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Yıl:2021; Cilt: 12; Sayı: 3>> Özet
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Psikiyatri Hemşireliği Dergisi; 2021;12(3):227-236
Postpartum maternal travmatik stres ve bağlanma arasındaki ilişki
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Amaç: Postpartum travma sonrası stres bozukluğu, kadınların yanı sıra bebekleri ve aileleri için de önemli bir sağlık sorunudur. Annenin psikolojik iyilik hali anne-bebek bağlanmasını, bağlanma ise bebeğin psikolojik iyiliğinin temelini oluşturur. Bu çalışma doğumla ilgili postpartum travma sonrası stres bozukluğu ve bağlanma arasındaki ilişkiyi incelemek amacıyla yapıldı. Gereç ve Yöntem: Araştırma tanımlayıcı bir çalışmadır. Araştırma, bebeği 6 aylık olan 360 kadınla yürütüldü. Araştırma verileri Tanımlayıcı Bilgi Formu, City Doğum Travması Ölçeği (CityDTÖ) ve Doğum Sonrası Bağlanma Ölçeği (DSBÖ) kullanılarak elde edildi. Verilerin normal dağılıma uygunluğu Kolmogorov-Smirnov analizi ile değerlendirildi. Verilerin değerlendirilmesinde Kruskal Wallis, Mann Whitney U testi, Lojistik Regresyon Analizi yapıldı. Bulgular: Araştırmaya katılan kadınların yaş ortalaması 29.24±3.52 ve çoğunluğunun eğitiminin lisans seviyesinde (%76.1) olduğu belirlendi. Kadınların CityDTÖ puan ortalaması 20.23±14.32, %90.6’sının en az 1 ya da daha fazla belirtisi olduğu, %16.4’ünün DSM-5 teki Travma Sonrası Stres Bozukluğu (TSSB)’nun tüm tanı kriterlerini karşıladığı saptandı. Kadınların CityDTÖ puanları arttıkça bağlanma sorunlarının da arttığı görüldü (p
The relation between postpartum maternal traumatic stresss and bonding
Objectives: Postpartum post-traumatic stress disorder (PTSD) is an important and still underrecognized problem that affects women and their families. The psychological well-being of the mother is critical to attachment, which is fundamental to the infant’s psychological development. This study was conducted to determine the effect of traumatic stress on mother-infant bonding in the postpartum period and to examine risk factors. Methods: This was a descriptive study conducted with 360 women who had infants 6 months of age. The participants completed a personal information form, the City Birth Trauma Scale (CityBiTS), and the Postpartum Bonding Questionnaire (PBQ), and the data were analyzed. The distribution of the data was evaluated using the Kolmogorov-Smirnov test, and the Kruskal-Wallis, Mann-Whitney U test, and logistic regression analysis were used to analyze the data. Results: The mean age of the study participants was 29.24±3.52 years, and the majority had a bachelor’s degree (76.1%). The mean total CityBiTS score was 20.23±14.32 (possible range: 0-60). The CityBiTS data revealed that 90.6% (n=326) of the women had at least 1 or more symptoms of trauma and 16.4% (n=59) women in the sample met all of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition diagnostic criteria for PTSD. It was observed that the CityBiTS scores increased in parallel with the PBQ scores. Emergency cesarean section, vaginal examination by several different people during labor, and complications for mother or infant increased the traumatic stress score. A history of abuse, an unwanted pregnancy, and no opportunity to provide skin-to-skin contact had negative effects on postpartum bonding (p

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