Skip to main content

Advertisement

Log in

Posttraumatic Growth After Childbirth in Women: A Systematic Review

  • Published:
Journal of Clinical Psychology in Medical Settings Aims and scope Submit manuscript

Abstract

This systematic review aimed to synthesize and critically appraise research evidence on posttraumatic growth (PTG) and related factors within the perinatal context. PRISMA guidelines were followed. Five databases were searched from inception to February 2019 using relevant search terms. Of 121 abstracts identified, 13 studies were deemed eligible for inclusion. Data were extracted from each study regarding study sample characteristics, design, PTG measure, and main findings. Factors associated with PTG were divided into individual, event-related and contextual factors, as conceptualized by the functional-descriptive model of Tedeschi and Calhoun. Most individual consistent factors included age, personality and coping strategies; most event-related factors included premature birth and threat appraisal; finally, most contextual consistent factors included grandmothers’ and spouses’ emotional support. These factors highlight targets to the development of psychosocial interventions. Recommendations for future research are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Ayache, R., Benticha, S., Goutaudier, N., & Chabrol, H. (2016). Psychiatric outcomes after childbirth: Can posttraumatic growth protect me from disordered eating symptoms? Archives of Gynecology and Obstetrics,293, 1271–1278.

    PubMed  Google Scholar 

  • Beck, C. T., & Watson, S. (2016). Posttraumatic Growth After Birth Trauma: “I Was Broken, Now I Am Unbreakable”. MCN: The American Journal of Maternal/Child Nursing,41, 264–271.

    Google Scholar 

  • Brandão, T., Schulz, M. S., & Matos, P. M. (2018). Attachment and adaptation to breast cancer: The mediating role of avoidant emotion processes. European Journal of Cancer Care,27, e12830.

    PubMed  Google Scholar 

  • Calhoun, L. G., & Tedeschi, R. G. (1998). Beyond recovery from trauma: Implications for clinical practice and research. Journal of Social Issues,54, 357–371.

    Google Scholar 

  • Calhoun, L. G., & Tedeschi, R. G. (2006). The foundations of posttraumatic growth: An expanded framework. In L. G. Calhoun & R. G. Tedeschi (Eds.), The handbook of posttraumatic growth: Research and practice (pp. 1–23). Mahwah, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Ein-Dor, T., Mikulincer, M., & Shaver, P. R. (2011). Attachment insecurities and the processing of threat-related information: Studying the schemas involved in insecure people's coping strategies. Journal of Personality and Social Psychology,101, 78–93.

    PubMed  Google Scholar 

  • Grekin, R., & O'Hara, M. W. (2014). Prevalence and risk factors of postpartum posttraumatic stress disorder: A meta-analysis. Clinical Psychology Review,34, 389–401.

    PubMed  Google Scholar 

  • Janoff-Bulman, R., & Frantz, C. M. (1997). The impact of trauma on meaning: From meaningless world to meaningful live. In M. Power & C. R. Brewin (Eds.), The transformation of meaning in psychological therapies (pp. 91–106). New York: Wiley.

    Google Scholar 

  • Joseph, S., & Linley, P. A. (2006). Growth following adversity: Theoretical perspectives and implications for clinical practice. Clinical Psychology Review,26, 1041–1053.

    PubMed  Google Scholar 

  • Lechner, S. C., & Antoni, M. H. (2004). Posttraumatic growth and group-based interventions for persons dealing with cancer: What have we learned so far? Psychological Inquiry,15, 35–41.

    Google Scholar 

  • Lindstrom, C. M., Cann, A., Calhoun, L. G., & Tedeschi, R. G. (2013). The relationship of core belief challenge, rumination, disclosure, and sociocultural elements to posttraumatic growth. Psychological Trauma: Theory, Research, Practice, and Policy,5, 50–55.

    Google Scholar 

  • Linley, P. A., & Joseph, S. (2004). Positive change following trauma and adversity: A review. Journal of Traumatic Stress,17, 11–21.

    PubMed  Google Scholar 

  • Mikulincer, M., & Shaver, P. R. (2007). Attachment in adulthood: Structure, dynamics, and change. New York: Guilford Press.

    Google Scholar 

  • Nishi, D., & Usuda, K. (2017). Psychological growth after childbirth: An exploratory prospective study. Journal of Psychosomatic Obstetrics & Gynecology,38, 87–93.

    Google Scholar 

  • Noy, A., Taubman-Ben-Ari, O., & Kuint, J. (2015). Well-being and personal growth in mothers of full-term and pre-term singletons and twins. Stress and Health,31, 365–372.

