Document Detail

Integrating quantitative and qualitative methods to study multifetal pregnancy reduction.
MedLine Citation:
PMID:  10100139     Owner:  NLM     Status:  MEDLINE    
This study integrates quantitative and qualitative research methods to examine the psychologic repercussions of multifetal pregnancy reduction, a recently developed reproductive technology. Two theoretical vantage points, descriptive psychiatry and psychoanalytic theory, were used to understand the emotional impact of the medical intervention, which involves aborting some but not all of the fetuses in a multifetal pregnancy. Quantitative analysis of diagnostic interviews indicated that women who underwent pregnancy reductions were at no greater risk than controls for developing depressive disorder. Although multifetal pregnancy reduction posed no apparent mental health risk, women experienced it as stressful and distressing. Women's responses were organized and understood via qualitative analyses based on six contemporary psychoanalytic perspectives: drive theory, ego psychology, object relations theory, self-psychology, interpersonal viewpoints, and developmental concepts. Some of the practical and philosophic implications of qualitative and quantitative strategies are considered.
M McKinney; K Leary
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Publication Detail:
Type:  Case Reports; Clinical Trial; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Journal of women's health / the official publication of the Society for the Advancement of Women's Health Research     Volume:  8     ISSN:  1059-7115     ISO Abbreviation:  J Womens Health     Publication Date:  1999 Mar 
Date Detail:
Created Date:  1999-05-25     Completed Date:  1999-05-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9208978     Medline TA:  J Womens Health     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  259-68     Citation Subset:  IM    
University of Michigan Psychological Clinic, Ann Arbor, USA.
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MeSH Terms
Adaptation, Physiological
Depressive Disorder / epidemiology*,  etiology
Interpersonal Relations
Interviews as Topic / methods
Models, Psychological
Pilot Projects
Pregnancy Outcome*
Pregnancy Reduction, Multifetal / methods,  psychology*
Pregnancy, Multiple / psychology*
Psychoanalysis / methods
Research Design
Risk Assessment
Self Psychology
Sensitivity and Specificity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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