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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.
Arch Womens Ment Health. 2011 Dec; 14(6):465-77.AW

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.

Authors+Show Affiliations

Department of Psychosomatic Medicine, University of Leipzig, Semmelweisstr 10, 04103, Leipzig, Germany. anette.kersting@medizin.uni-leipzig.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22006106

Citation

Kersting, Anette, et al. "Efficacy of Cognitive Behavioral Internet-based Therapy in Parents After the Loss of a Child During Pregnancy: Pilot Data From a Randomized Controlled Trial." Archives of Women's Mental Health, vol. 14, no. 6, 2011, pp. 465-77.
Kersting A, Kroker K, Schlicht S, et al. Efficacy of cognitive behavioral internet-based therapy in parents after the loss of a child during pregnancy: pilot data from a randomized controlled trial. Arch Womens Ment Health. 2011;14(6):465-77.
Kersting, A., Kroker, K., Schlicht, S., Baust, K., & Wagner, B. (2011). Efficacy of cognitive behavioral internet-based therapy in parents after the loss of a child during pregnancy: pilot data from a randomized controlled trial. Archives of Women's Mental Health, 14(6), 465-77. https://doi.org/10.1007/s00737-011-0240-4
Kersting A, et al. Efficacy of Cognitive Behavioral Internet-based Therapy in Parents After the Loss of a Child During Pregnancy: Pilot Data From a Randomized Controlled Trial. Arch Womens Ment Health. 2011;14(6):465-77. PubMed PMID: 22006106.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Efficacy of cognitive behavioral internet-based therapy in parents after the loss of a child during pregnancy: pilot data from a randomized controlled trial. AU - Kersting,Anette, AU - Kroker,Kristin, AU - Schlicht,Sarah, AU - Baust,Katja, AU - Wagner,Birgit, Y1 - 2011/10/18/ PY - 2011/02/24/received PY - 2011/09/25/accepted PY - 2011/10/19/entrez PY - 2011/10/19/pubmed PY - 2012/4/13/medline SP - 465 EP - 77 JF - Archives of women's mental health JO - Arch Womens Ment Health VL - 14 IS - 6 N2 - 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. SN - 1435-1102 UR - https://www.unboundmedicine.com/medline/citation/22006106/Efficacy_of_cognitive_behavioral_internet_based_therapy_in_parents_after_the_loss_of_a_child_during_pregnancy:_pilot_data_from_a_randomized_controlled_trial_ L2 - https://dx.doi.org/10.1007/s00737-011-0240-4 DB - PRIME DP - Unbound Medicine ER -