    PubMed  Google Scholar 

  • O’Donovan, A., Alcorn, K. L., Patrick, J. C., Creedy, D. K., Dawe, S., & Devilly, G. J. (2014). Predicting posttraumatic stress disorder after childbirth. Midwifery,30, 935–941.

    PubMed  Google Scholar 

  • O'Hara, M. W., & McCabe, J. E. (2013). Postpartum depression: Current status and future directions. Annual Review of Clinical Psychology,9, 379–407.

    PubMed  Google Scholar 

  • O’Leary, V., & Ickovics, J. (1995). Resilience and thriving in response to challenge: An opportunity for a paradigm shift in women’s health. Women’s Health: Research on Gender, Behavior, and Policy,1, 121–142.

    Google Scholar 

  • Park, C. L., Cohen, L. H., & Murch, R. L. (1996). Assessment and prediction of stress‐related growth. Journal of personality,64(1), 71–105.

  • Park, C. L. (1999). The roles of meaning and growth in the recovery from posttraumatic stress disorder. In A. Maercker, M. Schützwohl, & Z. Solomon (Eds.), Posttraumatic stress disorder: A lifespan developmental perspective (pp. 249–264). Seattle, WA: Hogrefe and Huber.

    Google Scholar 

  • Porat-Zyman, G., Taubman-Ben-Ari, O., Kuint, J., & Morag, I. (2018). Personal growth 4 years after premature childbirth: The role of change in maternal mental health. Journal of Happiness Studies. https://doi.org/10.1007/s10902-018-0012-1.

    Article  Google Scholar 

  • Rai, S., Pathak, A., & Sharma, I. (2015). Postpartum psychiatric disorders: Early diagnosis and management. Indian Journal of Psychiatry,57, S216.

    PubMed  PubMed Central  Google Scholar 

  • Rozen, G., Taubman-Ben-Ari, O., Strauss, T., & Morag, I. (2018). Personal growth of mothers of preterms: Objective severity of the event, subjective stress, personal resources, and maternal emotional support. Journal of Happiness Studies,19, 2167–2186.

    Google Scholar 

  • Sawyer, A., & Ayers, S. (2009). Post-traumatic growth in women after childbirth. Psychology and Health,24, 457–471.

    PubMed  Google Scholar 

  • Sawyer, A., Ayers, S., Young, D., Bradley, R., & Smith, H. (2012). Posttraumatic growth after childbirth: a prospective study. Psychology & Health,27, 362–377.

    Google Scholar 

  • Sawyer, A., Nakić Radoš, S., Ayers, S., & Burn, E. (2015). Personal growth in UK and Croatian women following childbirth: A preliminary study. Journal of Reproductive and Infant Psychology,33, 294–307.

    Google Scholar 

  • Sears, S. R., Stanton, A. L., & Danoff-Burg, S. (2003). The yellow brick road and the emerald city: Benefit finding, positive reappraisal coping, and posttraumatic growth in women with early-stage breast cancer. Health Psychology,22, 487–497.

    PubMed  Google Scholar 

  • Shamseer, L., Moher, D., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., … Stewart, L. A. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ, 349, 7647. https://doi.org/10.1136/bmj.g7647.

  • Spielman, V., & Taubman-Ben-Ari, O. (2009). Parental self-efficacy and stress-related growth in the transition to parenthood: A comparison between parents of pre-and full-term babies. Health & Social Work,34, 201–212.

    Google Scholar 

  • Stanton, A. L., Bower, J. E., & Low, C. A. (2014). Posttraumatic growth after cancer. In L. G. Calhoun & R. G. Tedeschi (Eds.), Handbook of posttraumatic growth: Research and practice (pp. 138–175). Cambridge: Psychology Press.

    Google Scholar 

  • Stramrood, C. A., Paarlberg, K. M., HuisIn’t Veld, E. M., Berger, L. W., Vingerhoets, A. J., Weijmar Schultz, W. C., et al. (2011). Posttraumatic stress following childbirth in homelike-and hospital settings. Journal of Psychosomatic Obstetrics & Gynecology,32, 88–97.

    Google Scholar 

  • Taku, K., Cann, A., Calhoun, L. G., & Tedeschi, R. G. (2008). The factor structure of the posttraumatic growth inventory: A comparison of five models using confirmatory factor analysis. Journal of Traumatic Stress,21, 158–164.

