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Published in: Archives of Gynecology and Obstetrics 6/2016

01-06-2016 | General Gynecology

Psychiatric outcomes after childbirth: can posttraumatic growth protect me from disordered eating symptoms?

Authors: Raphael Ayache, Sarah Benticha, Nelly Goutaudier, Henri Chabrol

Published in: Archives of Gynecology and Obstetrics | Issue 6/2016

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Abstract

Purpose

While many studies on mood disorder and posttraumatic stress disorder (PTSD) following childbirth have been conducted, little is known regarding posttraumatic growth (PTG) and disordered eating in the postpartum period. This study aims to (a) identify the typology of women following childbirth based on anxiety, depressive, PTSD symptoms and level of PTG and (b) evaluate whether these profiles differ on disordered eating symptoms.

Methods

Up to 2 years after childbirth, 306 French-speaking mothers [mean age (SD) = 29.4 (4.6) years] completed questionnaires assessing PTSD, depressive, anxiety and disordered-eating symptoms and level of posttraumatic growth.

Results

Four profiles were highlighted: a first one labeled growing cluster (22.2 % of the sample, n = 68), a second one labeled low level of symptoms cluster (37.6 % of the sample, n = 115), a third one labeled vulnerable cluster (21.6 % of the sample, n = 66) and a last one labeled anxious–depressed–traumatized cluster (18.6 % of the sample, n = 57). Our findings also highlight an impact of these profiles on disordered eating symptoms, suggesting that disordered eating in postpartum would not be the result of pregnancy.

Conclusion

Consistent with our expectation, our findings suggest a potential protective role of posttraumatic growth on the development of disordered eating symptoms. Further researches focusing on traumatic experience, disordered eating and posttraumatic growth in postpartum are warranted.
Footnotes
1
d > 0.2 for small effect size, d > 0.5 for medium effect size and d > 0.8 for large effect size.
 
