| Acute maternal social dysfunction, health perception and psychological distress after ultrasonographic detection of a fetal structural anomaly. | |
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MedLine Citation:
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PMID: 20528866 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To predict acute psychological distress in pregnant women following detection of a fetal structural anomaly by ultrasonography, and to relate these findings to a comparison group. DESIGN: A prospective, observational study. SETTING: Tertiary referral centre for fetal medicine. POPULATION: One hundred and eighty pregnant women with a fetal structural anomaly detected by ultrasound (study group) and 111 with normal ultrasound findings (comparison group) were included within a week following sonographic examination after gestational age 12 weeks (inclusion period: May 2006 to February 2009). METHODS: Social dysfunction and health perception were assessed by the corresponding subscales of the General Health Questionnaire (GHQ-28). Psychological distress was assessed using the Impact of Events Scale (IES-22), Edinburgh Postnatal Depression Scale (EPDS) and the anxiety and depression subscales of the GHQ-28. Fetal anomalies were classified according to severity and diagnostic or prognostic ambiguity at the time of assessment. MAIN OUTCOME MEASURES: Social dysfunction, health perception and psychological distress (intrusion, avoidance, arousal, anxiety, depression). RESULTS: The least severe anomalies with no diagnostic or prognostic ambiguity induced the lowest levels of IES intrusive distress (P = 0.025). Women included after 22 weeks of gestation (24%) reported significantly higher GHQ distress than women included earlier in pregnancy (P = 0.003). The study group had significantly higher levels of psychosocial distress than the comparison group on all psychometric endpoints. CONCLUSIONS: Psychological distress was predicted by gestational age at the time of assessment, severity of the fetal anomaly, and ambiguity concerning diagnosis or prognosis. |
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Authors:
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A Kaasen; A Helbig; U F Malt; T Naes; H Skari; G Haugen |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-05-28 |
Journal Detail:
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Title: BJOG : an international journal of obstetrics and gynaecology Volume: 117 ISSN: 1471-0528 ISO Abbreviation: BJOG Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-07 Completed Date: 2010-11-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100935741 Medline TA: BJOG Country: England |
Other Details:
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Languages: eng Pagination: 1127-38 Citation Subset: AIM; IM |
Affiliation:
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Department of Obstetrics, Oslo University Hospital, Rikshospitalet, Oslo, Norway. a.kaasen@online.no |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anxiety / etiology Arousal Attitude to Health* Counseling Depressive Disorder / etiology Female Fetus / abnormalities* Humans Interpersonal Relations Mothers / psychology* Norway Pregnancy Pregnancy Complications / psychology* Prospective Studies Psychometrics Self Concept Social Isolation Stress, Psychological / etiology* Ultrasonography, Prenatal / psychology* Young Adult |
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