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Expressive writing for wildfire-affected pregnant women: Themes of challenge and resilience
International Journal of Disaster Risk Reduction ( IF 5 ) Pub Date : 2020-07-02 , DOI: 10.1016/j.ijdrr.2020.101730
Suzette Brémault-Phillips , Ashley Pike , Joanne Olson , Emily Severson , David Olson

The worst disaster of natural origin in recent Canadian history occurred in May 2016 in the northern Alberta community of Fort McMurray Wood Buffalo (FMWB). Among the 88,000 people abruptly evacuated amidst a raging wildfire were approximately 1850 pregnant or pre-conception women. Based on the Allostatic Load and Preterm Birth Conceptual Framework (Olson et al., 2015) [1], a simple, cost-effective expressive writing intervention following Pennebaker's work (Pennebaker and Beall, 1986; Pennebaker et al., 2007) [2,3] was implemented in a primary study to help mitigate the negative effects of stress on a sample of these women and their unborn children. Journal writing served as an intervention in the primary study while the contents of the journal entries became the data analyzed in this qualitative study. This study utilized both inductive and deductive thematic analysis of journal entries completed by 54 women over four consecutive days (15 min/day). Deductive analysis followed a coding structure that was generated from two resilience scales. Themes that emerged during inductive analysis were also coded. The main themes that emerged described the women's challenging experiences: fears for themselves and their offspring, fire-related and past trauma, and relationship changes. Resilience characteristics and practices also emerged from the writings and mirrored those found in the literature: (a) post-traumatic growth, (b) adaptability, (c) emotional/social connectedness, (d) composure, and (e) reasoning. This paper highlights the challenging experiences of pregnant women exposed to a disaster and the resilience they demonstrated in the face of the tragedy.



中文翻译:

受野火影响的孕妇的富有表现力的写作:挑战与韧性的主题

加拿大近期历史上最严重的自然灾害于2016年5月发生在艾伯塔省北部的麦克默里伍德布法罗堡(FMWB)。在肆虐的野火中突然撤离的88,000人中,大约有1850名怀孕或受孕前的妇女。基于同构静息负荷和早产概念框架(Olson等,2015)[1],根据Pennebaker的工作(Pennebaker和Beall,1986; Pennebaker等,2007)进行的一种简单,具有成本效益的表达写作干预措施[2]。 ,3]是在一项主要研究中实施的,目的是帮助减轻压力对这些妇女及其未出生婴儿的样本的负面影响。期刊写作是对基础研究的一种干预,而期刊条目的内容成为了该定性研究中分析的数据。这项研究利用连续54天(15分钟/天)对54名女性完成的日记条目进行归纳和演绎主题分析。演绎分析遵循从两个弹性等级生成的编码结构。归纳分析期间出现的主题也被编码。出现的主要主题描述了妇女的挑战性经历:对自己及其后代的恐惧,与火有关的和过去的创伤以及关系的变化。复原力的特征和实践也从著作中浮现出来,并反映出文献中的特征:(a)创伤后的成长,(b)适应性,(c)情感/社会联系,(d)镇静和(e)推理。

更新日期:2020-07-02
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