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21.09.2015 | Original Article

Identifying expectant parents at risk for psychological distress in response to a confirmed fetal abnormality

verfasst von: Joanna C. M. Cole, Julie S. Moldenhauer, Kelsey Berger, Mark S. Cary, Haley Smith, Victoria Martino, Norma Rendon, Lori J. Howell

Erschienen in: Archives of Women's Mental Health | Ausgabe 3/2016

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Abstract

The aim of the study was to determine the incidence of psychological distress among expectant women carrying fetuses with prenatal diagnosed abnormalities and their partners. A 2-year retrospective medical chart review was completed of 1032 expectant mothers carrying fetuses with a confirmed anomaly, and 788 expectant fathers, who completed the CFDT Mental Health Screening Tool. Furthermore, 19.3 % of women and 13.1 % of men reported significant post-traumatic stress symptoms, and 14 % of men and 23 % of women scored positive for a major depressive disorder. Higher risk was noted among expectant parents of younger age and minority racial/ethnic status, and women with post-college level education and current or prior use of antidepressant medications. Heightened distress was noted within fetal diagnostic subgroups including neck masses, sacrococcygeal teratomas, neurological defects, and miscellaneous diagnoses. Incorporating screening tools into prenatal practice can help clinicians better identify the potential risk for psychological distress among expectant parents within high-risk fetal settings.

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Titel: Identifying expectant parents at risk for psychological distress in response to a confirmed fetal abnormality
verfasst von: Joanna C. M. Cole
Julie S. Moldenhauer
Kelsey Berger
Mark S. Cary
Haley Smith
Victoria Martino
Norma Rendon
Lori J. Howell
Publikationsdatum: 21.09.2015
Verlag: Springer Vienna
Erschienen in: Archives of Women's Mental Health / Ausgabe 3/2016
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI: https://doi.org/10.1007/s00737-015-0580-6

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