nach oben

Community Mental Health Journal

Erschienen in:

08.06.2019 | Brief Report

Effect of Brief Cognitive Behavioral Counseling and Debriefing on the Prevention of Post-traumatic Stress Disorder in Traumatic Birth: A Randomized Clinical Trial

verfasst von: Sedigheh Abdollahpour, Ahmad Khosravi, Zahra Motaghi, Afsaneh Keramat, Seyed Abbas Mousavi

Erschienen in: Community Mental Health Journal | Ausgabe 7/2019

Einloggen, um Zugang zu erhalten

Abstract

Objective

Planning to promote the health of mothers in postpartum is important in all countries. This study aimed to determine the effectiveness of two counseling method on prevention of post-traumatic stress after childbirth.

Methods

In this clinical trial, 193 of mothers who had experienced a traumatic birth were randomly assigned to three groups. Participants were assessed using IES_R questionnaire at 4–6 weeks and 3 months after delivery.

Results

Debriefing and brief cognitive behavioral counseling (CBC) significantly improved the symptoms of postpartum traumatic stress disorder. After 3 months, CBC had a significant effect on the symptoms.

Conclusion

Screening of traumatic childbirth, implementation of supportive care, and early counseling prior to the initiation of post-traumatic stress are recommended.

Trial Registration Number

IRCT2015072522396N2. http://en.search.irct.ir/view/24735.

Abdollahpour, S., Bolbolhaghighi, N., & Khosravi, A. (2017a). The effect of early skin-to-skin contact on the mental health of mothers in traumatic childbirths. International Journal of Health Studies, 2(4), 1301–1306.

Abdollahpour, S., Mousavi, S. A., Motaghi, Z., Keramat, A., & Khosravi, A. (2017b). Prevalence and risk factors for developing traumatic childbirth in Iran. Journal of Public Health, 25(3), 275–280.CrossRef

Alcorn, K. L., O’Donovan, A., Patrick, J. C., Creedy, D., & Devilly, G. J. (2010). A prospective longitudinal study of the prevalence of post-traumatic stress disorder resulting from childbirth events. Psychological Medicine, 40(11), 1849–1859.CrossRefPubMed

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, (DSM-5 ^® ). Washington DC: American Psychiatric Pub.CrossRef

Andrews, G. (1991). The evaluation of psychotherapy. Current Opinion in Psychiatry, 4(3), 379–383.CrossRef

Ayers, S., McKenzie-McHarg, K., & Eagle, A. (2007). Cognitive behaviour therapy for postnatal post-traumatic stress disorder: Case studies. Journal of Psychosomatic Obstetrics and Gynaecology, 28(3), 177–184. https://doi.org/10.1080/01674820601142957.CrossRefPubMed

Ayers, S., Wright, D. B., & Ford, E. (2015). Hyperarousal symptoms after traumatic and nontraumatic births. Journal of Reproductive and Infant Psychology, 33(3), 282–293. https://doi.org/10.1080/02646838.2015.1004164.CrossRef

Bastos, M. H., Furuta, M., Small, R., McKenzie-McHarg, K., & Bick, D. (2015a). Debriefing interventions for the prevention of psychological trauma in women following childbirth. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd007194.pub2.CrossRefPubMed

Bastos, M. H., Furuta, M., Small, R., McKenzie-McHarg, K., & Bick, D. (2015b). Debriefing interventions for the prevention of psychological trauma in women following childbirth. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd007194.pub2.CrossRefPubMed

Beck, C. T. (2004). Birth trauma: In the eye of the beholder. Nursing Research, 53(1), 28–35.CrossRefPubMed

Beck, C. T., Dnsc, C., Driscoll, J. W., & Watson, S. (2013). Traumatic childbirth. New York: Routledge.CrossRef

Billings, A. G., & Moos, R. H. (1981). The role of coping responses and social resources in attenuating the stress of life events. Journal of Behavioral Medicine, 4(2), 139–157.CrossRefPubMed

Boorman, R. J., Devilly, G. J., Gamble, J., Creedy, D. K., & Fenwick, J. (2014). Childbirth and criteria for traumatic events. Midwifery, 30(2), 255–261. https://doi.org/10.1016/j.midw.2013.03.001.CrossRefPubMed

Bryant, R. A. (2007). Early intervention for post-traumatic stress disorder. Early Intervention in Psychiatry, 1(1), 19–26. https://doi.org/10.1111/j.1751-7893.2007.00006.x.CrossRefPubMed

Creamer, M., Bell, R., & Failla, S. (2003). Psychometric properties of the impact of event scale—Revised. Behaviour Research and Therapy, 41(12), 1489–1496.CrossRefPubMed

Creedy, D. K., Shochet, I. M., & Horsfall, J. (2000). Childbirth and the development of acute trauma symptoms: Incidence and contributing factors. Birth, 27(2), 104–111.CrossRefPubMed

Cunen, N. B., McNeill, J., & Murray, K. (2014). A systematic review of midwife-led interventions to address post partum post-traumatic stress. Midwifery, 30(2), 170–184.CrossRef

Dyregrov, A. (1989). Caring for helpers in disaster situations: Psychological debriefing. Disaster Management, 2(1), 25–30.

