nach oben

Archives of Gynecology and Obstetrics

Erschienen in:

09.12.2015 | General Gynecology

Psychiatric outcomes after childbirth: can posttraumatic growth protect me from disordered eating symptoms?

verfasst von: Raphael Ayache, Sarah Benticha, Nelly Goutaudier, Henri Chabrol

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 6/2016

Einloggen, um Zugang zu erhalten

Abstract

Purpose

While many studies on mood disorder and posttraumatic stress disorder (PTSD) following childbirth have been conducted, little is known regarding posttraumatic growth (PTG) and disordered eating in the postpartum period. This study aims to (a) identify the typology of women following childbirth based on anxiety, depressive, PTSD symptoms and level of PTG and (b) evaluate whether these profiles differ on disordered eating symptoms.

Methods

Up to 2 years after childbirth, 306 French-speaking mothers [mean age (SD) = 29.4 (4.6) years] completed questionnaires assessing PTSD, depressive, anxiety and disordered-eating symptoms and level of posttraumatic growth.

Results

Four profiles were highlighted: a first one labeled growing cluster (22.2 % of the sample, n = 68), a second one labeled low level of symptoms cluster (37.6 % of the sample, n = 115), a third one labeled vulnerable cluster (21.6 % of the sample, n = 66) and a last one labeled anxious–depressed–traumatized cluster (18.6 % of the sample, n = 57). Our findings also highlight an impact of these profiles on disordered eating symptoms, suggesting that disordered eating in postpartum would not be the result of pregnancy.

Conclusion

Consistent with our expectation, our findings suggest a potential protective role of posttraumatic growth on the development of disordered eating symptoms. Further researches focusing on traumatic experience, disordered eating and posttraumatic growth in postpartum are warranted.

d > 0.2 for small effect size, d > 0.5 for medium effect size and d > 0.8 for large effect size.

Ayers S, Pickering A (2001) Do women get posttraumatic stress disorder as a result of childbirth? A prospective study of incidence. Birth 2:111–118. doi:10.1046/j.1523-536X.2001.00111.x CrossRef

Duffy CL (1983) Postpartum depression: identifying women at risk. Genesis 11:21

Josefsson A, Berg G, Nordin C, Sydsjö G (2001) Prevalence of depressive symptoms in late pregnancy and postpartum. Acta Obst Gynecol Scand 80:251–255. doi:10.1034/j.1600-0412.2001.080003251.x CrossRef

O’Hara MW, McCabe JE (2013) Postpartum depression: current status and future directions. Annu Rev Clin Psychol 9:379–407. doi:10.1146/annurev-clinpsy-050212-185612 CrossRefPubMed

American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorder. DSM-IV-R, 4th edn. APA, Washington, DC

Wardrop AA, Popadiuk NE (2013) Women’s experiences with postpartum anxiety: expectations, relationships, and sociocultural influences. Qual Rep 18:1–24. http://www.nova.edu/ssss/QR/QR18/wardrop6.pdf

Grekin R, O’Hara MW (2014) Prevalence and risk factors of postpartum posttraumatic stress disorder: a meta-analysis. Clin Psychol Rev 34:389–401. doi:10.1016/j.cpr.2014.05.003 CrossRefPubMed

Denis A, Callahan S (2009) État de stress post-traumatique et accouchement classique: revue de littérature. J Ther Comport Cogn 19:116–119. doi:10.1016/j.jtcc.2009.10.002

Goutaudier N, Séjourné N, Rousset C, Lami C, Chabrol H (2012) Negative emotions, childbirth pain, perinatal dissociation and self-efficacy as predictors of postpartum posttraumatic stress symptoms. J Reprod Infant Psychol 30:352–362. doi:10.1080/02646838.2012.738415 CrossRef

10.

American Psychiatric Association (1980) Diagnostic and statistical manuel of mental disorder. APA, Washington, DC

11.

American Psychiatric Association (1995) Diagnostic and statistical manuel of mental disorder. DSM-IV-R, 4th edn. APA, Washington, DC

12.

Ballard CG, Stanley AK, Brockington IF (1995) Post-traumatic stress disorder (PTSD) after childbirth. Br J Psychiatry 166:525–528. doi:10.1192/bjp.166.4.525 CrossRefPubMed

13.

Fones C (1996) Posttraumatic stress disorder occurring after painful childbirth. J Nerv Ment Dis 184:195–196. doi:10.1097/00005053-199603000-00012 CrossRefPubMed

14.

