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Cited by 176Maternal Mental Health During Pregnancy and PostpartumGrief, Bereavement, and Mental HealthReproductive System and Pregnancy

Affective disorders in the aftermath of miscarriage: A comprehensive review

Klier, C. M., Geller, P. A., Ritsher, J. B.·2002·Archives of Women's Mental Health
DOI 10.1007/s00737-002-0146-2
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Abstract

We review the research literature regarding affective symptomatology and disorders following miscarriage, with an emphasis on controlled studies and those that have been published since the last review article in 1996. The current review draws a sharp distinction between controlled and uncontrolled designs and clarifies the proper inferences that may be drawn from each, as only with an appropriate comparison group can it be determined whether the affective reactions following miscarriage are a specific consequence of the reproductive loss or of other life events common in women of reproductive age. In addition to providing an update of the literature on depression in the aftermath of miscarriage and associated risk factors, we also discuss reproductive loss in the context of attachment theory and grief, and present information on topics that were not covered extensively (or at all) by prior reviews, such as issues related to a pregnancy subsequent to miscarriage and the impact of miscarriage on the partners of miscarrying women. In the final section, treatment options relevant to miscarriage are presented.

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Crossref · 10.1007/s00737-002-0146-2

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122 of 122 references verified0 citation errors · 0 not checkable

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  • Some research in psychology queries a link between elapsed gestational time and increased feelings of bereavement.

    “We also note that some research in psychology queries a link between elapsed gestational time and increased feelings of bereavement (Jaffe & Diamond, 2010; Klier et al., 2002)”

    From Further Hierarchies of Loss: Tracking Relationality in Pregnancy Loss Experiences (2025) · cites this paper as Klier et al., 2002

  • Studies evaluating the association between length of gestation and level of distress after perinatal loss could not find an increase in psychological distress with higher gestational age.

    “Contrary to these findings, however, are a number of studies have evaluated the association between length of gestation and level of distress after perinatal loss, and could not find an increase in psychological distress with higher gestational age.23,34”

    From Complicated grief after perinatal loss (2012) · cites this paper as [23]

  • The more the mother has experienced or comprehended the reality of the baby, the higher the level of grief.

    “It is thought, therefore, that the more the mother has experienced or comprehended the reality of the baby the higher the level of grief.23”

    From Complicated grief after perinatal loss (2012) · cites this paper as [23]

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Related

Authors
Klier, C. M., Geller, P. A., & Ritsher, J. B.
Affiliations
  • University of Vienna (AT)
  • Drexel University (US)
  • United States Department of Veterans Affairs (US)
ORCID
Venue
Archives of Women's Mental Health
Publisher
Springer Science and Business Media LLC
Published
2002-12-01
Volume
5
Issue
4
Pages
129-149
ISSN
1434-1816 (ISSN-L)
DOI
10.1007/s00737-002-0146-2
OpenAlex
W1970087565
Cited by
176
References
123
Citations by year
2026: 6 · 2025: 4 · 2024: 6 · 2023: 21 · 2022: 7 · 2021: 4 · 2020: 9 · 2019: 4 · 2018: 4 · 2017: 11 · 2016: 9 · 2015: 8 · 2014: 10 · 2013: 10 · 2012: 7
FWCI
3.83
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Archives of Women s Mental Health (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
  • Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
Keywords
miscarriage, mood disorders, depression, reproductive losses, grief, attachment theory, subsequent pregnancy, risk factors, treatment options, women of reproductive age
MeSH terms
Abortion, Spontaneous, Female, Humans, Object Attachment, Pregnancy, Pregnancy Outcome, Mood Disorders

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