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Psychological morbidity after miscar...

Lok, Hung Ingrid.

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Psychological morbidity after miscarriage.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Psychological morbidity after miscarriage./
Author:	Lok, Hung Ingrid.
Description:	276 p.
Notes:	Source: Dissertation Abstracts International, Volume: 68-03, Section: B, page: 1567.
Contained By:	Dissertation Abstracts International68-03B.
Subject:	Health Sciences, Obstetrics and Gynecology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3254570

Psychological morbidity after miscarriage.
Lok, Hung Ingrid.

Psychological morbidity after miscarriage. - 276 p.

Source: Dissertation Abstracts International, Volume: 68-03, Section: B, page: 1567.

Thesis (M.D.)--The Chinese University of Hong Kong (Hong Kong), 2006.

Chapter 7 concludes the thesis and proposes directions for future research.Subjects--Topical Terms:

1020690
Health Sciences, Obstetrics and Gynecology.

Psychological morbidity after miscarriage.
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035 $a (UMI)AAI3254570
035 $a AAI3254570
040 $a UMI $c UMI
100 1 $a Lok, Hung Ingrid. $3 1273499
245 1 0 $a Psychological morbidity after miscarriage.
300 $a 276 p.
500 $a Source: Dissertation Abstracts International, Volume: 68-03, Section: B, page: 1567.
502 $a Thesis (M.D.)--The Chinese University of Hong Kong (Hong Kong), 2006.
520 $a Chapter 7 concludes the thesis and proposes directions for future research.
520 $a Miscarriage (spontaneous abortion) is the most common complication of pregnancy with 15-20% of clinically recognised pregnancies aborting spontaneously. It is also one of the commonest gynaecological conditions leading to hospitalisation, accounting for more than 10% of gynaecological admissions in Hong Kong. The common occurrence and the procedural simplicity involved in the medical management, however, may tend to obscure its psychological impact. While emerging evidence has suggested that miscarriage could be associated with significant and possibly enduring psychological consequences, many questions remain unanswered, such as how to detect and screen for psychological morbidity after miscarriage; how long the symptoms last or when do they resolve; what are the underlying risk factors throughout its longitudinal course; what is the psychological impact on the male partner; and whether psychological intervention is helpful. In addition, nearly all studies have been conducted in Caucasian societies with the effect on other ethnic groups remaining largely unexplored.
520 $a This thesis specifically addresses the following aspects in assessing and managing psychological morbidity following miscarriage: Chapter 1 firstly introduces the clinical aspects of miscarriage, including the definition, incidence, risk factors, clinical manifestations and the current management options. It then discusses the current evidence available on the psychological aspects of miscarriage and outlines the deficiency in current knowledge. Finally, the hypotheses for this thesis are proposed.
520 $a Chapter 2 evaluates the effectiveness of two simple and widely applied self-report psychometric questionnaires: the 12-item General Health Questionnaire (GHQ-12) and Beck Depression Inventory (BDI) in detecting psychological morbidity after miscarriage. Both GHQ-12 and BDI demonstrated satisfactory psychometric properties and both questionnaires were found to be effective in detecting general psychiatric disorders and depression respectively.
520 $a Chapter 3 reports the application of GHQ-12 and BDI in assessing the psychological well-being of 280 miscarrying women over a one-year longitudinal course after the loss. The psychometric outcomes were also compared with a community cohort unexposed to pregnancy loss. The study confirmed that although psychological distress reduces over time, the psychological impact following miscarriage is significant and could be enduring. Patients who were more distressed immediately after miscarriage continued to be at a higher risk of psychological morbidity at a later stage.
520 $a Chapter 4 assesses the possible underlying risk factors associated with psychological morbidity following miscarriage over a one-year longitudinal course. It has demonstrated that while a poor marital dyad and psychological distress experienced immediately after miscarriage are consistent predisposing factors, some obstetric variables such as the type of medical management, a history of abortion and prior ultrasound evidence of fetal viability contribute to the development of psychological morbidity at various time points along its evolutionary course.
520 $a Chapter 5 reports a randomised controlled trial involving 280 miscarrying women in assessing the effectiveness of a psychological counselling programme in reduction of psychological morbidity. A 30% reduction in the proportion of patients with psychological morbidity was found three months after miscarriage in the counselling group, suggesting a potential clinical beneficial effect, albeit not statistically significant. This potential effect was more profound for selected patients who were initially more distressed after miscarriage.
520 $a Chapter 6 reports our exploratory findings of the psychological reaction of 83 male partners after miscarriage and it reports the gender differences over a one-year longitudinal course. A significant proportion of men were found to report psychological distress and depressive symptoms immediately after miscarriage. When compared with their female partners, the psychological impact was less intense and less enduring.
590 $a School code: 1307.
650 4 $a Health Sciences, Obstetrics and Gynecology. $3 1020690
650 4 $a Health Sciences, Public Health. $3 1017659
650 4 $a Psychology, Clinical. $3 524864
650 4 $a Women's Studies. $3 1017481
690 $a 0380
690 $a 0453
690 $a 0573
690 $a 0622
710 2 $a The Chinese University of Hong Kong (Hong Kong). $3 1017547
773 0 $t Dissertation Abstracts International $g 68-03B.
790 $a 1307
791 $a M.D.
792 $a 2006
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3254570