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Erschienen in: Archives of Women's Mental Health 3/2018

07.11.2017 | Original Article

Postpartum outcomes of a pilot prenatal care-based psychosocial intervention for PTSD during pregnancy

verfasst von: Linda Weinreb, Melodie Wenz-Gross, Carole Upshur

Erschienen in: Archives of Women's Mental Health | Ausgabe 3/2018

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Abstract

This study examines postpartum posttraumatic stress disorder (PTSD) symptoms and secondary outcomes including postpartum depression and birth outcomes for pregnant women who screened positive for PTSD and received a psychosocial education intervention compared to women with PTSD in the usual prenatal care setting. All women entering prenatal care at two federally qualified health centers were screened for symptoms of current PTSD; one site was selected randomly to have prenatal care advocates deliver eight Seeking Safety topics for women with clinical or subclinical PTSD. Women were not blind to condition. Baseline and postpartum interviews, including demographic characteristics and assessment of mental health, social support, and coping skills, were conducted. Medical record data was collected to document preterm delivery and low birth weight. Of the 149 participants at baseline, 128 (86%) participated in the postpartum interview. Intervention women, compared to controls, significantly decreased PTSD symptoms, and showed a non-significant trend for improved social support. However, depression, coping, and birth outcomes did not differ. This study suggests some initial support for the Seeking Safety intervention in prenatal care settings and requires further research to determine the best approaches to its implementation.
Literatur
Zurück zum Zitat Byatt N, Levin LL, Ziedonis D, Simas TAM, Allison J (2015) Enhancing participation in depression care in outpatient perinatal care settings: a systematic review. Obstet Gynecol 126:1048–1058CrossRefPubMedPubMedCentral Byatt N, Levin LL, Ziedonis D, Simas TAM, Allison J (2015) Enhancing participation in depression care in outpatient perinatal care settings: a systematic review. Obstet Gynecol 126:1048–1058CrossRefPubMedPubMedCentral
Zurück zum Zitat Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 150:782–786CrossRefPubMed Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 150:782–786CrossRefPubMed
Zurück zum Zitat Gatz M, Brown V, Hennigan K, Rechberger E, O’Keefe M, Rose T, Bjelajac P (2007) Effectiveness of an integrated, trauma-informed approach to treating women with co-occurring disorders and histories of trauma: the Los Angeles site experience. J Community Psychol 35(7):863–878. https://doi.org/10.1002/jcop.20186 CrossRef Gatz M, Brown V, Hennigan K, Rechberger E, O’Keefe M, Rose T, Bjelajac P (2007) Effectiveness of an integrated, trauma-informed approach to treating women with co-occurring disorders and histories of trauma: the Los Angeles site experience. J Community Psychol 35(7):863–878. https://​doi.​org/​10.​1002/​jcop.​20186 CrossRef
Zurück zum Zitat Grote NK, Katon WJ, Russo JE, Lohr MJ, Curran M, Galvin E, Carson K (2016) A randomized trial of collaborative care for perinatal depression in socioeconomically disadvantaged women: the impact of comorbid posttraumatic stress disorder. J Clin Psychiatry 77(11):1527–1537. https://doi.org/10.4088/JCP.15m10477 CrossRefPubMed Grote NK, Katon WJ, Russo JE, Lohr MJ, Curran M, Galvin E, Carson K (2016) A randomized trial of collaborative care for perinatal depression in socioeconomically disadvantaged women: the impact of comorbid posttraumatic stress disorder. J Clin Psychiatry 77(11):1527–1537. https://​doi.​org/​10.​4088/​JCP.​15m10477 CrossRefPubMed
Zurück zum Zitat Hein D, Rudnick Levin F, Ruglass L, Lopez Castro T, Papini S, Hu MC, Chen L, Cohen L, Herron A (2015) Combining Seeking Safety with sertraline for PTSD and alcohol use disorders: a randomized controlled trial. J Consult Clin Psychol 83(2):359–369. https://doi.org/10.1037/a0038719 CrossRef Hein D, Rudnick Levin F, Ruglass L, Lopez Castro T, Papini S, Hu MC, Chen L, Cohen L, Herron A (2015) Combining Seeking Safety with sertraline for PTSD and alcohol use disorders: a randomized controlled trial. J Consult Clin Psychol 83(2):359–369. https://​doi.​org/​10.​1037/​a0038719 CrossRef
Zurück zum Zitat McLellan AT, Alterman AI, Woody GE, Metzger D (1992) Treatment services review. University of Pennsylvania, Philadelphia McLellan AT, Alterman AI, Woody GE, Metzger D (1992) Treatment services review. University of Pennsylvania, Philadelphia
Zurück zum Zitat Najavits LM (2002) Seeking Safety: a treatment manual for PTSD and substance abuse. Guilford Press, New York Najavits LM (2002) Seeking Safety: a treatment manual for PTSD and substance abuse. Guilford Press, New York
Zurück zum Zitat Seng JS, Oakley DJ, Sampselle CM, Killion C, Graham-Bermann S, Liberzon I (2001) Posttraumatic stress disorder and pregnancy complications. Obstet Gynecol 97:17–22PubMed Seng JS, Oakley DJ, Sampselle CM, Killion C, Graham-Bermann S, Liberzon I (2001) Posttraumatic stress disorder and pregnancy complications. Obstet Gynecol 97:17–22PubMed
Zurück zum Zitat Ware JE, Kosinski M, Dewey JE, Gandek B (2001) How to score and interpret single-item health status measures: a manual for user of the SF-8TM health survey. QualityMetric, Inc., Lincoln Ware JE, Kosinski M, Dewey JE, Gandek B (2001) How to score and interpret single-item health status measures: a manual for user of the SF-8TM health survey. QualityMetric, Inc., Lincoln
Metadaten
Titel
Postpartum outcomes of a pilot prenatal care-based psychosocial intervention for PTSD during pregnancy
verfasst von
Linda Weinreb
Melodie Wenz-Gross
Carole Upshur
Publikationsdatum
07.11.2017
Verlag
Springer Vienna
Erschienen in
Archives of Women's Mental Health / Ausgabe 3/2018
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-017-0794-x

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