Full
Outline
To explore the developmental trajectories of post-traumatic stress disorder in patients with early pregnancy loss and to analyze their influencing factors.
Patients with early pregnancy loss who attended the obstetrics and gynecology outpatient clinic of a tertiary grade A hospital in Wuhan city were selected as the study subjects by a convenience sampling method from September 2024 to May 2025.Surveys were conducted on the day of early pregnancy loss,one month after early pregnancy loss,and three months after early pregnancy loss using a general information questionnaire,the post-traumatic stress disorder Checklist-Civilian Version,the Dyadic Coping Inventory,the Chinese Version Perceived Stress Scale,the Sense of Coherence Scale-13,and the Perceived Social Support Scale.A latent class growth model was used to identify the developmental trajectories of post-traumatic stress disorder in patients.Logistic regression analysis was employed to explore the influencing factors.
A total of 405 patients were finally included.Three distinct developmental trajectories of post-traumatic stress disorder were identified in patients with early pregnancy loss,namely a high traumatic stress response-chronic risk group(113 cases,27.9%),a low traumatic stress response-sustained improvement group(230 cases,56.8%),and a high traumatic stress response-rapid remission group(62 cases,15.3%).The results of Logistic regression analysis showed that the mode of conception,number of miscarriages,social support,sense of coherence,dyadic coping,and perceived stress were influencing factors for the developmental trajectories of post-traumatic stress disorder in patients with early pregnancy loss(all P<0.05).
There is group heterogeneity in the developmental trajectories of post-traumatic stress disorder in patients with early pregnancy loss.Clinical healthcare providers should promptly conduct psychological screening for patients with early pregnancy loss and develop precise nursing interventions based on the influencing factors of different trajectories to alleviate post-traumatic stress disorder in these patients.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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