Ehlers, A., Hackmann, A., Grey, N., Wild, J., Liness, S., Albert, I., et al. (2014). A randomized controlled trial of 7-day intensive and standard weekly cognitive therapy for PTSD and emotion-focused supportive therapy. American Journal of Psychiatry, 171(3), 294–304.CrossRefPubMed

Gamble, J., Creedy, D., Moyle, W., Webster, J., McAllister, M., & Dickson, P. (2005). Effectiveness of a counseling intervention after a traumatic childbirth: A randomized controlled trial. Birth, 32(1), 11–19.CrossRefPubMed

Gortner, E. T., Gollan, J. K., Dobson, K. S., & Jacobson, N. S. (1998). Cognitive–behavioral treatment for depression: Relapse prevention. Journal of Consulting and Clinical Psychology, 66(2), 377.CrossRefPubMed

Grekin, R., & O’Hara, M. W. (2014). Prevalence and risk factors of postpartum posttraumatic stress disorder: A meta-analysis. Clinical Psychology Review, 34(5), 389–401. https://doi.org/10.1016/j.cpr.2014.05.003.CrossRefPubMed

Jacobson, N. S., Dobson, K. S., Truax, P. A., Addis, M. E., Koerner, K., Gollan, J. K., et al. (1996). A component analysis of cognitive-behavioral treatment for depression. Journal of Consulting and Clinical Psychology, 64(2), 295.CrossRefPubMed

Kar, N. (2011). Cognitive behavioral therapy for the treatment of post-traumatic stress disorder: A review. Neuropsychiatric Disease and Treatment, 7, 167–181. https://doi.org/10.2147/ndt.s10389.CrossRefPubMedPubMedCentral

Lapp, L. K., Agbokou, C., Peretti, C. S., & Ferreri, F. (2010). Management of post traumatic stress disorder after childbirth: A review. Journal of Psychosomatic Obstetrics and Gynaecology, 31(3), 113–122. https://doi.org/10.3109/0167482x.2010.503330.CrossRefPubMed

Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy, 33(3), 335–343.CrossRefPubMed

Panaghi, L., & Mogadam, J. A. (2006). Persian version validation in impact of event scale-revised. Tehran University Medical Journal (TUMJ), 64(3), 52–60.

Paul, T. A. (2008). Prevalence of posttraumatic stress symptoms after childbirth: Does ethnicity have an impact? The Journal of Perinatal Education, 17(3), 17–26. https://doi.org/10.1624/105812408x324534.CrossRefPubMedPubMedCentral

Priest, S. R., Henderson, J., Evans, S. F., & Hagan, R. (2003). Stress debriefing after childbirth: A randomised controlled trial. The Medical Journal of Australia, 178(11), 542–545.CrossRef

Roberts, N. P., Kitchiner, N. J., Kenardy, J., & Bisson, J. (2009). Multiple session early psychological interventions for the prevention of post-traumatic stress disorder. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD006869.pub2.CrossRefPubMed

Rose, S., Bisson, J., Churchill, R., & Wessely, S. (2002). Psychological debriefing for preventing post traumatic stress disorder (PTSD). Cochrane Database Systematic Review. https://doi.org/10.1002/14651858.cd000560.CrossRef

Ryding, E. L., Wijma, B., & Wijma, K. (1997). Posttraumatic stress reactions after emergency cesarean section. Acta Obstetricia et Gynecologica Scandinavica, 76(9), 856–861.CrossRefPubMed

Schwab, W., Marth, C., & Bergant, A. M. (2012). Post-traumatic stress disorder post partum: The impact of birth on the prevalence of post-traumatic stress disorder (PTSD) in multiparous women. Geburtshilfe und Frauenheilkunde, 72(1), 56–63. https://doi.org/10.1055/s-0031-1280408.CrossRefPubMedPubMedCentral

Soderquist, J., Wijma, B., & Wijma, K. (2006). The longitudinal course of post-traumatic stress after childbirth. Journal of Psychosomatic Obstetrics and Gynaecology, 27(2), 113–119.CrossRefPubMed

Taghizadeh, Z., Jafarbegloo, M., Arbabi, M., & Faghihzadeh, S. (2007). The effect of counseling on post traumatic stress disorder after a traumatic childbirth. Hayat, 13(4), 23–31.

