Postpartum outcomes of a pilot prenatal care-based psychosocial intervention for PTSD during pregnancy
| Autor: | Melodie Wenz-Gross, Carole C. Upshur, Linda Weinreb |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Postpartum depression
Adult medicine.medical_specialty Coping (psychology) Prenatal care Depression Postpartum Stress Disorders Post-Traumatic 03 medical and health sciences Social support 0302 clinical medicine Patient Education as Topic Pregnancy Adaptation Psychological medicine Humans 030212 general & internal medicine Psychiatry 030219 obstetrics & reproductive medicine Cognitive Behavioral Therapy business.industry Medical record Pregnancy Outcome Obstetrics and Gynecology Social Support Prenatal Care Continuity of Patient Care Infant Low Birth Weight medicine.disease Mental health Pregnancy Complications Psychiatry and Mental health Low birth weight Mental Health Outcome and Process Assessment Health Care Premature Birth Female Pregnant Women medicine.symptom business Psychosocial |
| Zdroj: | Archives of women's mental health. 21(3) |
| ISSN: | 1435-1102 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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