Menage J (1993) Post-traumatic stress disorder in women who have undergone obstetric and/or gynaecological procedures: a consecutive series of 30 cases of PTSD. J Reprod Infant Psychol 11:221–228. doi:10.1080/02646839308403222 CrossRef

15.

Bramadat IJ, Driedger M (1993) Satisfaction with childbirth: theories and methods of measurement. Birth 20:22–29. doi:10.1111/j.1523-536X.1993.tb00175.x CrossRefPubMed

16.

Quine L, Rutter DR, Gowen S (1993) Women’s satisfaction with the quality of the birth experience: a prospective study of social and psychological predictors. J Reprod Infant Psychol 11:107–113. doi:10.1080/02646839308403202 CrossRef

17.

Slade P, MacPherson SA, Hume A, Maresh M (1993) Expectations, experiences and satisfaction with labour. Br J Clin Psychol 32:469–483. doi:10.1111/j.2044-8260.1993.tb01083.x CrossRefPubMed

18.

Ayers S (2004) Delivery as a traumatic event: prevalence, risk factors, and treatment for postnatal posttraumatic stress disorder. Clin Obstet Gynaecol 47:552–567. doi:10.1097/01.grf.0000129919.00756.9c CrossRef

19.

Ayers S, Pickering AD (2001) Do women get posttraumatic stress disorder as a result of childbirth? A prospective study of incidence. Birth 28:111–118. doi:10.1046/j.1523-536X.2001.00111.x CrossRefPubMed

20.

Bailham D, Joseph S (2003) Post-traumatic stress following childbirth: a review of the emerging literature and directions for research and practice. Psychol Health Med 8:159–168. doi:10.1080/1354850031000087537 CrossRef

21.

McKenzie-McHarg K, Ayers S, Ford E, Horsch A, Jomeen J, Sawyer A, Slade P (2015) Post-traumatic stress disorder following childbirth: an update of current issues and recommendations for future research. J Reprod Infant Psychol. doi:10.1080/02646838.2015.1031646

22.

DeMier RL, Hynan MT, Harris HB, Manniello RL (1995) Perinatal stressors as predictors of symptoms of posttraumatic stress in mothers of infants at high risk. J Perinatol 16:276–280

23.

Wijma K, Söderquist J, Wijma B (1997) Posttraumatic stress disorder after childbirth: a cross sectional study. J Anxiety Disord 11:587–597. doi:10.1016/S0887-6185(97)00041-8 CrossRefPubMed

24.

Maggioni C, Margola D, Filippi F (2006) PTSD, risk factors, and expectations among women having a baby: a two-wave longitudinal study. J Psychosom Obstet Gynaecol 27:81–90. doi:10.1080/01674820600712875 CrossRefPubMed

25.

Olde E, van der Hart O, Kleber R, Van Son M (2006) Posttraumatic stress following childbirth: a review. Clin Psychol Rev 26:1–16. doi:10.1016/j.cpr.2005.07.002 CrossRefPubMed

26.

Linley PA, Joseph S (2004) Positive change following trauma and adversity: a review. J Trauma Stress 17:11–21. doi:10.1023/B:JOTS.0000014671.27856.7e CrossRefPubMed

27.

Tedeschi RG, Calhoun LG (1996) The posttraumatic growth inventory: measuring the positive legacy of trauma. J Trauma Stress 9:455–472. doi:10.1002/jts.2490090305 CrossRefPubMed

28.

Sawyer A, Ayers S, Young D, Bradley R, Smith H (2012) Posttraumatic growth after childbirth: a prospective study. Psychol Health 27:362–377. doi:10.1080/08870446.2011.578745 CrossRefPubMed

29.

Bulik CM, Sullivan PF, Fear JI, Joyce PR (1997) Eating disorders and antecedent anxiety disorders: a controlled study. Acta Psychiatr Scand 96:101–107. doi:10.1111/j.1600-0447.1997.tb09913.x CrossRefPubMed

30.

Godart NT, Flament MF, Perdereau F, Jeammet P (2002) Comorbidity between eating disorders and anxiety disorders: a review. Int J Eat Disord 32:253–270. doi:10.1016/S0013-7006(05)82417-0 CrossRefPubMed

31.

Brewerton TD (2007) Eating disorders, trauma, and comorbidity: focus on PTSD. Eat Disord 15:285–304. doi:10.1080/10640260701454311 CrossRefPubMed

32.

