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Doctoral
Thesis: Coping with
Miscarriage: Young women’s experiences
Supervisors: Professor
Christina Lee, Dr Nancy Pachana
University: School
of Psychology, University of Queensland
Purpose
of the study:
This project aims to investigate the predictors and
outcomes of miscarriage among young women, to determine
who copes well with miscarriage. There are currently
two stages to this project.
Stage
1
A series of quantitative analyses examining, both cross-sectionally
and longitudinally, the correlates and outcomes of miscarriage
among young women were conducted. Secondary analyses
using existing data from Surveys 1, 2 and 3 of the Younger
cohort of the ALSWH examined, cross-sectionally, the
demographic, social, gynaecological, and psychological
and lifestyles factors associated with miscarriage at
each Survey.
Subsequent
cross-sectional and longitudinal analyses were conducted
to further explore the correlates and outcomes of miscarriage.
Analyses were completed at the end of 2005, and a selection
of the findings was presented at the Annual Scientific
Conference for the Australasian Society of Behavioural
Health and Medicine in New Zealand in February 2006.
We also plan to present additional findings from these
analyses at the International Society of Behavioural
Medicine conference in Thailand in November this year.
Further, there are plans to submit the findings of the
analyses for publication late 2006.
Currently,
we are conducting a literature review of studies examining
the psychological outcomes of miscarriage. Whilst there
is lack of literature in this area, the evidence suggests
that women are at risk for symptoms of depression and
anxiety after miscarriage. High levels of stress and
grief are also problematic among women after miscarriage.
Although the research in this area tends to report predominantly
negative psychological outcomes, there is also evidence
showing more positive outcomes after miscarriage. This
research provides valuable information on women who
cope well after miscarriage and allows treatment options
for these women to be developed and improved. The next
step is to examine the available evidence investigating
the specific coping strategies that women use after
miscarriage. This evidence will guide the project’s
qualitative research.
Stage
2
The quantitative analyses revealed relatively little
about the emotional impact of miscarriage and how this
affects coping. It is therefore important to examine
how women cope after miscarriage in more depth. Qualitative
research is particularly valuable in describing reactions
to traumatic events and in exploring substantive areas
where there is little systematic quantitative research.
During May 2006 we plan to conduct a qualitative study
to explore the specific coping strategies that women
use after miscarriage. The qualitative research will
be undertaken by conducting interviews with young women,
from the Brisbane community, who have miscarried. Previous
research has shown that particular socio-demographic
variables are associated with women’s outcomes
after miscarriage. Specifically, there is evidence to
suggest that women who have existing children, social
support; planned pregnancies and a lower gestational
age at the time of loss, may be less likely to be psychologically
distressed than their peers. The qualitative research
is proposed to identify who does, and does not cope
well with miscarriage, and what predicts coping well.
Thus, the relationships between these variables will
be examined further in the interviews.
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