmoCVP0HlaUeQALDfnrXxyp8BJVCDqAcV2vvLHJqe12vLci_Z6MEDpU4zRyeeaV5EfpO8DnBmF509pxTLPfQlOBcpphS9gVNMYk7U4JM0EEIqwgVzeVXNKFM5YxLPkUPf8wAfWvqpPRd1T6fJabrelMFU4fEtDYxdjWGoYF2SJyva_8SUWIr89z6UIXEu8TBEM9N6xtTr4_Qvoun8G03D9HT9dXjbJ7ePdzczn7dpSVXVKbcKq5Y5jIBShTW5oUQmEDpsBF5hlXBgBGBbZlZSxwBCwV1tOBlkVMqoGCH6GSb2_X-3whh0E0VSqhr04IfgyY8EyrjTMhIf_5HV37cvLxRkmJKpKRRHW9V2fsQenC666vG9GtNsN50rDurNx1H-WOXNxYN2A_3XmoEp1vwUtWw_ixHLy53celWV2GA1w9t-r86k0wKvby_0b8X18vZnF_qGXsDCdmTGw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1472021772</pqid></control><display><type>article</type><title>Maternal coping, appraisals and adjustment following diagnosis of fetal anomaly</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Horsch, Antje ; Brooks, Chloe ; Fletcher, Helen</creator><creatorcontrib>Horsch, Antje ; Brooks, Chloe ; Fletcher, Helen</creatorcontrib><description>ABSTRACT
Objective
So far, associations between appraisals, maternal adjustment and coping following diagnosis of fetal anomaly have not been investigated in women who continue with their pregnancy.
Method
This study measured maternal coping and adjustment after and appraisal of a diagnosis of fetal anomaly in 40 mothers who had continued with their pregnancy using a cross‐sectional questionnaire design.
Results
Based on retrospective reporting, 35% of participants met full diagnostic criteria for post‐traumatic stress disorder after having received the diagnosis. Women were significantly more depressed (p < 0.001) and anxious (p < 0.001) and reported significantly less positive affect (p < 0.05) after having received the diagnosis in comparison to the time after childbirth. There were no significant differences between emotion‐focused and problem‐focused coping. Stressful life events, women's age, number of people providing support and problem‐focused coping explained 57.6% of variance in anxiety and depression after childbirth. Satisfaction with social support, emotion‐focused coping and problem‐focused coping significantly explained 40.6% of variance in positive affect after childbirth.
Conclusion
Following a prenatal diagnosis and for the remainder of their pregnancy, particular attention should be paid to older mothers, those experiencing additional stressful life events and those who are socially isolated, as these women may experience greater distress after childbirth. © 2013 John Wiley & Sons, Ltd.
What's already known about this topic?
Many women are unprepared for a prenatal diagnosis.
Following diagnosis of fetal anomaly, many women who continue with the pregnancy experience high levels of distress, and between 58% and 93% of pregnancies are terminated.
Although several factors have been associated with maternal coping and adjustment after a diagnosis of fetal anomaly, so far, how women who continue with their pregnancy appraise such a prenatal diagnosis has not been investigated.
What does this study add?
Satisfaction with and number of people providing social support, primary challenge appraisals, emotion‐focused coping and problem‐focused coping were associated with improved maternal adjustment following birth of their baby diagnosed with fetal anomaly.
Following prenatal diagnosis and for the remainder of pregnancy, particular attention should be paid to older mothers, those experiencing additional stressful life events and those with less social support, as they may experience greater distress after childbirth.</description><identifier>ISSN: 0197-3851</identifier><identifier>EISSN: 1097-0223</identifier><identifier>DOI: 10.1002/pd.4207</identifier><identifier>PMID: 23893474</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adaptation, Psychological ; Adult ; Anxiety ; Congenital Abnormalities - diagnosis ; Depression ; Female ; Fetal Diseases - diagnosis ; Humans ; Maternal Age ; Maternal Behavior - psychology ; Pregnancy ; Prenatal Diagnosis - psychology ; Retrospective Studies ; Social Support ; Stress Disorders, Post-Traumatic - diagnosis ; Stress, Psychological - diagnosis ; Surveys and Questionnaires</subject><ispartof>Prenatal diagnosis, 2013-12, Vol.33 (12), p.1137-1145</ispartof><rights>2013 John Wiley & Sons, Ltd.</rights><rights>Copyright © 2013 John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4827-4d84836f65e85bdd9b5501ecf0a59608b3e3150dc6dd1f1edeb2f2b4cb9225eb3</citedby><cites>FETCH-LOGICAL-c4827-4d84836f65e85bdd9b5501ecf0a59608b3e3150dc6dd1f1edeb2f2b4cb9225eb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpd.4207$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpd.4207$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23893474$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Horsch, Antje</creatorcontrib><creatorcontrib>Brooks, Chloe</creatorcontrib><creatorcontrib>Fletcher, Helen</creatorcontrib><title>Maternal coping, appraisals and adjustment following diagnosis of fetal anomaly</title><title>Prenatal diagnosis</title><addtitle>Prenat Diagn</addtitle><description>ABSTRACT
Objective
So far, associations between appraisals, maternal adjustment and coping following diagnosis of fetal anomaly have not been investigated in women who continue with their pregnancy.
