Brief internet-based intervention reduces posttraumatic stress and prolonged grief in parents after the loss of a child during pregnancy: a randomized controlled trial
Abstract
BACKGROUND: The loss of a child during pregnancy causes significant psychological distress for many women and their partners, and may lead to long-lasting psychiatric disorders. Internet-based interventions using exposure techniques and cognitive restructuring have proved effective for posttraumatic stress disorder (PTSD) and prolonged grief. This study compared the effects of an Internet-based intervention for parents after prenatal loss with a waiting list condition (WLC). METHODS: The Impact of Event Scale - Revised assessed symptoms of PTSD; the Inventory of Complicated Grief and the Brief Symptom Inventory assessed depression, anxiety, and general mental health. The 228 participants (92% female) were randomly allocated to a treatment group (TG; n = 115) or a WLC group (n = 113). The TG received a 5-week cognitive behavioral intervention including (1) self-confrontation, (2) cognitive restructuring, and (3) social sharing. RESULTS: The TG showed significantly reduced symptoms of posttraumatic stress, prolonged grief, depression, and anxiety relative to the WLC control group. Intention-to-treat analysis revealed treatment effects of between d = 0.84 and d = 1.02 for posttraumatic stress and prolonged grief from pre- to posttreatment time points. Further significant improvement in all symptoms of PTSD and prolonged grief was found from the posttreatment evaluation to the 12-month follow-up. The attrition rate of 14% was relatively low. CONCLUSIONS: The Internet-based intervention proved to be a feasible and cost-effective treatment, reducing symptoms of posttraumatic stress, grief, depression, anxiety, and general mental health after pregnancy loss. Low-threshold e-health interventions should be further evaluated and implemented routinely to improve psychological support after pregnancy loss.
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In Kersting et al. (2013), a brief 5-week CBT intervention for parents who lost a child during pregnancy reduced symptoms of post-traumatic stress, prolonged grief, depression, and anxiety with statistically significant changes.
“The participants in the intervention group reduced the symptoms of post-traumatic stress, prolonged grief, depression, and anxiety, with statistically significant changes (Kersting et al., 2013).”
From A Self-Applied Multi-Component Psychological Online Intervention Based on UX, for the Prevention of Complicated Grief Disorder in the Mexican Population During the COVID-19 Outbreak: Protocol of a Randomized Clinical Trial (2021) · cites this paper as Kersting et al., 2013
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“, 2021), or perinatally bereaved persons (Kersting et al., 2013), relied on relatively small samples”
BackgroundResultInfluentialBrodbeck, J., Berger, T., Biesold, N., Rockstroh, F., & Znoj, H. J. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.04.008 · Cited by 64 · see citing works
Complicated grief treatment: an evidence-based approach to grief therapy
Shear, M. K., & Gribbin Bloom, C. (2017) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-016-0242-2 · Cited by 69 · see citing works
“…as well as several studies using a closely related treatment (Boelen et al. 2007; Wagner and Maercker 2007; Wagner et al. 2006; Asukai et al. 2011; Rosner et al. 2011; Acierno et al. 2012; Kersting et al. 2013; Barbosa et al. 2014; Bryant et al. 2014; Rosner et al. 2014; Supiano and Luptak 2014).”
Heeke, C., Stammel, N., Heinrich, M., & Knaevelsrud, C. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1286-2 · Cited by 61 · see citing works
“People exposed to trauma and loss are at high risk for the development of mental disorders such as PTSD and PGD.”
BackgroundInfluentialButollo, W. H., Karl, R., König, J., & Rosner, R. (2015) · Psychotherapy and Psychosomatics · doi:10.1159/000440726 · Cited by 59 · see citing works
Mobile mental health interventions following war and disaster
Ruzek, J. I., Kuhn, E. R., Jaworski, B. K., Owen, J. E., & Ramsey, K. M. (2016) · mHealth · doi:10.21037/mhealth.2016.08.06 · Cited by 51 · see citing works
Perinatal loss: the impact on maternal mental health
Davoudian, T., Gibbins, K., & Cirino, N. H. (2021) · Obstetrical & Gynecological Survey · doi:10.1097/ogx.0000000000000874 · Cited by 51 · see citing works
“Manualized psychological treatments for reproductive loss do not currently exist.(13,26) As a result, researchers have adapted existing modalities of psychotherapy, including cognitive behavioral therapy and interpersonal therapy, to incorporate the major emotional themes of perinatal loss.”