    PubMed  Google Scholar 

  • Taubman-Ben-Ari, O., Ben Shlomo, S., & Findler, L. (2012). Personal growth and meaning in life among first-time mothers and grandmothers. Journal of Happiness Studies,13, 801–820.

    Google Scholar 

  • Taubman-Ben-Ari, O., Ben Shlomo, S., Sivan, E., & Dolizki, M. (2009). The transition to motherhood: A time for growth. Journal of Social and Clinical Psychology,28, 943–970.

    Google Scholar 

  • Taubman-Ben-Ari, O., Findler, L., & Kuint, J. (2010). Personal growth in the wake of stress: The case of mothers of preterm twins. The Journal of Psychology,144, 185–204.

    PubMed  Google Scholar 

  • Taubman-Ben-Ari, O., Findler, L., & Sharon, N. (2011). Personal growth in mothers: Examination of the suitability of the posttraumatic growth inventory as a measurement tool. Women & Health,51, 604–622.

    Google Scholar 

  • Taubman-Ben-Ari, O., Skvirsky, V., Strauss, T., & Morag, I. (2018). Pre-term delivery, optimism and initial personal growth as predictors of mothers’ long-term personal growth. Journal of Reproductive and Infant Psychology. https://doi.org/10.1080/02646838.2018.1554245.

    Article  PubMed  Google Scholar 

  • Taubman-Ben-Ari, O., & Spielman, V. (2014). Personal growth following the first child's birth: A comparison of parents of pre-and full-term babies. Social Work Research,38, 91–106.

    Google Scholar 

  • Tedeschi, R. G., & Calhoun, L. G. (1995). Trauma and transformation. Thousand Oaks: Sage.

    Google Scholar 

  • Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress,9, 455–471.

    CAS  PubMed  Google Scholar 

  • Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry,15, 1–18.

    Google Scholar 

  • Tedeschi, R. G., Calhoun, L. G., & Cann, A. (2007). Evaluating resource gain: Understanding and misunderstanding posttraumatic growth. Applied Psychology: An International Review,56, 396–406.

    Google Scholar 

  • Tedeschi, R. G., Shakespeare-Finch, J., Taku, K., & Calhoun, L. G. (2018). Posttraumatic growth: theory, research, and applications. New York: Routledge.

    Google Scholar 

  • Triplett, K. N., Tedeschi, R. G., Cann, A., Calhoun, L. G., & Reeve, C. L. (2012). Posttraumatic growth, meaning in life, and life satisfaction in response to trauma. Psychological Trauma: Theory, Research, Practice, and Policy,4, 400–410.

    Google Scholar 

  • von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2007). The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. Lancet,370, 1453–1457. https://doi.org/10.1016/S0140-6736(07)61602-X.

    Article  Google Scholar 

  • Wilson, B., Morris, B. A., & Chambers, S. (2014). A structural equation model of posttraumatic growth after prostate cancer. Psycho-Oncology,23, 1212–1219.

    PubMed  Google Scholar 

  • Yelland, J., Sutherland, G., & Brown, S. J. (2010). Postpartum anxiety, depression and social health: Findings from a population-based survey of Australian women. BMC Public Health,10, 771. https://doi.org/10.1186/1471-2458-10-771.

    Article  PubMed  PubMed Central  Google Scholar 

  • Zhou, X., Wu, X., Fu, F., & An, Y. (2015). Core belief challenge and rumination as predictors of PTSD and PTG among adolescent survivors of the Wenchuan earthquake. Psychological Trauma: Theory, Research, Practice, and Policy,7, 391–397.

    Google Scholar 

  • Zoellner, T., & Maercker, A. (2006). Posttraumatic growth in clinical psychology: A critical review and introduction of a two-component model. Clinical Psychology Review,26, 626–653.

    PubMed  Google Scholar 

Download references

Funding

Funding was provided by FCT - Fundação para a Ciência e Tecnologia (UIDP/04345/2020).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Tânia Brandão.

Ethics declarations

Conflict of interest

Tânia Brandão, Rute Brites, Odete Nunes, and João Hipólito declare that they have no conflict of interest.

Human and Animal Rights

This systematic review does not contain any studies with human participants performed by any of the authors. The authors only summarize results from previous published studies.

Informed Consent

Non-applicable.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary file1 (DOCX 26 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Brandão, T., Brites, R., Nunes, O. et al. Posttraumatic Growth After Childbirth in Women: A Systematic Review. J Clin Psychol Med Settings 27, 318–330 (2020). https://doi.org/10.1007/s10880-020-09720-w

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10880-020-09720-w

Keywords

Navigation