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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

Slade, Professor Pauline, Molyneux, Dr Rebecca, Watt, Dr Andrea·2021·Journal of Affective Disorders
DOI 10.1016/j.jad.2020.11.092
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Abstract

Aim 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. Background The context of childbirth trauma differs from that of other events perceived as traumatic. Current guidance on treatment for PTSDFC requires further clarification. Method 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. Results 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 asking in a non-judgemental way at different time points and providing support and listening, ideally with continuity of carer to make sense of their experiences. Limitations Quantitative studies were not disaggregated by inter…

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Metadata

Authors
Slade, P. P., Molyneux, D. R., & Watt, D. A.
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2021-02
Volume
281
Pages
678-694
ISSN
0165-0327
DOI
10.1016/j.jad.2020.11.092
Cited by
44
References
6
Language
en
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