Research Trends in Postpartum Post-Taumatic Stress Disorder Among High-Risk Pregnancies: A CiteSpace Bibliometric Analysis
Juan Zhu 1, Faridah Mohd Said 1* , Chun Hoe Tan 2
Journal of Angiotherapy 8(8) 1-6 https://doi.org/10.25163/angiotherapy.889968
Submitted: 03 June 2024 Revised: 12 August 2024 Published: 14 August 2024
Abstract
Background: High-risk pregnancies are associated with increased complications that can jeopardize maternal and fetal health, leading to adverse outcomes such as intrauterine growth restriction and preterm labor. Postpartum psychiatric challenges, including postpartum depression and post-traumatic stress disorder (PTSD), often emerge due to hormonal shifts and physical trauma during childbirth. Previous research indicates that postpartum PTSD is more prevalent among high-risk pregnancy populations, yet the field lacks centralization. Methods: This study utilized CiteSpace software to analyze 175 relevant publications on postpartum PTSD in high-risk pregnancies retrieved from the Web of Science Core Collection (2004–2024). A systematic literature review, employing a Boolean search strategy, ensured comprehensive data collection. The analysis included citation patterns, keyword co-occurrence, and clustering to identify key trends and emerging research areas. Results: Findings revealed a marked increase in research output, particularly from 2019 onward, with the United States leading in publication volume and centrality. High-frequency keywords included "posttraumatic stress disorder," "postpartum depression," and "risk factors," indicating primary focus areas in this domain. Cluster analysis identified eight thematic areas, with significant attention on factors influencing PP-PTSD, clinical symptoms, and prevention strategies. Keyword emergence maps highlighted evolving interests, particularly the impact of adverse childhood experiences and traumatic childbirth. Conclusion: The study underscores the urgent need for targeted mental health interventions for women with high-risk pregnancies, as these populations are particularly susceptible to postpartum PTSD. Continued research into risk factors and the development of predictive models is essential for improving maternal mental health care, ensuring that interventions are tailored to the specific needs of this vulnerable group. Enhanced understanding of the interplay between maternal health and postpartum outcomes is critical for optimizing care strategies.
Keywords: Postpartum PTSD, High-risk pregnancy, Maternal mental health, Neonatal outcomes, Psychological stress
References
Angelini, C. R., Pacagnella, R. C., Parpinelli, M. A., Silveira, C., Andreucci, C. B., Ferreira, E. C., et al. (2018). Post-traumatic stress disorder and severe maternal morbidity: Is there an association? Clinics, 73. https://doi.org/10.6061/clinics/2018/e309
Chen, C. (2017). Science mapping: A systematic review of the literature. Journal of Data Information Science, 2(2), 1-40. https://doi.org/10.1515/jdis-2017-0006 [in Chinese]
Chen, C., Hu, Z., Liu, S., & Tseng, H. (2012). Emerging trends in regenerative medicine: A scientometric analysis in CiteSpace. Expert Opinion on Biological Therapy, 12(5), 593-608. https://doi.org/10.1517/14712598.2012.674507
Chen, Y., Chen, C., Liu, Z., Hu, Z., & Wang, X. (2015). The methodology function of CiteSpace mapping knowledge domains. Studies in Science of Science, 33(2), 242-253. https://doi.org/10.16192/j.cnki.1003-2053.2015.02.009 [in Chinese]
Fowler, C., Green, J., Elliott, D., Petty, J., & Whiting, L. (2019). The forgotten mothers of extremely preterm babies: A qualitative study. Journal of Clinical Nursing, 28(11-12), 2124-2134. https://doi.org/10.1111/jocn.14820
Haoyue, L., & Qiufang, L. (2023). Research hotspots of pain catastrophizing: A visualized analysis based on CiteSpace software. Military Nursing, 40(7), 77-81. https://doi.org/10.3969/j.issn.2097-1826.2023.07.018 [in Chinese]
Harrison, S. E., Ayers, S., Quigley, M. A., Stein, A., & Alderdice, F. (2021). Prevalence and factors associated with postpartum posttraumatic stress in a population-based maternity survey in England. Journal of Affective Disorders, 279, 749-756. https://doi.org/10.1016/j.jad.2020.11.102
