A prospective longitudinal study of the prevalence of post-traumatic stress disorder resulting from childbirth events

Article


Alcorn, K. L., O'Donovan, A., Patrick, J. C., Creedy, D. and Devilly, G. J.. 2010. "A prospective longitudinal study of the prevalence of post-traumatic stress disorder resulting from childbirth events." Psychological Medicine. 40 (11), pp. 1849-1859. https://doi.org/10.1017/S0033291709992224
Article Title

A prospective longitudinal study of the prevalence of post-traumatic stress disorder resulting from childbirth events

ERA Journal ID6592
Article CategoryArticle
AuthorsAlcorn, K. L. (Author), O'Donovan, A. (Author), Patrick, J. C. (Author), Creedy, D. (Author) and Devilly, G. J. (Author)
Journal TitlePsychological Medicine
Journal Citation40 (11), pp. 1849-1859
Number of Pages11
Year2010
PublisherCambridge University Press
Place of PublicationCambridge, United Kingdom
ISSN0033-2917
1469-8978
Digital Object Identifier (DOI)https://doi.org/10.1017/S0033291709992224
Abstract

Background: Childbirth has been linked to postpartum impairment. However, controversy exists regarding the onset and prevalence of post-traumatic stress disorder (PTSD) after childbirth, with seminal studies being limited by methodological issues. This longitudinal prospective study examined the prevalence of PTSD following childbirth in a large sample while controlling for pre-existing PTSD and affective symptomatology.
Method: Pregnant women in their third trimester were recruited over a 12-month period and interviewed to identify PTSD and anxiety and depressive symptoms during the last trimester of pregnancy, 4–6 weeks postpartum, 12 weeks postpartum and 24 weeks postpartum.
Results: Of the 1067 women approached, 933 were recruited into the study. In total, 866 (93%) were retained to 4–6 weeks, 826 (89%) were retained to 12 weeks and 776 (83%) were retained to 24 weeks. Results indicated that, uncontrolled, 3.6% of women met PTSD criteria at 4–6 weeks postpartum, 6.3% at 12 weeks postpartum and 5.8% at 24 weeks postpartum. When controlling for PTSD and partial PTSD due to previous traumatic events as well as clinically significant anxiety and depression during pregnancy, PTSD rates were less at 1.2% at 4–6 weeks, 3.1% at 12 weeks and 3.1% at 24 weeks postpartum.
Conclusions: This is the first study to demonstrate the occurrence of full criteria PTSD resulting from childbirth after controlling for pre-existing PTSD and partial PTSD and clinically significant depression and anxiety in pregnancy. The findings indicate that PTSD can result from a traumatic birth experience, though this is not the normative response.

Keywordschildbirth; prevalence; postnatal; trauma; depression
ANZSRC Field of Research 2020520502. Gender psychology
321599. Reproductive medicine not elsewhere classified
520105. Psychological methodology, design and analysis
Public Notes

© 2010 Cambridge University Press. This publication is copyright. It may be reproduced in whole or in part for the purposes of study, research, or review, but is subject to the inclusion of an acknowledgment of the source.

Byline AffiliationsGriffith University
Department of Psychology
Institution of OriginUniversity of Southern Queensland
Permalink -

https://research.usq.edu.au/item/q11xy/a-prospective-longitudinal-study-of-the-prevalence-of-post-traumatic-stress-disorder-resulting-from-childbirth-events

Download files


Published Version
Alcorn_etal_PM_v40n11_PV.pdf
File access level: Anyone

  • 1984
    total views
  • 1216
    total downloads
  • 0
    views this month
  • 8
    downloads this month

