Longitudinal study of emotional experiences, grief and depressive symptoms in women and men after miscarriage
Abstract
Objective Although miscarriage is common and affects up to 20% of pregnant women, little is known about these couples' short term and long term experiences after miscarriage. The aim of the present study was to study emotional experience, grief and depressive symptoms in women and men, one week and four months after miscarriage.Research design /setting Women, (n = 103), and their male partner (n = 78), were recruited at the gynecological clinic after miscarriage. Control women were recruited from the general population. Three validated questionnaires concerning psychological wellbeing and mental health, RIMS, PGS and MADRS-S were answered by the participants one week and four months after the miscarriage.Findings It was shown that for women, the emotional experiences of miscarriage, grief and depressive symptoms were more pronounced than for their male partners. Grief and depressive symptoms were reduced with time, which was not the case for the emotional experiences of miscarriage. Previous children was favorable for emotional experience while previous miscarriage or infertility treatment made the emotional experience worse.Conclusion Grief and depressive symptoms is reduced over time while emotional experiences such as isolation, loss of baby and a devastating event persist for longer time than four months. Lack of previous children, previous miscarriage and infertility diagnosis could increase negative emotional experiences after miscarriage, this was especially pronounced for grief reaction. The questionnaires could be used both clinically and in research to understand the emotional experiences after miscarriage.
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Quantitative studies comparing heterosexual couples' experiences following pregnancy loss and neonatal death suggest that men typically experience less intense and enduring levels of grief than women.
“For example, quantitative studies comparing heterosexual couples’ experiences following pregnancy loss and neonatal death suggest that men typically experience less intense and enduring levels of grief than women [18–23].”
From Factors contributing to men’s grief following pregnancy loss and neonatal death: further development of an emerging model in an Australian sample (2021) · cites this paper as [19]
There were mixed findings in terms of overall scale scores across similar studies looking at grief following miscarriage, with Despair (internalised grief) scores higher in men than those for Active Grief (externalised grief) in two studies, and lower in the remaining two.
“There were mixed findings in terms of overall scale scores across similar studies looking at grief following miscarriage, with Despair (internalised grief) scores higher in men than those for Active Grief (externalised grief) in two studies [87, 95], and lower in the remaining two [91, 96].”
From Men’s grief following pregnancy loss and neonatal loss: a systematic review and emerging theoretical model (2020) · cites this paper as [96]
In nine of 10 studies which compared men and women, men's grief scores were significantly lower or less intense than those of women.
“In nine of 10 studies which compared men and women, men’s grief scores were significantly lower or less intense than those of women [67, 94, 96].”
From Men’s grief following pregnancy loss and neonatal loss: a systematic review and emerging theoretical model (2020) · cites this paper as [96]
Across other grief measures, men scored highly on the Devastating Event (RIMS), Denial and Social Desirability (GEI-L), and Avoidance (IES) subscales.
“Across other grief measures, men scored highly on the Devastating Event (RIMS), Denial and Social Desirability (GEI-L), and Avoidance (IES) subscales [23, 76, 91, 94, 96].”
From Men’s grief following pregnancy loss and neonatal loss: a systematic review and emerging theoretical model (2020) · cites this paper as [96]
In some quantitative studies, men's grief was less intense compared to women's.
“Although men’s grief was less intense compared to women’s in some quantitative studies [23, 67, 76, 88, 91, 93, 94, 96], qualitative studies identified the significant impact of loss on men.”
From Men’s grief following pregnancy loss and neonatal loss: a systematic review and emerging theoretical model (2020) · cites this paper as [96]
Active Grief subscale reflects outward expressions of grief and emotions, which men often display less frequently than women.
“This reflects outward expressions of grief and emotions, which men often display less frequently than women [25, 91, 95, 96], and may indicate a selection bias in qualitative studies toward men with more extreme grief responses.”
From Men’s grief following pregnancy loss and neonatal loss: a systematic review and emerging theoretical model (2020) · cites this paper as [96]
Pregnancy loss and perinatal death can be devastating, with wide-ranging and frequently long-lasting effects on the psychological wellbeing of parents and those around them.
“Though usually an occasion of great joy, pregnancies can be physically and emotionally turbulent when women experience complications [1], or go onto suffer a miscarriage, stillbirth, or neonatal death, the effects of which are often devastating.”
From Preliminary findings on the experiences of care for parents who suffered perinatal bereavement during the COVID-19 pandemic (2021) · cites this paper as [17]
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- Authors
- Volgsten, H., Jansson, C., Svanberg, A. S., Darj, E., & Stavreus-Evers, A.
- Affiliations
- Uppsala University (SE)
- Corresponding author
- Stavreus-Evers, Anneli
- Venue
- Midwifery
- Publisher
- Elsevier BV
- Published
- 2018-09
- Volume
- 64
- Pages
- 23-28
- ISSN
- 0266-6138 (ISSN-L)
- OpenAlex
- W2804625508
- Cited by
- 85
- References
- 37
- Citations by year
- 2026: 10 · 2025: 10 · 2024: 14 · 2023: 11 · 2022: 11 · 2021: 20 · 2020: 7 · 2019: 2
- FWCI
- 8.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Midwifery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
- Keywords
- miscarriage, grief, depressive symptoms, emotional experience, couples, male partners, psychological well-being, infertility treatment, longitudinal change, gender differences
- MeSH terms
- Abortion, Spontaneous, Adaptation, Psychological, Adult, Depression, Female, Grief, Humans, Longitudinal Studies, Male, Parents, Pregnancy, Psychometrics, Surveys and Questionnaires
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