期刊论文详细信息
SCHIZOPHRENIA RESEARCH 卷:197
Birth experiences, trauma responses and self-concept in postpartum psychotic-like experiences
Article
Holt, Lyndsey1  Sellwood, William3  Slade, Pauline2 
[1] Mersey Care NHS Fdn Trust, Pk Lodge CMHT,Orphan Dr, Liverpool L6 7UN, Merseyside, England
[2] Univ Liverpool, Inst Psychol Hlth & Soc, Brownlow Hill, Liverpool LG9 3GB, Merseyside, England
[3] Univ Lancaster, Div Hlth Res, Bailrigg LA1 4YW, England
关键词: Psychosis;    Postnatal;    Trauma;    Self-concept;    Adjustment;   
DOI  :  10.1016/j.schres.2017.12.015
来源: Elsevier
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【 摘 要 】

The frequency of psychotic-like experiences (PLEs) amongst new mothers is beginning to be explored but the mechanisms underlying such experiences are yet to be understood. First time mothers (N = 10,000) receiving maternity care via the UK National Health Service were contacted postnatally via Emma's Diary, an online resource formothers. Measures assessed birth experience, trauma appraisals, post-traumatic stress symptoms, adjustment to motherhood, self-concept clarity and PLEs (in the form of hallucinations and delusions). There was a 13.9% response rate (N = 1393) and 1303 participants reported experiencing at least one PLE (93.5%). Three competing nested path models were analysed. A more negative birth experience directly predicted delusions, but not hallucinations. Trauma appraisals and poorer adjustment to motherhood indirectly predicted PLEs, via disturbed self-concept clarity. Post-traumatic stress symptoms directly predicted the occurrence of all PLEs. PLEs in first time mothers may be more common than previously thought. A key new understanding is that where new mothers have experienced birth as traumatic and are struggling with adjustment to their new role, this can link to disturbances in a coherent sense of self (self-concept clarity) and be an important predictor of PLEs. Understanding the development of PLEs in new mothers may be helpful in postnatal care, as would public health interventions aimed at reducing the sense of abnormality or stigma surrounding such experiences. Crown Copyright (C) 2018 Published by Elsevier B.V. All rights reserved.

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