Method
This study measured maternal coping and adjustment after and appraisal of a diagnosis of fetal anomaly in 40 mothers who had continued with their pregnancy using a cross‐sectional questionnaire design.
Results
Based on retrospective reporting, 35% of participants met full diagnostic criteria for post‐traumatic stress disorder after having received the diagnosis. Women were significantly more depressed (p < 0.001) and anxious (p < 0.001) and reported significantly less positive affect (p < 0.05) after having received the diagnosis in comparison to the time after childbirth. There were no significant differences between emotion‐focused and problem‐focused coping. Stressful life events, women's age, number of people providing support and problem‐focused coping explained 57.6% of variance in anxiety and depression after childbirth. Satisfaction with social support, emotion‐focused coping and problem‐focused coping significantly explained 40.6% of variance in positive affect after childbirth.
Conclusion
Following a prenatal diagnosis and for the remainder of their pregnancy, particular attention should be paid to older mothers, those experiencing additional stressful life events and those who are socially isolated, as these women may experience greater distress after childbirth. © 2013 John Wiley & Sons, Ltd.
What's already known about this topic?
Many women are unprepared for a prenatal diagnosis.
Following diagnosis of fetal anomaly, many women who continue with the pregnancy experience high levels of distress, and between 58% and 93% of pregnancies are terminated.
Although several factors have been associated with maternal coping and adjustment after a diagnosis of fetal anomaly, so far, how women who continue with their pregnancy appraise such a prenatal diagnosis has not been investigated.
What does this study add?
Satisfaction with and number of people providing social support, primary challenge appraisals, emotion‐focused coping and problem‐focused coping were associated with improved maternal adjustment following birth of their baby diagnosed with fetal anomaly.
Following prenatal diagnosis and for the remainder of pregnancy, particular attention should be paid to older mothers, those experiencing additional stressful life events and those with less social support, as they may experience greater distress after childbirth.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Anxiety</subject><subject>Congenital Abnormalities - diagnosis</subject><subject>Depression</subject><subject>Female</subject><subject>Fetal Diseases - diagnosis</subject><subject>Humans</subject><subject>Maternal Age</subject><subject>Maternal Behavior - psychology</subject><subject>Pregnancy</subject><subject>Prenatal Diagnosis - psychology</subject><subject>Retrospective Studies</subject><subject>Social Support</subject><subject>Stress Disorders, Post-Traumatic - diagnosis</subject><subject>Stress, Psychological - diagnosis</subject><subject>Surveys and Questionnaires</subject><issn>0197-3851</issn><issn>1097-0223</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10E1P20AQBuAVKmoCVP0HlaUeQALDfnrXxyp8BJVCDqAcV2vvLHJqe12vLci_Z6MEDpU4zRyeeaV5EfpO8DnBmF509pxTLPfQlOBcpphS9gVNMYk7U4JM0EEIqwgVzeVXNKFM5YxLPkUPf8wAfWvqpPRd1T6fJabrelMFU4fEtDYxdjWGoYF2SJyva_8SUWIr89z6UIXEu8TBEM9N6xtTr4_Qvoun8G03D9HT9dXjbJ7ePdzczn7dpSVXVKbcKq5Y5jIBShTW5oUQmEDpsBF5hlXBgBGBbZlZSxwBCwV1tOBlkVMqoGCH6GSb2_X-3whh0E0VSqhr04IfgyY8EyrjTMhIf_5HV37cvLxRkmJKpKRRHW9V2fsQenC666vG9GtNsN50rDurNx1H-WOXNxYN2A_3XmoEp1vwUtWw_ixHLy53celWV2GA1w9t-r86k0wKvby_0b8X18vZnF_qGXsDCdmTGw</recordid><startdate>201312</startdate><enddate>201312</enddate><creator>Horsch, Antje</creator><creator>Brooks, Chloe</creator><creator>Fletcher, Helen</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7T7</scope><scope>7TK</scope><scope>7TM</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>201312</creationdate><title>Maternal coping, appraisals and adjustment following diagnosis of fetal anomaly</title><author>Horsch, Antje ; Brooks, Chloe ; Fletcher, Helen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4827-4d84836f65e85bdd9b5501ecf0a59608b3e3150dc6dd1f1edeb2f2b4cb9225eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Anxiety</topic><topic>Congenital Abnormalities - diagnosis</topic><topic>Depression</topic><topic>Female</topic><topic>Fetal