Post-traumatic stress symptoms, rumination, and posttraumatic growth in women with a traumatic childbirth experience

Abstract

Background: Rumination can either prolong distress or foster growth following traumatic experiences like childbirth. This study investigates the association between post-traumatic stress symptoms and post-traumatic growth in women who underwent traumatic childbirth, examining the potential mediating role of two types of rumination – intrusive and deliberate. Methods: A cross-sectional study in Northern Portugal from January 2020 to December 2021 surveyed 202 women with infants under 12 months, self-reporting traumatic childbirth experiences. Instruments included the City Birth Trauma Scale, Event-Related Rumination Inventory, and Post-traumatic Growth Inventory. Results: Women experienced various childbirth-related traumatic events, with most showing post-traumatic stress symptoms for over three months. Approximately 60% met post-traumatic stress disorder criteria. The results indicate that post-traumatic stress symptoms were positively correlated with post-traumatic growth, and both showed positive associations with intrusive rumination and deliberate rumination. Mediation analysis revealed deliberate rumination significantly mediated post-traumatic stress symptoms and post-traumatic growth, highlighting its role in trauma outcomes. Conclusions: This study illuminated the pathway through which post-traumatic stress symptoms can lead to posttraumatic growth, highlighting the pivotal role of deliberate rumination in this association. This finding is essential for tailoring therapeutic interventions that effectively foster post-traumatic recovery and resilience, underscoring the importance of promoting deliberate rumination.