title: Effects of caring, measurement, and time on miscarriage impact and women's well-being.
abstract: BACKGROUND
  Responses to miscarriage range from relief to devastation, yet there have been no randomized controlled studies that demonstrate significant effects of counseling with women who miscarry.
  
  
  OBJECTIVE
  To test the effects of caring-based counseling, measurement, and time on the integration of loss (miscarriage impact) and women's emotional well-being (moods and self-esteem) in the first year after miscarrying.
  
  
  METHODS
  ANCOVA was used in this randomized, longitudinal Solomon four-group experimental investigation. Enrolled were 242; 185 completed. Outcomes included: self-esteem, overall emotional disturbance, anger, depression, anxiety, confusion, overall miscarriage impact, personal significance, devastating event, lost baby, and isolated.
  
  
  RESULTS
  During the first year after loss (a) caring was effective in reducing overall emotional disturbance, anger, and depression; and (b) time passing led to increased self-esteem and decreased anxiety, depression, anger, confusion, and personal significance of loss.
  
  
  CONCLUSIONS
  Caring, measurement, and time had some positive and significant effects on the integration of loss and enhancement of well-being in the first year subsequent to miscarrying.
authors.affiliation: Department of Family and Child Nursing, University of Washington, Seattle, WA 98195, USA.
authors.forename: K M
authors.initials: KM
authors.lastname: Swanson
mesh_terms: D000022:Abortion, Spontaneous / Q000523:psychology*; D000223:Adaptation, Psychological; D000328:Adult; D000704:Analysis of Variance; D003376:Counseling; D004644:Emotions; D004645:Empathy; D005260:Female; D006801:Humans; D008875:Middle Aged; D011247:Pregnancy; D011594:Psychometrics; D012649:Self Concept; D013997:Time Factors; D016387:Women's Health