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Die Verarbeitung von Trauer nach einer Totgeburt

Grieving after stillbirth

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Psychosomatik und Konsiliarpsychiatrie

Zusammenfassung

Die psychischen Auswirkungen einer Totgeburt auf Frauen und ihre Familien können neben pathologischen Trauerreaktionen mit einer posttraumatischen Symptomatik oder anderen psychischen Symptomen wie depressiven Erkrankungen oder Angsterkrankungen einhergehen. Darüber hinaus können unterschiedliche Coping-Strategien der Eltern die Paarbeziehung belasten und die Bewältigung des Verlusts weiter erschweren. Vorgestellt wird ein Behandlungsprogramm, das Eltern nach dem Verlust ihres Kindes durch eine Totgeburt während des akuten Trauerprozesses begleitet und das Ziel hat, sie bei der Bewältigung des Verlusts zu unterstützen.

Abstract

Beside pathological grief reactions, the psychological consequences of stillbirth on women and their families can comprise posttraumatic stress symptoms and other psychiatric symptoms, such as affective disorders or anxiety disorders. Moreover, different parental coping-strategies might put pressure on the relationship and further aggravate the adaptation to the loss. A treatment program is presented, which accompanies parents in the acute process of grieving after the loss of their child by stillbirth and which aims to support them in coping with the loss.

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Literatur

  1. Armstrong D, Hutti M (1998) Pregnancy after perinatal loss: the relationship between anxiety and prenatal attachment. JOGNN 27: 183-189

    Google Scholar 

  2. Beutel M, Willner H, Deckhardt R, von Rad M, Weiner H (1996) Similarities and differences in couples’ grief reactions following a miscarriage: results from a longitudinal study. J Psychosom Res 40: 245-253

    Google Scholar 

  3. Boyle FM, Vance JC Najman JM, Thearle MJ (1996) The mental health impact of stillbirth, neonatal death or SIDS: Prevalence and patterns of distress among mothers. Soc Sci Med 43:1273-1282

    Google Scholar 

  4. Chen JH, Bierhals AJ, Prigerson HG, Kasl SV, Mazure CM, Jacobs S (1999) Gender differences in the effects of bereavement-realted psychological distress in health outcomes. Psychological Medicine 29: 367-380

    Google Scholar 

  5. Cougle JR, Reardon DC, Coleman PK (2003) Depression associated with abortion and childbirth: a long-term analysis of the NLSY cohort. DocCheck 9: 105-112

    Google Scholar 

  6. Forrest G C, Standishe , Baum J D (1982) Support after perinatal death: A study of support after perinatal bereavement. BMJ; 285: 1475 – 1479

  7. Giles PF (1970) Reactions of women to perinatal death. Aust N Z J Obstet Gynaecol 10:207-210

    Google Scholar 

  8. Hughes P, Turton P, Hopper E, McGauley GA (2001) Disorganised attachment behaviour among infants born subsequent to stillbirth J Child Psychol Psychiat 42: 791-801

    Google Scholar 

  9. Kennel JH, Slyter H, Klaus MH (1970) The mourning response of parents to the death of a newborn infant. N Engl J Med 13;283: 344-349

    Google Scholar 

  10. Kersting A, Fisch S, Bäz E (2002) Psychosocial care of mothers after stillbirth. Lancet 16, 360(9345)1600

  11. Kersting A, Reutemann M, Ohrmann P, Bäz E, Klockenbusch W, Lanczik M, Arolt V (2004) Grief after termination of pregnancies due to fetal malformation. J Psychosom Obstet Gynecol 25:163-169

    Google Scholar 

  12. Kersting A, Dorsch M, Kreulich C, Reutemann M, Ohrmann P, Baez E, Arolt V (2005) Trauma and grief 2-7 years after termination of pregnancy because of fetal anomalies – a pilot study. J Psychosom Obstet Gynecol 26: 9-14

    Google Scholar 

  13. Kersting A (2007a) Geschlechtsspezifische Unterschiede im Trauerverlauf Psychodynamische Psychotherapie, 6:39-46

  14. Kersting A, Kroker K, Steinhard J, Lüdorff K, Wesselmann U, Ohrmann P, Arolt V, Suslow T (2008) Complicated grief after traumatic loss – A 14-month follow up study. Europ Arch Psychiatry Clin 257 (8): 437-443

    Google Scholar 

  15. Lake M F, Johnson T M, Murphy J, Knuppel R A (1987) Evaluation of a perinatal grief support team. Am J Obstetric Gynecol; 157: 1203 – 1206

    Google Scholar 

  16. Murray J A, Kerry D J, Vance J C et al.: Effects of a programme of intervention of parental distress following infant death. Death Stud. 2000; 24: 275 – 305

    Google Scholar 

  17. Puddifort JE, Johnson MP (1997) The legitimacy of grieving: the partner’s experience at miscarriage. Soc Sci Med 45: 837-845

    Google Scholar 

  18. Radestad I, Steineck G, Nordin C, Sjogren B (1996) Psychological complications after stillbirth – influence of memories and immediate management: population based study. BMJ 312: 1505-1508

    Google Scholar 

  19. Scheidt CE, Wangler N, Waller A, Hasenburg A, Kersting A (2007) Trauerverarbeitung nach Perinatalverlust Prävalenz, klinisches Bild und Behandlung, Psychother Psychosom Med Psychol 57:4-11

    Google Scholar 

  20. Stinson K, Lasker J, Lohmann J, Toedter L (1992) Parent’s grief following pregnancy loss: a comparison of mothers and fathers. Fam Relat 41: 218-223

    Google Scholar 

  21. Swanson KM, Karmali ZA, Powell SH, Pulvermakher F (2003) Miscarriage effects on couples interpersonal and sexual relationships during the first year after loss: women’s perceptions. Psychosom Med 65: 902-910

    Google Scholar 

  22. Turton P, Hughes P, Evans CDH, Fainman D (2001) Incidence, correlates and predictors of post-traumatic stress disorder in the pregnancy after stillbirth. British J of Psychiatry 178: 556-560

    Google Scholar 

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Correspondence to Anette Kersting.

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Kersting, A., Roestel, C. & Kroker, K. Die Verarbeitung von Trauer nach einer Totgeburt. Psychosom Konsiliarpsychiatr 2, 69–73 (2008). https://doi.org/10.1007/s11800-008-0095-3

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  • DOI: https://doi.org/10.1007/s11800-008-0095-3

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