title: Personal coping resources, responsibility, anxiety and depression after early pregnancy loss.
abstract: This cross-sectional study aimed at assessing the relationship of feeling of personal responsibility for miscarriage and personal coping resources (self-esteem and self-efficacy), with symptoms of anxiety and depression in 138 women at 19 to 400 days following the diagnosis of a missed abortion. Multiple regression analyses controlling for demographic and obstetric variables demonstrated that higher feelings of personal responsibility, and lower personal resources were significantly associated with anxiety and depression. Self-esteem had the most salient effect on women's level of affective psychopathology; higher levels of self-esteem were associated with lower anxiety and depression. Women with high levels of self-esteem also reported significantly lower feelings of personal responsibility for miscarriage than those with low levels of self-esteem. Interventions aimed at enhancing feelings of self-worth, and at altering exaggerated feelings of personal responsibility for miscarriage, could lessen the potential negative emotional impact of pregnancy loss on women.
authors.affiliation: Harris Birthright Research Center for Fetal Medicine, King's College Hospital Medical School, London, UK.
authors.forename: A V
authors.initials: AV
authors.lastname: Nikcevic
authors.forename: A R
authors.initials: AR
authors.lastname: Kuczmierczyk
authors.forename: K H
authors.initials: KH
authors.lastname: Nicolaides
mesh_terms: D000030:Abortion, Missed / Q000175:diagnosis / Q000523:psychology*; D000223:Adaptation, Psychological; D000328:Adult; D001007:Anxiety / Q000209:etiology / Q000523:psychology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000209:etiology / Q000523:psychology*; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008875:Middle Aged; D009035:Mothers / Q000523:psychology*; D011247:Pregnancy; D012044:Regression Analysis; D012307:Risk Factors; D012649:Self Concept; D011795:Surveys and Questionnaires