Literature
2.
go back to reference Duffy CL (1983) Postpartum depression: identifying women at risk. Genesis 11:21 Duffy CL (1983) Postpartum depression: identifying women at risk. Genesis 11:21
5.
go back to reference American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorder. DSM-IV-R, 4th edn. APA, Washington, DC American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorder. DSM-IV-R, 4th edn. APA, Washington, DC
9.
go back to reference Goutaudier N, Séjourné N, Rousset C, Lami C, Chabrol H (2012) Negative emotions, childbirth pain, perinatal dissociation and self-efficacy as predictors of postpartum posttraumatic stress symptoms. J Reprod Infant Psychol 30:352–362. doi:10.1080/02646838.2012.738415 CrossRef Goutaudier N, Séjourné N, Rousset C, Lami C, Chabrol H (2012) Negative emotions, childbirth pain, perinatal dissociation and self-efficacy as predictors of postpartum posttraumatic stress symptoms. J Reprod Infant Psychol 30:352–362. doi:10.​1080/​02646838.​2012.​738415 CrossRef
10.
go back to reference American Psychiatric Association (1980) Diagnostic and statistical manuel of mental disorder. APA, Washington, DC American Psychiatric Association (1980) Diagnostic and statistical manuel of mental disorder. APA, Washington, DC
11.
go back to reference American Psychiatric Association (1995) Diagnostic and statistical manuel of mental disorder. DSM-IV-R, 4th edn. APA, Washington, DC American Psychiatric Association (1995) Diagnostic and statistical manuel of mental disorder. DSM-IV-R, 4th edn. APA, Washington, DC
14.
go back to reference Menage J (1993) Post-traumatic stress disorder in women who have undergone obstetric and/or gynaecological procedures: a consecutive series of 30 cases of PTSD. J Reprod Infant Psychol 11:221–228. doi:10.1080/02646839308403222 CrossRef Menage J (1993) Post-traumatic stress disorder in women who have undergone obstetric and/or gynaecological procedures: a consecutive series of 30 cases of PTSD. J Reprod Infant Psychol 11:221–228. doi:10.​1080/​0264683930840322​2 CrossRef
16.
go back to reference Quine L, Rutter DR, Gowen S (1993) Women’s satisfaction with the quality of the birth experience: a prospective study of social and psychological predictors. J Reprod Infant Psychol 11:107–113. doi:10.1080/02646839308403202 CrossRef Quine L, Rutter DR, Gowen S (1993) Women’s satisfaction with the quality of the birth experience: a prospective study of social and psychological predictors. J Reprod Infant Psychol 11:107–113. doi:10.​1080/​0264683930840320​2 CrossRef
21.
go back to reference McKenzie-McHarg K, Ayers S, Ford E, Horsch A, Jomeen J, Sawyer A, Slade P (2015) Post-traumatic stress disorder following childbirth: an update of current issues and recommendations for future research. J Reprod Infant Psychol. doi:10.1080/02646838.2015.1031646 McKenzie-McHarg K, Ayers S, Ford E, Horsch A, Jomeen J, Sawyer A, Slade P (2015) Post-traumatic stress disorder following childbirth: an update of current issues and recommendations for future research. J Reprod Infant Psychol. doi:10.​1080/​02646838.​2015.​1031646
22.
go back to reference DeMier RL, Hynan MT, Harris HB, Manniello RL (1995) Perinatal stressors as predictors of symptoms of posttraumatic stress in mothers of infants at high risk. J Perinatol 16:276–280 DeMier RL, Hynan MT, Harris HB, Manniello RL (1995) Perinatal stressors as predictors of symptoms of posttraumatic stress in mothers of infants at high risk. J Perinatol 16:276–280
36.
go back to reference Weiss DS, Marmar CR (1997) The impact of event scale-revised. Assessing psychological trauma and PTSD, practitioner’s handbook. Guilford Press, New York, pp 399–411 Weiss DS, Marmar CR (1997) The impact of event scale-revised. Assessing psychological trauma and PTSD, practitioner’s handbook. Guilford Press, New York, pp 399–411
37.
go back to reference Brunet A, St-Hilaire A, Jehel L, King S (2003) Validation of a french version of the impact of event scale-revised. Can J Psychiatry 48:56–61PubMed Brunet A, St-Hilaire A, Jehel L, King S (2003) Validation of a french version of the impact of event scale-revised. Can J Psychiatry 48:56–61PubMed
38.
go back to reference Lépine JP (1996). L’échelle HAD (hospital anxiety and depressionscale). L’évaluation clinique standardisée en psychiatrie. Tome1. Boulogne: Éditions Médicales Pierre Fabre, pp 367–374 Lépine JP (1996). L’échelle HAD (hospital anxiety and depressionscale). L’évaluation clinique standardisée en psychiatrie. Tome1. Boulogne: Éditions Médicales Pierre Fabre, pp 367–374
39.
go back to reference Cox JL, Holden JM, Sagovsky R (1987) Development of the ten-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 150:782–786CrossRefPubMed Cox JL, Holden JM, Sagovsky R (1987) Development of the ten-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 150:782–786CrossRefPubMed
41.
