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Perinatal trauma and the aftermath: Attachment, social support, parental rearing, meaning of loss & mental health

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  1. Tez No: 401332
  2. Yazar: AYŞE MELTEM BUDAK ÜSTÜNDAĞ
  3. Danışmanlar: DR. GILL HARRIS, DR. JACKIE BLISSETT
  4. Tez Türü: Doktora
  5. Konular: Psikoloji, Psychology
  6. Anahtar Kelimeler: Belirtilmemiş.
  7. Yıl: 2013
  8. Dil: İngilizce
  9. Üniversite: The Unıversıty Of Bırmıngham
  10. Enstitü: Yurtdışı Enstitü
  11. Ana Bilim Dalı: Belirtilmemiş.
  12. Bilim Dalı: Belirtilmemiş.
  13. Sayfa Sayısı: Belirtilmemiş.

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Özet (Çeviri)

This thesis investigates perinatal trauma and perinatal mental health, including obsessive compulsive, post-traumatic stress, panic, social phobia, agoraphobia, general anxiety, major depression and postnatal depression symptoms within attachment theory's perspective. It aims to give insight into both caregiving and caretaking experiences of mothers in the pursuit of understanding the aftermath of perinatal trauma. Thus it aims to understand first of all, interrelated factors like attachment styles, social support and parental rearing experience in predicting perinatal mental health including anxiety specific symptoms. Then it examines the mediational relationship between support and attachment styles and draws attention to understanding the importance of this relationship in relation to practical implications. This thesis also aims to understand the differences and similarities in various trauma experiences. The final aim of this thesis focuses on the experience of perinatal trauma and the relationship between mothers who experienced previous perinatal trauma and the subsequent infant. The thesis employs both qualitative and quantitative analysis. The aim of the quantitative studies is to provide understanding of factors that are related to the mental health of women who experienced perinatal trauma (infant loss / difficult childbirth). This is achieved over three studies. Study 1 aims to understand the relationship between prenatal postnatal trauma experiences, support, attachment styles and mental health. Study 2 looks into mediational relationship between perceived support from significant others, attachment (anxiety – avoidance) in predicting perinatal mental health. Finally Study 3 examines the difference between women who experience trauma with loss and women who have experienced trauma without loss. In addition, a qualitative study aimed to focus on individuals' trauma experiences and their relationship with their subsequent infant in a more detailed fashion. This is achieved over two studies. Study 4 aims to explain mothers' understanding of their loss experience and their perception of their relationship with their subsequent infant. The results of the thesis draw attention to the importance of attachment styles, social support and memories of parental rearing experiences in predicting both general perinatal health symptoms and specific mental health symptoms (OCD, PTSD, panic, social phobia, agoraphobia, general anxiety disorder, major depression & postpartum depression). It also highlights the importance of understanding the mediational relationship between attachment styles and emotional support received from significant others and the importance of emotional support from health practitioners. The results also inform current guidance and practice in dealing with perinatal trauma particularly around stillbirth management.

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