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.
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An Internet-based cognitive behavioral therapy for mothers after pregnancy loss showed positive treatment effects, with the intervention group showing significantly reduced symptoms of grief, PTSD, and depression after treatment relative to the waiting-list group, maintained at 3-month follow-up.
“A further recent study examining the efficacy of an Internet-based cognitive behavioral therapy for mothers after pregnancy loss67 showed positive treatment effects, with the intervention group showing significantly reduced symptoms of grief, PTSD, and depression after treatment relative to the waiting-list group, and this symptom reduction was maintained at 3-month followup.68,69”
From Complicated grief after perinatal loss (2012) · cites this paper as [68]
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- Authors
- Kersting, A., Kroker, K., Schlicht, S., Baust, K., & Wagner, B.
- Affiliations
- Leipzig University (DE)
- University of Münster (DE)
- Corresponding author
- Kersting, Anette
- Venue
- Archives of Women's Mental Health
- Published
- 2011-10-18
- Volume
- 14
- Issue
- 6
- Pages
- 465-477
- ISSN
- 1434-1816 (ISSN-L)
- 1435-1102
- OpenAlex
- W2025067158
- Cited by
- 118
- References
- 62
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 8 · 2023: 20 · 2022: 6 · 2021: 11 · 2020: 7 · 2019: 3 · 2018: 5 · 2017: 8 · 2016: 8 · 2015: 5 · 2014: 4 · 2013: 10 · 2012: 6
- FWCI
- 6.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Archives of Women s Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- miscarriage, stillbirth, internet-based cognitive behavioral therapy, grief, post-traumatic stress, depression, maternal mental health, psychological distress, treatment efficacy
- MeSH terms
- Abortion, Induced, Adaptation, Psychological, Adult, Anxiety, Behavior Therapy, Depression, Female, Fetal Death, Follow-Up Studies, Grief, Humans, Middle Aged, Pregnancy, Quality of Life, Severity of Illness Index, Stress Disorders, Post-Traumatic, Therapy, Computer-Assisted, Treatment Outcome, Internet, Young Adult
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