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Posttraumatic Growth After Childbirth in Women: A Systematic Review
Tânia Brandão1,2, Rute Brites3, Odete Nunes3
1CIP-UAL, Departamento de Psicologia, Universidade Autónoma de Lisboa Luís de Camões, 1150-023, Lisbon, Portugal. tbrandao@autonoma.pt.
Insights
This review found that factors like age, personality, coping strategies, premature birth, and social support are linked to posttraumatic growth (PTG) after perinatal events. These findings can inform interventions for new parents.
Area of Science:
- Perinatal Psychology
- Trauma Studies
- Psychosocial Intervention Research
Background:
- Posttraumatic growth (PTG) is a positive psychological change experienced after adversity.
- The perinatal period presents unique challenges and potential for growth.
- Understanding PTG factors in this context is crucial for supporting parents.
Purpose of the Study:
- To systematically review and appraise evidence on PTG in the perinatal context.
- To identify individual, event-related, and contextual factors associated with perinatal PTG.
- To inform the development of targeted psychosocial interventions.
Main Methods:
- Systematic literature search of five databases (inception to February 2019).
- Adherence to PRISMA guidelines for study selection and data extraction.
- Inclusion of 13 studies examining PTG and associated factors in perinatal populations.
Main Results:
- Consistent individual factors linked to PTG include age, personality, and coping strategies.
- Event-related factors such as premature birth and threat appraisal were associated with PTG.
- Contextual factors, notably emotional support from grandmothers and spouses, were significant.
Conclusions:
- Perinatal PTG is influenced by a combination of individual, event-specific, and social support factors.
- Identified factors provide targets for designing effective psychosocial interventions for parents.
- Further research is recommended to refine understanding and intervention strategies.
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.
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