BackgroundInfluentialLafarge, C., Mitchell, K., & Fox, P. (2017) · Anxiety Stress & Coping · doi:10.1080/10615806.2016.1278433 · Cited by 48 · see citing works
Navidian, A., Saravani, Z., & Shakiba, M. (2017) · Issues in Mental Health Nursing · doi:10.1080/01612840.2017.1315623 · Cited by 46 · see citing works
“A preliminary study was conducted by Kersting et al. (2011) using “Internet-based cognitive behavioral therapy” for five weeks on parents after pregnancy loss. After a three-month follow-up with the patients, they indicated that this approach had medium-to-large, relatively long-term effects on PTSD, grief, depression…”
BackgroundMethodResultInfluentialJohnson, J. E., Price, A. B., Kao, J. C., Fernandes, K., Stout, R. L., Gobin, R. L., & Zlotnick, C. (2016) · Archives of Women s Mental Health · doi:10.1007/s00737-016-0625-5 · Cited by 46 · see citing works
“A few other randomized studies (Kersting et al. 2011, 2013; Swanson 1999; Swanson et al. 2009) have found brief, three- to five-session counseling interventions to reduce distress, including depressive symptoms, among general (rather than clinical) populations of women with perinatal loss.”
Sunjaya, A. P., Chris, A., & Novianti, D. (2020) · Trends in Psychiatry and Psychotherapy · doi:10.1590/2237-6089-2019-0024 · Cited by 43 · see citing works
Englefield, B., Starling, M. J., & McGreevy, P. D. (2018) · Wildlife Research · doi:10.1071/wr17099 · Cited by 41 · see citing works
“The distress caused could be extreme enough to impair daily functioning and trigger reactions such as avoiding people, places or activities that remind the carer of the animal, or experiencing unusual levels of sleep disturbance, loss of interest in work, social caretaking or recreational activities to a maladaptive d…”
BackgroundKaiser, J., Nagl, M., Hoffmann, R., Linde, K., & Kersting, A. (2022) · JMIR Mental Health · doi:10.2196/27642 · Cited by 39 · see citing works
“An asynchronous web-based intervention designed for the treatment of posttraumatic stress and PGD [39,40] has been successfully adapted by the research group to several specific bereavement situations such as pregnancy loss [38] or suicide bereavement [41].”
BackgroundMethodHaßdenteufel, K., Müller, M., Abele, H., Brucker, S. Y., Graf, J., Zipfel, S., Bauer, A., Jakubowski, P., Pauluschke‐Fröhlich, J., Wallwiener, M., et al. (2023) · Psychiatry Research · doi:10.1016/j.psychres.2023.115599 · Cited by 38 · see citing works
“Combined electronic-based mindfulness interventions provide easily accessible, cost-effective, and anonymous treatment and prevention tools in pregnancy applying cognitive behavioral and psychoeducational approaches (Kersting et al., 2013) (Wagner et al., 2006).”
Boelen, P. (2016) · European Journal of Psychotraumatology · doi:10.3402/ejpt.v7.32609 · Cited by 38 · see citing works
“There are two recent studies showing that this same treatment is also effective for bereaved people at risk for persistent and debilitating grief (Kersting et al., 2013; Litz et al., 2014) What to do for people who get stuck in their process of grief?”
Gerger, H., Werner, C. P., Gaab, J., & Cuijpers, P. J. (2021) · Psychological Medicine · doi:10.1017/s0033291721000143 · Cited by 40 · see citing works
Commentary on Evidence in Support of a Grief Related Condition as a DSM Diagnosis
Simon, N., Shear, K., Reynolds, C., Cozza, S. J., Mauro, C. M., Zisook, S., Skritskaya, N., Robinaugh, D., Malgaroli, M., Spandorfer, J., et al. (2020) · Depression and Anxiety · doi:10.1002/da.22985 · Cited by 29 · see citing works
“Internet therapies targeting CG are also available to disseminate these types of approaches (Kersting et al., 2013; Wagner, Knaevelsrud, & Maercker, 2006).”
BackgroundComplicated grief following the perinatal loss: a systematic review
Zhang, X., Chen, Y., Zhao, M., Yuan, M., Zeng, T., & Wu, M. (2024) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-024-06986-y · Cited by 45 · see citing works
Lenferink, L., Eisma, M., Buiter, M. Y., de Keijser, J., & Boelen, P. A. (2023) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2023.2225744 · Cited by 31 · see citing works
“exposure, cognitive restructuring, and behavioral activation) to bereaved adults via an online platform, while prior web-based grief-specific CBT-based trials mainly relied on some, but not all of these elements (cf. Eisma et al., 2015; Kersting et al., 2013; Wagner et al., 2006, but see; Reitsma et al., 2023).”