Mason SM, Flint AJ, Roberts AL, Agnew-Blais J, Koenen KC, Rich-Edwards JW (2014) Posttraumatic stress disorder symptoms and food addiction in women by timing and type of trauma exposure. JAMA Psychiatry 71:1271–1278. doi:10.1001/jamapsychiatry.2014.1208 CrossRefPubMedCentralPubMed

33.

Hudson JI, Hiripi E, Pope HG, Kessler RC (2007) The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry 61:348–358. doi:10.1016/j.biopsych.2006.03.040 CrossRefPubMedCentralPubMed

34.

Wittchen HU, Zhao S, Kessler RC, Eaton WW (1994) DSM-III-R generalized anxiety disorder in the National Comorbidity Survey. Arch Gen Psychiatry 51:355–364. doi:10.1001/archpsyc.1994.03950050015002 CrossRefPubMed

35.

Goutaudier N, Séjourné N, Bui E, Chabrol H (2014) Profils psychopathologiques des mères ayant accouché prématurément et impact sur le lien mère-enfant. J Pédiatr Puéric 27:164–171. doi:10.1016/j.jpp.2014.03.003 CrossRef

36.

Weiss DS, Marmar CR (1997) The impact of event scale-revised. Assessing psychological trauma and PTSD, practitioner’s handbook. Guilford Press, New York, pp 399–411

37.

Brunet A, St-Hilaire A, Jehel L, King S (2003) Validation of a french version of the impact of event scale-revised. Can J Psychiatry 48:56–61PubMed

38.

Lépine JP (1996). L’échelle HAD (hospital anxiety and depressionscale). L’évaluation clinique standardisée en psychiatrie. Tome1. Boulogne: Éditions Médicales Pierre Fabre, pp 367–374

39.

Cox JL, Holden JM, Sagovsky R (1987) Development of the ten-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 150:782–786CrossRefPubMed

40.

Guedeney N, Fermanian J (1998) Validation study of the French version of the Edinburgh Postnatal Depression Scale (EPDS): new results about use and psychometric properties. Eur Psychiatry 13:83–89. doi:10.1016/S0924-9338(98)80023-0 CrossRefPubMed

41.

Goecke TW, Voigt F, Faschingbauer F, Spangler G, Beckmann MW, Beetz A (2012) The association of prenatal attachment and perinatal factors with pre-and postpartum depression in first-time mothers. Arch Gynecol Obstet 286:309–316. doi:10.1007/s00404-012-2286-6 CrossRefPubMed

42.

Lee HH, Kim TH (2014) Screening depression during and after pregnancy using the EPDS. Arch Gynecol Obstet 290:601–602. doi:10.1007/s00404-014-3334-1 CrossRefPubMed

43.

Teissèdre F, Chabrol H (2004) Detecting women at risk for postnatal depression using the Edinburgh Postnatal Depression Scale at 2–3 days postpartum. Can J Psychiatry 49:51–54PubMed

44.

Garner DM (1991) Eating disorder inventory-2: professional manual. Psychological assessment resources, Odessa (FL)

45.

Schoemaker C, van Strien T, van der Staak C (1994) Validation of the eating disorders inventory in a nonclinical population using transformed and untransformed responses. Int J Eat Disord 15:387–393. doi:10.1002/eat.2260150409 CrossRefPubMed

46.

Levine SZ, Laufer A, Stein E, Hamama-Raz Y, Solomon Z (2009) Examining the relationship between resilience and posttraumatic growth. J Trauma Stress 22:282–286. doi:10.1002/jts.20409 CrossRefPubMed

47.

Butler L, Blasey C, Garlan R et al (2005) Posttraumatic growth following the terrorist attacks of September 11, 2001: cognitive, coping, and trauma symptom predictors in an internet convenience sample. Traumatology 11:247–267. doi:10.1177/153476560501100405 CrossRef

48.

McCaslin SE, de Zoysa P, Butler LD et al (2009) The relationship of posttraumatic growth to peritraumatic reactions and posttraumatic stress symptoms among Sri Lankan university students. J Trauma Stress 22:334–339. doi:10.1002/jts.20426 CrossRefPubMed

49.

Goutaudier N, Lopez A, Séjourné N, Denis A, Chabrol H (2011) Premature birth: subjective and psychological experiences in the firstweeks following childbirth, a mixed-methods study. J Reprod Infant Psychol 29:364–373CrossRef

50.

