Affective disorders in the aftermath of miscarriage: A comprehensive review

被引:103
作者
Klier C.M. [1 ]
Geller P.A. [2 ]
Ritsher J.B. [3 ]
机构
[1] Department of Psychiatry, University of Vienna, General Hospital, A-1090 Vienna
[2] Department of Psychology, Drexel University, Philadelphia, PA
[3] Center for Health Care Evaluation, US Department of Veterans Affairs, Stanford University, Stanford, CA
关键词
Attachment; Depression; Grief; Miscarriage; Risk factors;
D O I
10.1007/s00737-002-0146-2
中图分类号
学科分类号
摘要
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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页码:129 / 149
页数:20
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