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Abstract(s)
A perda perinatal é um evento stressante e potencialmente traumático para a maioria das mulheres, com implicações a nível individual e relacional. A literatura sustenta a importância de investigar os construtos perda perinatal, luto e (in)satisfação conjugal. É na procura da compreensão desta temática que se enquadra esta investigação cujo objetivo principal é estudar a relação entre estas três variáveis. Este estudo integrou 30 mães de nacionalidade portuguesa que vivenciaram, há mais de seis meses, pelo menos uma perda perinatal no terceiro trimestre de gestação. Estas responderam online a um Questionário Sociodemográfico, Clínico e de Luto, à Perinatal Bereavement Grief Scale, ao Inventory of Complicated Grief, ao Prolonged Grief Disorder, à Impact of Event Scale – Revised, à Escala de Vinculação do Adulto e à Escala de Avaliação da Satisfação em Áreas da Vida Conjugal. Os resultados indicaram que as dificuldades traumáticas, psicose e depressão foram preditores positivos dos níveis de luto perinatal, enquanto as dificuldades de separação apresentaram um efeito inverso. O luto prolongado esteve positivamente associado ao impacto do evento (total) e às suas dimensões (ativação fisiológica, intrusão e evitamento). A psicose mostrou-se um preditor positivo de ansiedade e as dificuldades de separação predisseram negativamente a confiança nos outros. Em termos relacionais, o amor foi um preditor positivo de contacto com a proximidade e o funcionamento conjugal teve o mesmo efeito na confiança nos outros. Não foram encontradas diferenças estatisticamente significativas nos níveis de luto perinatal, luto complicado (total) e luto prolongado entre mães solteiras e mães em relacionamentos estáveis. Observou-se também a persistência dos níveis destas três variáveis ao longo do tempo. Assim, estes resultados sublinham a complexidade da perda perinatal e reforçam a importância de um suporte psicológico contínuo.
The perinatal loss is a stressful and potentially traumatic event for most women, with individual and relational implications. The literature supports the importance of investigating the constructs perinatal loss, grief and marital (in)satisfaction. It is in the search for an understanding of this theme that this research is framed whose main objective is to study the relationship between these three variables. This study included 30 mothers of Portuguese nationality who experienced, more than six months ago, at least one perinatal loss in the third trimester of pregnancy. These responded online to a Sociodemographic, Clinical and Grief Questionnaire, the Perinatal Bereavement Grief Scale, the Inventory of Complicated Grief, the Prolonged Grief Disorder, the Impact of Event Scale – Revised, the Adult Attachment Scale of Evaluation of the Satisfaction in Areas of Married Life. The results indicated that traumatic difficulties, psychosis and depression were positive predictors of perinatal grief levels, while separation difficulties had the opposite effect. Prolonged grief was positively associated with the impact of the event (total) and its dimensions (physiological activation, intrusion and avoidance). Psychosis proved to be a positive predictor of anxiety and separation difficulties negatively predicted trust in others. In relational terms, love was a positive predictor of contact with proximity and marital functioning had the same effect on trust in others. No statistically significant differences were found in the levels of perinatal grief, complicated (total) grief and prolonged grief between single mothers and mothers in stable relationships. There was also persistence in the levels of these three variables over time. These results underline the complexity of perinatal loss and reinforce the importance of continuous psychological support
The perinatal loss is a stressful and potentially traumatic event for most women, with individual and relational implications. The literature supports the importance of investigating the constructs perinatal loss, grief and marital (in)satisfaction. It is in the search for an understanding of this theme that this research is framed whose main objective is to study the relationship between these three variables. This study included 30 mothers of Portuguese nationality who experienced, more than six months ago, at least one perinatal loss in the third trimester of pregnancy. These responded online to a Sociodemographic, Clinical and Grief Questionnaire, the Perinatal Bereavement Grief Scale, the Inventory of Complicated Grief, the Prolonged Grief Disorder, the Impact of Event Scale – Revised, the Adult Attachment Scale of Evaluation of the Satisfaction in Areas of Married Life. The results indicated that traumatic difficulties, psychosis and depression were positive predictors of perinatal grief levels, while separation difficulties had the opposite effect. Prolonged grief was positively associated with the impact of the event (total) and its dimensions (physiological activation, intrusion and avoidance). Psychosis proved to be a positive predictor of anxiety and separation difficulties negatively predicted trust in others. In relational terms, love was a positive predictor of contact with proximity and marital functioning had the same effect on trust in others. No statistically significant differences were found in the levels of perinatal grief, complicated (total) grief and prolonged grief between single mothers and mothers in stable relationships. There was also persistence in the levels of these three variables over time. These results underline the complexity of perinatal loss and reinforce the importance of continuous psychological support
Description
Keywords
Perda perinatal Luto (In)satisfação conjugal Mães Terceiro trimestre Perinatal loss Grief Marital (in)satisfaction Mothers Third trimester