Diseases - diagnosis</topic><topic>Humans</topic><topic>Maternal Age</topic><topic>Maternal Behavior - psychology</topic><topic>Pregnancy</topic><topic>Prenatal Diagnosis - psychology</topic><topic>Retrospective Studies</topic><topic>Social Support</topic><topic>Stress Disorders, Post-Traumatic - diagnosis</topic><topic>Stress, Psychological - diagnosis</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Horsch, Antje</creatorcontrib><creatorcontrib>Brooks, Chloe</creatorcontrib><creatorcontrib>Fletcher, Helen</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Prenatal diagnosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Horsch, Antje</au><au>Brooks, Chloe</au><au>Fletcher, Helen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Maternal coping, appraisals and adjustment following diagnosis of fetal anomaly</atitle><jtitle>Prenatal diagnosis</jtitle><addtitle>Prenat Diagn</addtitle><date>2013-12</date><risdate>2013</risdate><volume>33</volume><issue>12</issue><spage>1137</spage><epage>1145</epage><pages>1137-1145</pages><issn>0197-3851</issn><eissn>1097-0223</eissn><abstract>ABSTRACT
Objective
So far, associations between appraisals, maternal adjustment and coping following diagnosis of fetal anomaly have not been investigated in women who continue with their pregnancy.
Method
This study measured maternal coping and adjustment after and appraisal of a diagnosis of fetal anomaly in 40 mothers who had continued with their pregnancy using a cross‐sectional questionnaire design.
Results
Based on retrospective reporting, 35% of participants met full diagnostic criteria for post‐traumatic stress disorder after having received the diagnosis. Women were significantly more depressed (p < 0.001) and anxious (p < 0.001) and reported significantly less positive affect (p < 0.05) after having received the diagnosis in comparison to the time after childbirth. There were no significant differences between emotion‐focused and problem‐focused coping. Stressful life events, women's age, number of people providing support and problem‐focused coping explained 57.6% of variance in anxiety and depression after childbirth. Satisfaction with social support, emotion‐focused coping and problem‐focused coping significantly explained 40.6% of variance in positive affect after childbirth.
Conclusion
Following a prenatal diagnosis and for the remainder of their pregnancy, particular attention should be paid to older mothers, those experiencing additional stressful life events and those who are socially isolated, as these women may experience greater distress after childbirth. © 2013 John Wiley & Sons, Ltd.
What's already known about this topic?
Many women are unprepared for a prenatal diagnosis.
Following diagnosis of fetal anomaly, many women who continue with the pregnancy experience high levels of distress, and between 58% and 93% of pregnancies are terminated.
Although several factors have been associated with maternal coping and adjustment after a diagnosis of fetal anomaly, so far, how women who continue with their pregnancy appraise such a prenatal diagnosis has not been investigated.
What does this study add?
Satisfaction with and number of people providing social support, primary challenge appraisals, emotion‐focused coping and problem‐focused coping were associated with improved maternal adjustment following birth of their baby diagnosed with fetal anomaly.
Following prenatal diagnosis and for the remainder of pregnancy, particular attention should be paid to older mothers, those experiencing additional stressful life events and those with less social support, as they may experience greater distress after childbirth.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>23893474</pmid><doi>10.1002/pd.4207</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adaptation, Psychological Adult Anxiety Congenital Abnormalities - diagnosis Depression Female Fetal Diseases - diagnosis Humans Maternal Age Maternal Behavior - psychology Pregnancy Prenatal Diagnosis - psychology Retrospective Studies Social Support Stress Disorders, Post-Traumatic - diagnosis Stress, Psychological - diagnosis Surveys and Questionnaires |
| title | Maternal coping, appraisals and adjustment following diagnosis of fetal anomaly |
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