A systematic review of clinical effectiveness of psychological interventions to reduce post traumatic stress symptoms following childbirth and a meta-synthesis of facilitators and barriers to uptake of psychological care.

Journal of Affective Disorders
Professor Pauline SladeDr Andrea Watt

Abstract

To review the literature on psychological interventions for post-traumatic stress following childbirth (PTSDFC) and determine clinical effectiveness. To synthesise the qualitative literature on the facilitators and barriers to uptake of care for PTSDFC. The context of childbirth trauma differs from that of other events perceived as traumatic. Current guidance on treatment for PTSDFC requires further clarification. Web of Knowledge, CINAHL, MEDLINE, PSYCINFO, the Cochrane Central Register of Controlled Trials (CENTRAL), Open Grey, UKCTG, and the ISRCTN were consulted to include journal articles published in English.. Articles were segregated according to methodology and appraised using the Mixed Methods Appraisal Tool. A total of 5355 papers were identified with five quantitative and 13 qualitative included in the review. Four types of interventions were identified: eye movement desensitisation and reprocessing, trauma focussed CBT, debriefing and expressive writing. All showed some effectiveness in treating PTSDFC. Themes emerging from the meta-synthesis included women finding it difficult to recognise having a problem, needing validation and only seeking help 'at breaking point'. Women wanted health professionals actively aski...Continue Reading

References

Feb 10, 1998·Journal of Anxiety Disorders·K WijmaB Wijma
May 2, 2000·The British Journal of Clinical Psychology·J Czarnocka, P Slade
Jun 20, 2007·Journal of Psychosomatic Obstetrics and Gynaecology·Susan AyersAndrew Eagle
Oct 13, 2007·British Journal of Health Psychology·Karen Nicholls, Susan Ayers
Feb 18, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·J SöderquistK Wijma
Jul 27, 2010·Journal of Psychosomatic Obstetrics and Gynaecology·Leann K LappFlorian Ferreri
Sep 14, 2010·Clinical Psychology Review·Katy Robjant, Mina Fazel
Apr 5, 2011·Behaviour Research and Therapy·Rose MeadesFiona Warren
Aug 10, 2011·Journal of Psychosomatic Obstetrics and Gynaecology·Sarah McDonaldJane Iles
Oct 13, 2012·Journal of Advanced Nursing·Holly PriddisVirginia Schmied
Jun 22, 2014·Clinical Psychology Review·Rebecca Grekin, Michael W O'Hara
Oct 16, 2014·BMC Pregnancy and Childbirth·Rose CoatesRichard de Visser
Sep 2, 2015·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Lisa HintonMarian Knight
Nov 26, 2015·Journal of Traumatic Stress·Christy A BlevinsJessica L Domino
Nov 21, 2016·Journal of Affective Disorders·Pelin Dikmen YildizLouise Phillips
Mar 7, 2017·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Beverly RossmanPaula P Meier
May 27, 2017·Journal of Child and Adolescent Psychiatric Nursing : Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc·Lee SmithBattleJoanne K Schneider
Jul 2, 2017·Women and Birth : Journal of the Australian College of Midwives·Holly S PriddisHannah Dahlen
Sep 9, 2017·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Madeline Schmidt, Kristin Haglund
Nov 6, 2018·Midwifery·Valgerður Lísa SigurðardóttirHelga Gottfreðsdóttir

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Citations

Jul 23, 2021·Midwifery·Emma WilliamsonPauline Slade
Apr 27, 2021·Issues in Mental Health Nursing·Cheryl Tatano Beck

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