A 1-year longitudinal study of psychological morbidity after miscarriage  

Oleh:

Lok, Ingrid Hung ; Yip, Alexander Shing-Kai ; Lee, Dominic Tak-Sing

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 93 no. 06 (Apr. 2010), page 1966-1975.
Topik: Miscarriage; psychological distress; depression; GHQ-12; BDI

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2010.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Objective To examine the 1-year longitudinal course of psychological outcomes after miscarriage. Design Longitudinal observational study. Setting University-affiliated teaching hospital. Patient(s) 280 miscarrying women and 150 nonpregnant women. Intervention(s) Psychological outcomes were assessed using the 12-item General Health Questionnaire (GHQ-12) and Beck Depression Inventory (BDI) immediately, 3 months, 6 months, and 12 months after miscarriage. Main Outcome Measure(s) Scores on GHQ-12 and BDI. Result(s) Half (55%) of the miscarrying women scored high (=4) on the GHQ-12 immediately, 25% at 3 months; 17.8% at 6 months, and 10.8% at 1 year after miscarriage; 26.8% of the patients scored high on the BDI (=12) immediately, 18.4% at 3 months, 16.4% at 6 months, and 9.3% at 1 year after miscarriage. Patients who were initially more distressed continued to score higher on both the GHQ-12 and the BDI along the 1-year course when compared with those who were initially less distressed. When compared with the nonpregnant controls, the miscarrying women scored statistically significantly higher on the GHQ-12 and BDI; the differences became not statistically significant only 1 year after miscarriage. Conclusion(s) A statistically significant proportion of patients reported psychological morbidity shortly after miscarriage, but their level of distress reduced over time until they were comparable with the controls 1 year later. Patients who were initially more distressed continued to be throughout the 1-year course.

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