Tedstone, J. E., & Tarrier, N. (2003). Posttraumatic stress disorder following medical illness and treatment. Clinical Psychology Review, 23(3), 409–448.CrossRefPubMed

Weiss, D. S., & Marmar, C. R. (2004). The impact of event scale-revised. In J. P. Wilson & M. K. Terence (Eds.), Assessing psychological trauma and PTSD. New York: Guilford Press.

Whealin, J. M., Ruzek, J. I., & Southwick, S. (2008). Cognitive–behavioral theory and preparation for professionals at risk for trauma exposure. Trauma, Violence and Abuse, 9(2), 100–113.CrossRefPubMed

Titel: Effect of Brief Cognitive Behavioral Counseling and Debriefing on the Prevention of Post-traumatic Stress Disorder in Traumatic Birth: A Randomized Clinical Trial
verfasst von: Sedigheh Abdollahpour
Ahmad Khosravi
Zahra Motaghi
Afsaneh Keramat
Seyed Abbas Mousavi
Publikationsdatum: 08.06.2019
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 7/2019
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-019-00424-6

Neu im Fachgebiet Psychiatrie

Bei seelischem Stress sind Checkpoint-Hemmer weniger wirksam

03.06.2024 NSCLC Nachrichten

Wie stark Menschen mit fortgeschrittenem NSCLC von einer Therapie mit Immun-Checkpoint-Hemmern profitieren, hängt offenbar auch davon ab, wie sehr die Diagnose ihre psychische Verfassung erschüttert

Demenzkranke durch Antipsychotika vielfach gefährdet

Demenz Nachrichten

Der Einsatz von Antipsychotika gegen psychische und Verhaltenssymptome in Zusammenhang mit Demenzerkrankungen erfordert eine sorgfältige Nutzen-Risiken-Abwägung. Neuen Erkenntnissen zufolge sind auf der Risikoseite weitere schwerwiegende Ereignisse zu berücksichtigen.

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

29.05.2024 Hörstörungen Nachrichten

Hört jemand im Alter schlecht, nimmt das Hirn- und Hippocampusvolumen besonders schnell ab, was auch mit einem beschleunigten kognitiven Abbau einhergeht. Und diese Prozesse scheinen sich unabhängig von der Amyloidablagerung zu ereignen.

So wirken verschiedene Alkoholika auf den Blutdruck

23.05.2024 Störungen durch Alkohol Nachrichten

Je mehr Alkohol Menschen pro Woche trinken, desto mehr steigt ihr Blutdruck, legen Daten aus Dänemark nahe. Ob es dabei auch auf die Art des Alkohols ankommt, wurde ebenfalls untersucht.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Effect of Brief Cognitive Behavioral Counseling and Debriefing on the Prevention of Post-traumatic Stress Disorder in Traumatic Birth: A Randomized Clinical Trial

Abstract

Objective

Methods

Results

Conclusion

Trial Registration Number

Neu im Fachgebiet Psychiatrie

Bei seelischem Stress sind Checkpoint-Hemmer weniger wirksam

Demenzkranke durch Antipsychotika vielfach gefährdet

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

So wirken verschiedene Alkoholika auf den Blutdruck

Update Psychiatrie

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Abstract

Objective

Methods

Results

Conclusion

Trial Registration Number

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 7/2019

Changing Rates of Mental Health Disorders Among Veterans Treated in the VHA During Troop Drawdown, 2007–2013

Predictors of Post-Treatment Employment for Individuals with Substance Use Disorders

Effect of a Mindfulness-Based Intervention Program on Comprehensive Mental Health Problems of Chinese Undergraduates

Preliminary Report on a Spiritually-Based PTSD Intervention for Military Veterans

The Effectiveness of Mental Health Courts in Reducing Recidivism and Police Contact: A Systematic Review

Psychiatric Diagnoses and Medications for Hurricane Harvey Sheltered Evacuees

Neu im Fachgebiet Psychiatrie

Bei seelischem Stress sind Checkpoint-Hemmer weniger wirksam

Demenzkranke durch Antipsychotika vielfach gefährdet

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

So wirken verschiedene Alkoholika auf den Blutdruck

Update Psychiatrie