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Efficacy of cognitive behavioral internet-based therapy in parents after the loss of a child during pregnancy: pilot data from a randomized controlled trial

Abstract  

The loss of a child during pregnancy can be a traumatic event associated with long-lasting grief and psychological distress.
This study examined the efficacy of an internet-based cognitive behavioral therapy program for mothers after pregnancy loss.
In a randomized controlled trial with a waiting list control group, 83 participants who had lost a child during pregnancy
were randomly allocated either to 5 weeks of internet therapy or to a 5-week waiting condition. Within a manualized cognitive
behavioral treatment program, participants wrote ten essays on loss-specific topics. Posttraumatic stress, grief, and general
psychopathology, especially depression, were assessed pretreatment, posttreatment, and at 3-month follow-up. Intention-to-treat
analyses and completer analyses were performed. Relative to controls, participants in the treatment group showed significant
improvements in posttraumatic stress, grief, depression, and overall mental health, but not in anxiety or somatization. Medium
to large effect sizes were observed, and the improvement was maintained at 3-month follow-up. This internet-based cognitive
behavioral therapy program represents an effective treatment approach with stable effects for women after pregnancy loss.
Implementation of the program can thus help to improve the health care provision for mothers in this traumatic loss situation.

  • Content Type Journal Article
  • Category Original Article
  • Pages 1-13
  • DOI 10.1007/s00737-011-0240-4
  • Authors
    • Anette Kersting, Department of Psychosomatic Medicine, University of Leipzig, Semmelweisstr 10, 04103 Leipzig, Germany
    • Kristin Kroker, Department of Psychiatry, University of Muenster, Albert-Schweitzer Str 11, 48145 Muenster, Germany
    • Sarah Schlicht, Department of Psychiatry, University of Muenster, Albert-Schweitzer Str 11, 48145 Muenster, Germany
    • Katja Baust, Department of Psychiatry, University of Muenster, Albert-Schweitzer Str 11, 48145 Muenster, Germany
    • Birgit Wagner, Department of Psychosomatic Medicine, University of Leipzig, Semmelweisstr 10, 04103 Leipzig, Germany
    • Journal Archives of Women’s Mental Health
    • Online ISSN 1435-1102
    • Print ISSN 1434-1816
Posted in: Journal Article Abstracts on 10/20/2011 | Link to this post on IFP |
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