Export as

Related outputs

Through Benevolent Eyes: the Differential Efficacy of Perspective Taking and Cognitive Reappraisalon the Regulation of Shame
Krishnamoorthy, Govind, Davis, Penelope, O'Donovan, Analise, McDermott, Brett and Mullens, Amy. 2021. "Through Benevolent Eyes: the Differential Efficacy of Perspective Taking and Cognitive Reappraisalon the Regulation of Shame." International Journal of Cognitive Therapy. 14 (2), pp. 263-288. https://doi.org/10.1007/s41811-020-00085-4
An examination of the factor structure of the effects of meditation scale
Skipper, Tara, O'Donovan, Analise, Conlon, Elizabeth and Clough, Bonnie. 2015. "An examination of the factor structure of the effects of meditation scale." Personality and Individual Differences. 86, pp. 57-62. https://doi.org/10.1016/j.paid.2015.06.007
Protocols for protection of human participants: a comparison of five Countries
Clough, Bonnie A., Campbell, Megan M., Aliyeva, Turana A., Mateo, Nino Jose, Zarean, Mostafa and O'Donovan, Analise. 2013. "Protocols for protection of human participants: a comparison of five Countries." Journal of Empirical Research on Human Research Ethics. 8 (3), pp. 2-11. https://doi.org/10.1525/jer.2013.8.3.2
Maximising retention of nurses: Australian evidence
Hannigan, Delphine, Patrick, Jeff and Machin, Anthony. 2016. Maximising retention of nurses: Australian evidence. United States. Chamber & Row.
Developing and implementing an action-oriented staff survey: Queensland Health and the 'Better Workplaces' initiative
Jury, Ceri, Machin, M. Anthony, Phillips, Jan, Goh, Hong Eng, Olsen, Shaney P. and Patrick, Jeff. 2009. "Developing and implementing an action-oriented staff survey: Queensland Health and the 'Better Workplaces' initiative." Australian Health Review. 33 (3), pp. 365-370. https://doi.org/10.1071/AH090365
The relevance of community sentiments to Australian rural youths' intention to stay in their home communities
Pretty, Grace, Bramston, Paul, Patrick, Jeff and Pannach, Wendy. 2006. "The relevance of community sentiments to Australian rural youths' intention to stay in their home communities ." American Behavioral Scientist. 50 (2), pp. 226-240. https://doi.org/10.1177/0002764206290636
The economic value of psychology in Australia: 2001
Patrick, Jeff. 2005. "The economic value of psychology in Australia: 2001." Australian Psychologist. 40 (3), pp. 149-158. https://doi.org/10.1080/00050060500243459
How uniform is the structure of ability across childhood?
Dyck, Murray J., Piek, Jan P., Kane, Robert and Patrick, Jeff. 2009. "How uniform is the structure of ability across childhood?" European Journal of Developmental Psychology. 6 (4), pp. 432-454. https://doi.org/10.1080/17405620701439820
Depression anxiety stress scale: is it valid for children and adolescents?
Patrick, Jeff, Dyck, Murray and Bramston, Paul. 2010. "Depression anxiety stress scale: is it valid for children and adolescents?" Journal of Clinical Psychology. 66 (9), pp. 996-1007. https://doi.org/10.1002/jclp.20696
Establishing links between organizational climate, employee well-being and historical patient outcomes
Machin, T., Goh, H. E., Patrick, J. and Jury, C.. 2010. "Establishing links between organizational climate, employee well-being and historical patient outcomes." Mrowinski, Vicky, Kyrios, Michael and Voudouris, Nicholas (ed.) 27th International Congress of Applied Psychology (ICAP 2010). Melbourne, Australia 11 - 16 Jul 2010 Melbourne, Australia.
Are 'magnet' principles relevant in an Australian setting?
Hannigan, Delphine J. and Patrick, Jeff. 2009. "Are 'magnet' principles relevant in an Australian setting?" Langford, Peter H., Reynolds, Nicholas J. and Kehoe, James E. (ed.) 8th Industrial and Organisational Psychology Conference (IOP 2009): Meeting the Future: Promoting Sustainable Organisational Growth. Sydney, Australia 25 - 28 Jun 2009 Melbourne, Australia.
Predicting absenteeism and turnover intentions in the health professions
Albion, Majella J., Fogarty, Gerard J., Machin, M. Anthony and Patrick, Jeff. 2008. "Predicting absenteeism and turnover intentions in the health professions." Australian Health Review. 32 (2), pp. 271-281. https://doi.org/10.1071/AH080271
Attributes of immediate supervisor in promoting trust with employees in a public sector organisation
Goh, Hong Eng, Machin, M. Anthony and Patrick, Jeff. 2007. "Attributes of immediate supervisor in promoting trust with employees in a public sector organisation." Dollard, M., Winefield, T., Tuckey, M. and Winwood, P. (ed.) 7th Industrial & Organisational Psychology Conference and 1st Asia Pacific Congress on Work and Organisational Psychology. Adelaide, Australia 28 Jun - 01 Jul 2007 Melbourne, Australia.
Rural adolescents experiencing an urban transition
Bramston, Paul and Patrick, Jeff. 2007. "Rural adolescents experiencing an urban transition." Australian Journal of Rural Health. 15 (4), pp. 247-251. https://doi.org/10.1111/j.1440-1584.2007.00897.x
An empirical evaluation of teacher effectiveness: the emergence of three critical factors
Patrick, Jeff and Smart, Roslyn. 1998. "An empirical evaluation of teacher effectiveness: the emergence of three critical factors." Assessment and Evaluation in Higher Education. 23 (2), pp. 165-178. https://doi.org/10.1080/0260293980230205
Distinguishing between healthy and unhealthy eating behaviour: a personality trait perspective
Mullen, Kathryn and Patrick, Jeff. 2007. "Distinguishing between healthy and unhealthy eating behaviour: a personality trait perspective." Moore, Kate (ed.) 42nd Australian Psychological Society Annual Conference 2007. Brisbane, Australia 25 - 29 Sep 2007 Melbourne, Australia.
An insight into adolescent transition from rural to urban centres
Patrick, Jeff, Bramston, Paul and Wakefield, Amanda. 2004. "An insight into adolescent transition from rural to urban centres." Katsikitis, Mary (ed.) 39th Australian Psychological Society Annual Conference 2004. Sydney, Australia 29 Sep - 03 Oct 2004 Melbourne, Australia.
Challenging physiognomy: questioning the idea that facial characteristics are indicative of personality
Wang, Yi Lin and Patrick, Jeff. 2006. "Challenging physiognomy: questioning the idea that facial characteristics are indicative of personality." Katsikitis, Mary (ed.) Psychology Bridging the Tasman: Science, Culture and Practice 2006. Auckland, New Zealand 26 - 30 Sep 2006 Melbourne, Australia.
The impact of cultural similarity and level of acquaintance on personality
Gill, Davinder and Patrick, Jeff. 2006. "The impact of cultural similarity and level of acquaintance on personality." Katsikitis, Mary (ed.) Psychology Bridging the Tasman: Science, Culture and Practice 2006. Auckland, New Zealand 26 - 30 Sep 2006 Melbourne, Australia.