Diese Studie soll klären, ob und inwieweit zurückliegende Schwangerschaftsverluste und -abbrüche für eine stationäre Psychotherapie relevant sind. Aufbauend auf zwei Vorstudien wurden in die retrospektive, querschnittliche Hauptstudie 440 Patientinnen einer psychosomatischen Klinik und 585 Frauen aus der Allgemeinbevölkerung (AB) einbezogen. Die geburtshilfliche Anamnese und alle psychologischen Parameter wurden mittels standardisierter Fragebögen erhoben und deskriptiv sowie parametrisch ausgewertet. Sowohl in der AB als auch in der stationären Psychosomatik wiesen 26% der Teilnehmerinnen eine geburtshilfliche Vorbelastung(geb VB) auf, welche im Mittel 20 Jahre zurückliegt. 11% der betroffenen Frauen aus der AB und 31% der Betroffenen in der stationären Psychosomatik nehmen eine anhaltende psychische Belastung durch die geb VB wahr. Trotz der subjektiv anhaltenden psychischen Belastung bei 31% der betroffenen Patientinnen unterscheiden sich diese hinsichtlich ihres aktuellen psychischen Befindens nicht von Patientinnen ohne geb VB. Unterschiede bestehen hingegen zwischen betroffenen stationär psychosomatischen Patientinnen und ebenfalls betroffenen Frauen aus der AB: Bei Patientinnen in der stationären Psychosomatik sind dysfunktionale Verarbeitungsmuster und Trauerreaktionen stärker ausgeprägt. Regressionsanalysen an der Gruppe der Patientinnen mit geb VB in der stationären Psychosomatik zeigen, dass eine Attribution zurückliegender Schwangerschaftsverluste auf „Merkmale der eigenen Person“ mit einem schlechteren Allgemeinbefinden einhergeht. Auch das Ausmaß posttraumatischer Symptome lässt sich teilweise durch Attributionsmuster und Verarbeitungsstrategien erklären. Obwohl aufgrund des Studiendesigns keine kausalen Schlüsse gezogen werden können, liefern die Ergebnisse wichtige Hinweise auf Häufigkeiten von geb VB bei Patientinnen in der stationären Psychosomatik, auf mögliche psychische Beeinträchtigungen und entsprechende Ansatzpunkte in der Psychotherapie. / The aim of this study is to explore whether and to what extent earlier pregnancy losses and abortions are relevant for inpatient psychotherapy. Based on two preliminary studies, data of 440 inpatients of a psychosomatic hospital and 585 women from the general population were included in the retrospective, cross-sectional main study. Both the obstetric history as well as psychological parameters were collected using standardized questionnaires and evaluated by descriptive and parametric statistic methods. In both groups (general population and psychosomatic inpatients) 26% of the participants reported a negative obstetric history, dating back an average of 20 years. Of these women, 11% from the general population and 31% of psychosomatic inpatients perceive an ongoing psychological strain because of their negative obstetric experience. Despite the subjective persistent psychological strain in 31% of the affected inpatients, they do not differ from inpatients without negative obstetric history in terms of their current mental condition. However, there are differences between psychosomatic inpatients with a negative obstetric history and affected women from the general population: Dysfunctional coping patterns and grief reactions are more pronounced with women in inpatient psychosomatic treatment. Regression analyses regarding psychosomatic inpatients with a negative obstetric history show that attributing past pregnancy losses to “personal characteristics” results in poorer general health. The extent of post-traumatic symptoms can also be explained partly by attributional patterns and coping styles. Although due to the study''s design, no causal conclusions can be drawn, the results provide important information on the incidence of negative obstetric history of inpatients in psychosomatic treatment, on possible psychological impairments and on suitable approaches in psychotherapy.

Made available in DSpace on 2016-04-29T13:31:55Z (GMT). No. of bitstreams: 1 Vanessa Monteiro Bizzo.pdf: 879351 bytes, checksum: 974fbf1a37b214d757ef045db537a7c4 (MD5) Previous issue date: 2008-05-19 / Conselho Nacional de Desenvolvimento Científico e Tecnológico / This study is party of collective project on researches: Infancy and Media of the NEGRI (Nucleus of Studies on Gender, Race and Age) of the Program of Studies Postgraduates in Social Psychology of the Pontifícia Universidade Católica de São Paulo (PUC-SP). The specific objective of this study is to analyze the treatment given to infancy in journalistic parts published by the Folha de S. Paulo s online in the period between 1997 and 2005 on the subject voluntary abortion, having as it guides the ideology theory and as method the hermeneutics of depth by John B. Thompson. We are locate and describe 298 units of information that associate infancy and the adolescence of the voluntary abortion, using techniques of contents analysis. It identifies that the recent Brazilian debate on the legalization of the abortion set in motion associated rhetorical repertoire to infancy and that comes being argued in research on the construction of social problems. It observes, still, that in the journalistic parts analyzed children and adolescents they have its disclosed civil identity, what not only opposes the Estatuto da Criança e do Adolescente (ECA), but also can be configured as a way of operation of the ideology / Esta dissertação integra o projeto coletivo sobre Infância e Mídia do NEGRI (Núcleo de Estudos sobre Gênero, Raça e Idade) do Programa de Estudos Pós-graduados em Psicologia Social da Pontifícia Universidade Católica de São Paulo (PUC-SP). Seu objetivo específico é analisar o tratamento dado à infância em peças jornalísticas publicadas pelo jornal online da Folha de S. Paulo no período de 1997 a 2005 sobre o aborto voluntário à luz da teoria de ideologia de John B. Thompson. Para tanto, localiza e descreve, mediante o uso de técnicas de análise de conteúdo, 298 unidades de informação que associam a infância e a adolescência ao tema aborto voluntário. Identifica que o recente debate brasileiro sobre a descriminalização/legalização do aborto acionou repertório retórico associado à infância e que vem sendo discutido em pesquisas sobre a construção de problemas sociais. Observa, ainda, que nas peças jornalísticas analisadas crianças e adolescentes têm sua identidade civil desvelada, o que não só contraria o Estatuto da Criança e do Adolescente (ECA), mas também pode se configurar como um modo de operação da ideologia