Keating L, Tasca GA, Hill R (2013) Structural relationships among attachment insecurity, alexithymia, and body esteem in women with eating disorders. Eat Behav 14:366–373. doi:10.1016/j.eatbeh.2013.06.013 CrossRefPubMed

51.

Kitai T, Komoto Y, Kakubari R, Konishi H, Tanaka E, Nakajima S, Takemura M (2014) A comparison of maternal and neonatal outcomes of pregnancy with mental disorders: results of an analysis using propensity score-based weighting. Arch Gynecol Obstet 290:883–889. doi:10.1007/s00404-014-3304-7 CrossRefPubMed

52.

Agaibi CE, Wilson JP (2005) Trauma, PTSD, and resilience: a review of the literature. Trauma Violence Abuse 6:195–216. doi:10.1177/1524838005277438 CrossRefPubMed

53.

Tasca GA, Szadkowski L, Illing V, Trinneer A, Grenon R, Demidenko N et al (2009) Adult attachment, depression, and eating disorder symptoms: the mediating role of affect regulation strategies. Personal Individ Dif 47:662–667. doi:10.1016/j.paid.2009.06.006 CrossRef

54.

Gilbert N, Meyer C (2005) Fear of negative evaluation and the developpement of eating psychopathology: a longitudinal study among nonclinical women. Int J Eat Disord 37:307–312. doi:10.1002/eat.20105 CrossRefPubMed

55.

Jarry JL, Kossert AL (2007) Self-esteem threat with exposure to thin media images leads to body image compensatory self-enhancement. Body Image 4:39–50. doi:10.1016/j.bodyim.2006.12.003 CrossRefPubMed

56.

Westphal M, Bonanno GA (2007) Posttraumatic growth and resilience to trauma: different sides of the same coin or different coins? Appl Psychol 56:417–427. doi:10.1111/j.1464-0597.2007.00298.x CrossRef

57.

Johnson RJ, Hobfoll SE, Hall BJ, Canetti-Nisim D, Galea S, Palmieri PA (2007) Posttraumatic growth: action and reaction. Appl Psychol 56:428–436. doi:10.1111/j.1464-0597.2007.00296.x CrossRef

58.

Ayers S, Harris R, Sawyer A, Parfitt Y, Ford E (2009) Posttraumatic stress disorder after childbirth: analysis of symptom presentation and sampling. J Affect Disord 119:200–204. doi:10.1016/j.jad.2009.02.029 CrossRef

59.

Lieberman DZ (2008) Evaluation of the stability and validity of participant samples recruited over the Internet. Cyberpsychology 11:743–745. doi:10.1089/cpb.2007.0254 CrossRef

Titel: Psychiatric outcomes after childbirth: can posttraumatic growth protect me from disordered eating symptoms?
verfasst von: Raphael Ayache
Sarah Benticha
Nelly Goutaudier
Henri Chabrol
Publikationsdatum: 09.12.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 6/2016
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-015-3969-6

Neu im Fachgebiet Gynäkologie und Geburtshilfe

23.04.2024 | Medikamente in Schwangerschaft und Stillzeit | Nachrichten

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Psychiatric outcomes after childbirth: can posttraumatic growth protect me from disordered eating symptoms?

Abstract

Purpose

Methods

Results

Conclusion

Neu im Fachgebiet Gynäkologie und Geburtshilfe

ICI-Therapie in der Schwangerschaft wird gut toleriert

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bei RSV-Impfung vor 60. Lebensjahr über Off-Label-Gebrauch aufklären!

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

Update Gynäkologie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2016

F-18 fluoro-d-glucose (FDG)-positron emission tomography (PET)/computed tomography (CT) in planning of surgery and sentinel lymph node screening in vulvar cancers

Evaluation of preventive effect of shilajit on radiation-induced apoptosis on ovaries

Comparison of the symptomatic response in Indian menopausal women with different estrogen preparations for the treatment of menopausal symptoms: a randomized controlled trial

Is it too early for a major change? A critical objection to the freeze all policy

The challenge of preoperative identification of uterine myomas: Is ultrasound trustworthy? A prospective cohort study

Robotic assisted hysterectomy in obese patients: a systematic review

Neu im Fachgebiet Gynäkologie und Geburtshilfe

ICI-Therapie in der Schwangerschaft wird gut toleriert

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bei RSV-Impfung vor 60. Lebensjahr über Off-Label-Gebrauch aufklären!

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

Update Gynäkologie