E-ISSN 1309-4866
Research Article
The Relatıonshıp Between The Temperament And Character Profiles And Post Traumatıc Stress Dısorder In Women Who Had Termınatıon Of Pregnancy Because Of The Fetal Anomaly
1 Bakırköy Ruh ve Sinir Hastalıkları Hastanesi, Psikiyatri Departmanı, İstanbul, Türkiye  
2 Kanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi Kadın Doğum Hastalıkları, istanbul, Türkiye  
Arch Neuropsychiatry ; : -
DOI: 10.5152/npa.2015.6377
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Key Words: Termination, temperament and character, cope, post traumatic stres disorder
Abstract

Objective: The present study aimed to investigate whether the temperament and character profiles have an effect on the development of post traumatic stress disorder in pregnant women who were detected to have babies with severe fetal anomalies incompatible with life or those who decided to terminate their pregnancies in the presence of fetal anomaly that have significant negative effects on normal life.

 

Methods: The present study included eighty women who applied to the Gynecology Clinic of Istanbul Bakirkoy Gynecology and Children's Diseases Hospital between May and August 2010 and decided to have termination because of a fetal anomaly. The participants were informed about the study by a written Informed consent form and they were assessed by sociodemographic and clinical interview form, Edinburgh postnatal depression scale, COPE inventory, Temperament and Character Inventory, respectively. Six months after the termination Clinician-Administered Post-Traumatic Stress Disorder Scale (CAPS) was administered to the participants during their control examination.

 

Results:  62.5% of the women who had terminated their pregnancy had PTSD and 65% of the participants had symptoms of postpartum depression.  Participants who were diagnosed with PTSD had significantly higher scores for novelty seeking, harm avoidance and reward dependence temperament sub-scales. Women who were diagnosed with PTSD and those who had risk of postpartum depression were found to have lower education level and economic status. Also, in this group social and occupational functioning were significantly lower. Prominently emotional focused coping style was higher in women who were not diagnosed with PTSD.

 

 

Conclusion: In cases of certain temperament and character profiles, psychiatric support during the decision process of termination is suggested to be important for the risk of PTSD and depression development.

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