Format

Send to

Choose Destination
See comment in PubMed Commons below
J Affect Disord. 2009 Dec;119(1-3):200-4. doi: 10.1016/j.jad.2009.02.029. Epub 2009 Apr 14.

Posttraumatic stress disorder after childbirth: analysis of symptom presentation and sampling.

Author information

1
Psychology Department, University of Sussex, Brighton, UK. S.Ayers@sussex.ac.uk

Abstract

BACKGROUND:

There is converging evidence that approximately 2% of women fulfill PTSD criteria following childbirth. This study examined the presentation and symptom structure of PTSD after birth and key risk factors in women from internet and community samples.

METHODS:

PTSD was measured in 1423 women after birth recruited via the community (n=502) or internet (n=921). Demographic, obstetric, and trauma history variables were also measured.

RESULTS:

Full PTSD diagnostic criteria were endorsed by 2.5% of women from the community and 21% of women on the internet. Many more endorsed individual PTSD symptom criteria, suggesting this might be inflated by postnatal factors. Samples differed on demographic and obstetric characteristics. Factor analysis found two PTSD symptom clusters of re-experiencing and avoidance (RA) and numbing and arousal (NA). PTSD cases were predicted by parity, delivery type, NA and RA symptoms, and the interaction between sexual trauma and delivery type. This correctly identified 60% of PTSD cases.

LIMITATIONS:

Questionnaire measurement of PTSD means prevalence rates may be over-estimated. Differences between samples suggest that internet samples over represent symptomatic women.

CONCLUSIONS:

Results emphasise the importance of measuring full diagnostic criteria in postnatal samples, as reports of symptoms may be inflated. In addition a few risk factors are identified that could be used to screen for women at risk.

PMID:
19368975
DOI:
10.1016/j.jad.2009.02.029
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center