Hernández-Martínez, A., Rodríguez-Almagro, J., Molina-Alarcón, M., Infante-Torres, N., Manzanares, M. D., & Martínez-Galiano, J. M. (2019). Postpartum post-traumatic stress disorder: Associated perinatal factors and quality of life. Journal of Affective Disorders, 249, 143-150. https://doi.org/10.1016/j.jad.2019.01.042
Holt, L., Sellwood, W., & Slade, P. (2018). Birth experiences, trauma responses and self-concept in postpartum psychotic-like experiences. Schizophrenia Research, 197, 531-538. https://doi.org/10.1016/j.schres.2017.12.015
Isaacs, N. Z., & Andipatin, M. G. (2020). A systematic review regarding women’s emotional and psychological experiences of high-risk pregnancies. BMC Psychology, 8, 1-11. https://doi.org/10.1186/s40359-020-00410-8
Junli, Q., Liping, H., & Qianyu, S. (2024). Construction and validation of a risk prediction model for postpartum post-traumatic stress disorder. Psychology Monthly, 19(3), 19-23. https://doi.org/10.19738/j.cnki.psy.2024.03.004 [in Chinese]
Majella, M. G., Sarveswaran, G., Krishnamoorthy, Y., Sivaranjini, K., Arikrishnan, K., & Kumar, S. G. (2019). A longitudinal study on high-risk pregnancy and its outcome among antenatal women attending rural primary health centre in Puducherry, South India. Journal of Education and Health Promotion, 8, 12. https://doi.org/10.4103/jehp.jehp_144_18
Mi, Z., Li, S., & Hua, G. (2023). Visual analysis on research status quo of hypnotherapy based on CiteSpace. Chinese Nursing Research, 37, 596-601. [in Chinese]
Na, C., Yongqin, Z., Guanhua, J., Shiyuan, Z., Yifan, Z., Zhang, Q., et al. (2023). Visual analysis of the hot topics of cancer patients' sense of dignity. Military Nursing, 40(1), 5-9. https://doi.org/10.12102/j.issn.1009-6493.2023.04.006 [in Chinese]
Ouyang, W., Wang, Y., Lin, C., He, M., Hao, F., Liu, H., et al. (2018). Heavy metal loss from agricultural watershed to aquatic system: A scientometrics review. Science of the Total Environment, 637, 208-220. https://doi.org/10.1016/j.scitotenv.2018.04.434 [in Chinese]
Rodrigues, P. B., Zambaldi, C. F., Cantilino, A., & Sougey, E. B. (2016). Special features of high-risk pregnancies as factors in development of mental distress: A review. Trends in Psychiatry and Psychotherapy, 38, 136-140. https://doi.org/10.1590/2237-6089-2015-0067
Seng, J. S., Li, Y., Yang, J. J., King, A. P., Low, L. M. K., Sperlich, M., et al. (2018). Gestational and postnatal cortisol profiles of women with posttraumatic stress disorder and the dissociative subtype. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 47(1), 12-22. https://doi.org/10.1016/j.jogn.2017.10.008
Shlomi Polachek, I., Dulitzky, M., Margolis-Dorfman, L., & Simchen, M. J. (2016). A simple model for prediction postpartum PTSD in high-risk pregnancies. Archives of Women's Mental Health, 19, 483-490. https://doi.org/10.1007/s00737-015-0582-4
Soltani, N., Abedian, Z., Mokhber, N., & Esmaily, H. (2015). The association of family support after childbirth with posttraumatic stress disorder in women with preeclampsia. Iranian Red Crescent Medical Journal, 17(10). https://doi.org/10.5812/ircmj.17865
Yanfang, C., Rihua, X., Meng, L., Wenxing, H., & Yingmei, L. (2021). Risk factors of postpartum posttraumatic stress disorder. Journal of Nursing Science, 36(10), 4. https://doi.org/10.3870/j.issn.1001-4152.2021.10.014 [in Chinese]
Ying, C. (2021). Construction of health education program for postpartum post-traumatic stress disorder of women with high-risk pregnancy based on Snyder's hope theory. Yangzhou University. [in Chinese]
Yue, C., Chaomei, C., Zeyuan, L., Zhigang, H., & Xianwen, W. (2015). Methodological functions of CiteSpace knowledge graphs. Studies in Science of Science, 33(2), 242-253. https://doi.org/10.16192/j.cnki.1003-2053.2015.02.009 [in Chinese]
Zhang, D., & Xu, C. (2018). Positive rate and risk factors of post-traumatic stress disorder symptoms among mothers with hospitalized preterm infants. Journal of Wuhan University (Medical Edition), 39(5), 846-849. https://doi.org/10.14188/j.1671-8852.2017.0845 [in Chinese]
Zichen, S., Zhengcia, Y., Haijiao, J., Liangfeng, W., & Weiping, C. (2022). The status and influencing factors of post-traumatic stress disorder after childbirth. Modern Medical Health, 38(10), 1682-1686+1692. https://doi.org/10.3969/j.issn.1009-5519.2022.10.014 [in Chinese]
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