Suche nach Personen

plus im Publikationsserver
plus bei BASE
plus bei Google Scholar

Daten exportieren


Interplay of demographic variables, birth experience, and initial reactions in the prediction of symptoms of posttraumatic stress one year after giving birth


Verfügbarkeit überprüfen

König, Julia ; Schmid, Sabine ; Löser, Eva ; Neumann, Olaf ; Buchholz, Stefan ; Kästner, Ralph:
Interplay of demographic variables, birth experience, and initial reactions in the prediction of symptoms of posttraumatic stress one year after giving birth.
In: European journal of psychotraumatology. 7 (2016) 1. - S. 32377.
ISSN 2000-8066


Volltext Link zum Volltext (externe URL):


Background: There has been increasing research on posttraumatic stress disorder (PTSD) following childbirth in the last two decades. The literature on predictors of who develops posttraumatic stress symptoms (PSS) suggests that both vulnerability and birth factors have an influence, but many studies measure predictors and outcomes simultaneously.
Objective: In this context, we aimed to examine indirect and direct effects of predictors of PSS, which were measured longitudinally.
Methods: We assessed women within the first days (n=353), 6 weeks, and 12 months (n=183) after having given birth to a healthy infant. The first assessment included questions on demographics, pregnancy, and birth experience. The second and third assessments contained screenings for postpartum depression, PTSD, and general mental health problems, as well as assessing social support and physical well-being. We analysed our data using structural equation modelling techniques (n=277).
Results: Our final model showed good fit and was consistent with a diathesis-stress model of PSS. Women who had used antidepressant medication in the 10 years before childbirth had higher PSS at 6 weeks, independent of birth experiences. Subjective birth experience was the early predictor with the highest total effect on later PSS. Interestingly, a probable migration background also had a small but significant effect on PSS via more episiotomies. The null results for social support may have been caused by a ceiling effect.
Conclusions: Given that we measured predictors at different time points, our results lend important support to the etiological model, namely, that there is a vulnerability pathway and a stress pathway leading to PSS. PSS and other psychological measures stayed very stable between 6 weeks and 1 year postpartum, indicating that it is possible to identify women developing problems early.

Weitere Angaben

Schlagwörter:Childbirth; aetiology; predictors; posttraumatic stress; structural equation modelling
Institutionen der Universität:Philosophisch-Pädagogische Fakultät > Psychologie > Lehrstuhl für Klinische und Biologische Psychologie
DOI / URN / ID:10.3402/ejpt.v7.32377
Verlag:Taylor & Francis
Die Zeitschrift ist nachgewiesen in:
Titel an der KU entstanden:Ja
Eingestellt am: 26. Apr 2017 13:27
Letzte Änderung: 14. Jan 2020 10:58
URL zu dieser Anzeige:
AnalyticsGoogle Scholar