go back to reference Goecke TW, Voigt F, Faschingbauer F, Spangler G, Beckmann MW, Beetz A (2012) The association of prenatal attachment and perinatal factors with pre-and postpartum depression in first-time mothers. Arch Gynecol Obstet 286:309–316. doi:10.1007/s00404-012-2286-6 CrossRefPubMed Goecke TW, Voigt F, Faschingbauer F, Spangler G, Beckmann MW, Beetz A (2012) The association of prenatal attachment and perinatal factors with pre-and postpartum depression in first-time mothers. Arch Gynecol Obstet 286:309–316. doi:10.​1007/​s00404-012-2286-6 CrossRefPubMed
43.
go back to reference Teissèdre F, Chabrol H (2004) Detecting women at risk for postnatal depression using the Edinburgh Postnatal Depression Scale at 2–3 days postpartum. Can J Psychiatry 49:51–54PubMed Teissèdre F, Chabrol H (2004) Detecting women at risk for postnatal depression using the Edinburgh Postnatal Depression Scale at 2–3 days postpartum. Can J Psychiatry 49:51–54PubMed
44.
go back to reference Garner DM (1991) Eating disorder inventory-2: professional manual. Psychological assessment resources, Odessa (FL) Garner DM (1991) Eating disorder inventory-2: professional manual. Psychological assessment resources, Odessa (FL)
45.
go back to reference Schoemaker C, van Strien T, van der Staak C (1994) Validation of the eating disorders inventory in a nonclinical population using transformed and untransformed responses. Int J Eat Disord 15:387–393. doi:10.1002/eat.2260150409 CrossRefPubMed Schoemaker C, van Strien T, van der Staak C (1994) Validation of the eating disorders inventory in a nonclinical population using transformed and untransformed responses. Int J Eat Disord 15:387–393. doi:10.​1002/​eat.​2260150409 CrossRefPubMed
47.
go back to reference Butler L, Blasey C, Garlan R et al (2005) Posttraumatic growth following the terrorist attacks of September 11, 2001: cognitive, coping, and trauma symptom predictors in an internet convenience sample. Traumatology 11:247–267. doi:10.1177/153476560501100405 CrossRef Butler L, Blasey C, Garlan R et al (2005) Posttraumatic growth following the terrorist attacks of September 11, 2001: cognitive, coping, and trauma symptom predictors in an internet convenience sample. Traumatology 11:247–267. doi:10.​1177/​1534765605011004​05 CrossRef
48.
go back to reference McCaslin SE, de Zoysa P, Butler LD et al (2009) The relationship of posttraumatic growth to peritraumatic reactions and posttraumatic stress symptoms among Sri Lankan university students. J Trauma Stress 22:334–339. doi:10.1002/jts.20426 CrossRefPubMed McCaslin SE, de Zoysa P, Butler LD et al (2009) The relationship of posttraumatic growth to peritraumatic reactions and posttraumatic stress symptoms among Sri Lankan university students. J Trauma Stress 22:334–339. doi:10.​1002/​jts.​20426 CrossRefPubMed
49.
go back to reference Goutaudier N, Lopez A, Séjourné N, Denis A, Chabrol H (2011) Premature birth: subjective and psychological experiences in the firstweeks following childbirth, a mixed-methods study. J Reprod Infant Psychol 29:364–373CrossRef Goutaudier N, Lopez A, Séjourné N, Denis A, Chabrol H (2011) Premature birth: subjective and psychological experiences in the firstweeks following childbirth, a mixed-methods study. J Reprod Infant Psychol 29:364–373CrossRef
51.
go back to reference Kitai T, Komoto Y, Kakubari R, Konishi H, Tanaka E, Nakajima S, Takemura M (2014) A comparison of maternal and neonatal outcomes of pregnancy with mental disorders: results of an analysis using propensity score-based weighting. Arch Gynecol Obstet 290:883–889. doi:10.1007/s00404-014-3304-7 CrossRefPubMed Kitai T, Komoto Y, Kakubari R, Konishi H, Tanaka E, Nakajima S, Takemura M (2014) A comparison of maternal and neonatal outcomes of pregnancy with mental disorders: results of an analysis using propensity score-based weighting. Arch Gynecol Obstet 290:883–889. doi:10.​1007/​s00404-014-3304-7 CrossRefPubMed
53.
go back to reference Tasca GA, Szadkowski L, Illing V, Trinneer A, Grenon R, Demidenko N et al (2009) Adult attachment, depression, and eating disorder symptoms: the mediating role of affect regulation strategies. Personal Individ Dif 47:662–667. doi:10.1016/j.paid.2009.06.006 CrossRef Tasca GA, Szadkowski L, Illing V, Trinneer A, Grenon R, Demidenko N et al (2009) Adult attachment, depression, and eating disorder symptoms: the mediating role of affect regulation strategies. Personal Individ Dif 47:662–667. doi:10.​1016/​j.​paid.​2009.​06.​006 CrossRef
54.
go back to reference Gilbert N, Meyer C (2005) Fear of negative evaluation and the developpement of eating psychopathology: a longitudinal study among nonclinical women. Int J Eat Disord 37:307–312. doi:10.1002/eat.20105 CrossRefPubMed Gilbert N, Meyer C (2005) Fear of negative evaluation and the developpement of eating psychopathology: a longitudinal study among nonclinical women. Int J Eat Disord 37:307–312. doi:10.​1002/​eat.​20105 CrossRefPubMed
Metadata
Title
Psychiatric outcomes after childbirth: can posttraumatic growth protect me from disordered eating symptoms?
Authors
Raphael Ayache
Sarah Benticha
Nelly Goutaudier
Henri Chabrol
Publication date
01-06-2016
Publisher
Springer Berlin Heidelberg
Published in
Archives of Gynecology and Obstetrics / Issue 6/2016
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-015-3969-6

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