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Cited by 132Maternal Mental Health During Pregnancy and PostpartumGrief, Bereavement, and Mental HealthReproductive System and Pregnancy

A three‐month follow‐up of psychological morbidity after early miscarriage

Ptettyman, R. J., Cordle, C. J., Cook, G. D.·1993·British Journal of Medical Psychology
DOI 10.1111/j.2044-8341.1993.tb01762.x
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Abstract

The loss of a pregnancy in the first trimester is a common event and recent research has identified high levels of psychological distress amongst women who have miscarried. We believe this study is the first to examine the phenomenon from a longitudinal perspective using standardized measures. A sample of 65 women was rated for anxiety and depression using the Hospital Anxiety and Depression Scale at intervals of one, six and 12 weeks following early miscarriage. The results indicate that a large proportion of the sample had clinically important levels of anxiety (41 per cent) and depression (22 per cent) in the first week following miscarriage, which declined to 32 per cent and 6 per cent respectively by the 12th week. No association was observed between levels of psychological morbidity and a number of social and obstetric variables, the only exception being whether or not the pregnancy had been planned. These results are discussed with reference to the relevant literature. The possible implications for further research and clinical practice are addressed.

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  • Ambivalent attitudes toward the pregnancy are associated with more intense grief reactions, and loss of an unplanned pregnancy is often reacted to in the same way.

    “As mentioned above, ambivalent attitudes toward the pregnancy were found to be associated with more intense grief reactions, and loss of an unplanned pregnancy was often reacted to in the same way.37,38”

    From Complicated grief after perinatal loss (2012) · cites this paper as [37]

  • No specific relationships could be found between grief and maternal age, marital status, or occupational status after prenatal loss.

    “A number of further predictors have been generally associated with psychological morbidity after prenatal loss, but no specific relationships could be found between grief and maternal age, marital status, or occupational status.22,37,38”

    From Complicated grief after perinatal loss (2012) · cites this paper as [37]

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Authors
Ptettyman, R. J., Cordle, C. J., & Cook, G. D.
Affiliations
Nottingham University Hospitals NHS Trust (GB)
Corresponding author
Ptettyman, R. J.
Venue
British Journal of Medical Psychology
Publisher
Wiley
Published
1993-12
Volume
66
Issue
4
Pages
363-372
ISSN
0007-1129 (ISSN-L)
DOI
10.1111/j.2044-8341.1993.tb01762.x
OpenAlex
W2116069547
Cited by
131
References
0
Citations by year
2025: 2 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 1 · 2020: 1 · 2019: 4 · 2018: 5 · 2017: 1 · 2016: 1 · 2015: 6 · 2014: 2 · 2013: 3 · 2012: 4
FWCI
3.15
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 6432 d)
Locations
  • British Journal of Medical Psychology (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
early pregnancy loss, psychological morbidity, anxiety, depression, longitudinal follow-up, Hospital Anxiety and Depression Scale, planned pregnancy, obstetric factors
MeSH terms
Abortion, Spontaneous, Adolescent, Adult, Anxiety Disorders, Depressive Disorder, Female, Follow-Up Studies, Humans, Longitudinal Studies, Parity, Pregnancy, Pregnancy Trimester, Third, Prospective Studies, Psychological Tests, Social Class

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