Stage-Specific Psychological Distress, Coping, and Social Support among Women Undergoing Pregnancy Termination in Rwanda: A Cross-Sectional Comparative Study
Rattachement africain : Rwanda, se. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BackgroundTermination of pregnancy is a complex, emotionally charged experience. This study assessed psychological outcomes, including coping mechanisms and social support, among women undergoing pregnancy termination in Rwanda, aiming to identify predictors of psychological distress and resilience and to inform culturally sensitive, stage-specific interventions.MethodsA cross-sectional comparative design was employed among 305 women sampled once at different stages of the termination process (pre , peri , and post termination) across 11 district hospitals. Data were collected using validated instruments to measure distress, coping, and social support. Stage-specific comparisons were conducted using ANOVA (F tests), correlations, and linear regressions.ResultsThe peri‑termination phase emerged as the most emotionally vulnerable, with elevated stress (F = 6.12, p = 0.003), depression (F = 5.03, p = 0.008), declining self‑esteem (F = 3.78, p = 0.024), reduced adaptive coping (F = 2.45, p = 0.01), and lowest perceived support (F = 5.67, p = 0.01). Distress intensified into the post‑termination phase, where stress and depression peaked. Regression models confirmed perceived stress (β = .41, p < 0.001), maladaptive coping (β = .29, p < 0.001), and lower perceived social support (β = -.16, p = 0.004) as significant predictors of anxiety (R² = .52), and depression (R² = .49). Overall, 28% of participants reported moderate‑to‑severe anxiety, 25% reported moderate‑to‑severe depression, and 33% reported high stress.ConclusionFindings underscore the need for integrated emotional support and empathetic provider communication, alongside community-based interventions to reduce stigma, promote recovery, contribute to Rwanda’s maternal health strategy, and global efforts to humanize the service.Rwanda J Med Health Sci 2025;8(3):650-668
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Stage-Specific Psychological Distress, Coping, and Social Support among Women Undergoing Pregnancy Termination in Rwanda: A Cross-Sectional Comparative Study
- Date Crossref
- 22/12/2025
- Éditeur
- African Journals Online (AJOL)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Kigali University of Kigali, Rwanda (code pays fourni par la source)Université ou école supérieure
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Karolinska Institutet pays non établi dans la noticeUniversité ou école supérieure
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Stockholm Health Care Services pays non établi dans la noticeÉtablissement de santé
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Rwanda Biomedical Center Rwanda (code pays fourni par la source)Établissement de santé
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University of Rwanda Rwanda (code pays fourni par la source)Université ou école supérieure
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School of Nursing and Midwifery Department of Midwifery University of Rwanda Kigali, Rwanda (pays nommé en fin d’affiliation)Université ou école supérieure
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Karolinska Institute Stockholm Women's health pays non établi dans la noticeStructure de recherche
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School of Medicine and Pharmacy Kigali, Rwanda (pays nommé en fin d’affiliation)Université ou école supérieure
University of Kigali (University of Kigali, Rwanda), Karolinska Institutet et Stockholm Health Care Services, avec 5 autres affiliations. Pays d’affiliation : Rwanda.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.