BackgroundMethodTng, G. Y. Q., Koh, J., Soh, X. C., Majeed, N. M., & Hartanto, A. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.04.074 · Cited by 31 · see citing works
Predicting Need for Follow-Up Due to Severe Anxiety and Depression Symptoms After Perinatal Loss
Hutti, M. H., Myers, J. A., Hall, L. A., Polivka, B. J., White, S., Hill, J., Grisanti, M., Hayden, J., & Kloenne, E. (2018) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1016/j.jogn.2018.01.003 · Cited by 29 · see citing works
“Few investigators have specifically examined CG after perinatal loss (Kersting et al., 2013; Kersting et al., 2007; Kersting & Wagner, 2012; McSpedden et al., 2017).”
BackgroundOutcomes in prevention and management of miscarriage trials: a systematic review
Smith, P., Dhillon‐Smith, R. K., O’Toole, E., Cooper, N., Coomarasamy, A., & Clark, T. J. (2018) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.15528 · Cited by 28 · see citing works
Navidian, A., & Saravani, Z. (2018) · Iranian Journal of Psychiatry and Behavioral Sciences · doi:10.5812/ijpbs.9275 · Cited by 28 · see citing works
“Despite the known psychological vulnerability of women after a stillbirth, and the evidence that perinatal loss causes mental illness, few of these mothers receive adequate psychological support (9).”
BackgroundMethodInfluentialMarkin, R. D. (2018) · Psychotherapy · doi:10.1037/pst0000186 · Cited by 27 · see citing works
Lafarge, C., Mitchell, K., Breeze, A., & Fox, P. (2017) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-017-1238-3 · Cited by 27 · see citing works
“[46] into the effectiveness of a CBT web-based intervention following perinatal loss, which included a small sample of women who had under-”
BackgroundTreatment gap in bereavement care: (Online) bereavement support needs and use after traumatic loss
Lenferink, L. I. M., de Keijser, J., Eisma, M. C., Smid, G. E., & Boelen, P. A. (2020) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2544 · Cited by 35 · see citing works
Couple and family therapies for post-traumatic stress disorder (PTSD)
Suomi, A., Evans, L., Rodgers, B., Taplin, S., & Cowlishaw, S. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011257.pub2 · Cited by 25 · see citing works
Yeager, C. M., Shoji, K., Łuszczyńska, A., & Benight, C. C. (2018) · JMIR Mental Health · doi:10.2196/mental.9449 · Cited by 27 · see citing works
“Ample research has shown eHealth interventions are effective in decreasing distress symptoms in trauma survivors [12-15].”
Boyle, F. M., Horey, D., Dean, J. H., Loughnan, S., Ludski, K., Mead, J., Homer, C. S., de Wilde, D., Morris, J., & Flenady, V. J. (2020) · Women and Birth · doi:10.1016/j.wombi.2020.08.006 · Cited by 25 · see citing works
Dominguez-Rodriguez, A., Sanz-Gomez, S., González Ramírez, L. P., Herdoiza-Arroyo, P. E., Trevino Garcia, L. E., de la Rosa-Gómez, A., González-Cantero, J. O., Macias-Aguinaga, V., & Miaja, M. (2023) · Journal of Medical Internet Research · doi:10.2196/43839 · Cited by 25 · see citing works
“It was created using a user experience design and was incorporated with techniques based on CBT [35], behavioral activation therapy [36], mindfulness [37], and positive psychology [38].”
Acierno, R., Kauffman, B. Y., Muzzy, W., Tejada, M. H., & Lejuez, C. (2021) · The American journal of hospice & palliative care · doi:10.1177/1049909121989021 · Cited by 20 · see citing works
Newsom, C., Schut, H., Stroebe, M., Wilson, S., Birrell, J., Moerbeek, M., & Eisma, M. (2017) · Clinical Psychology and Psychotherapy · doi:10.1002/cpp.2113 · Cited by 25 · see citing works
“First, due to practical and ethical limitations, most studies only assess short‐term effects, which makes it difficult to assess any longer term benefits (for notable exceptions: De Groot et al., 2007; Kersting et al., 2013; Rosner, Bartl, Pfoh, Kotoučová, & Hagl, 2015).”
BackgroundA scoping review of bereavement service outcomes
Wilson, D. M., Dhanji, N., Playfair, R., Nayak, S. S., Puplampu, G. L., & MacLeod, R. (2016) · Palliative & Supportive Care · doi:10.1017/s147895151600047x · Cited by 23 · see citing works
“Kersting et al. (2013), Germany Compare the effects of a brief internet-based bereavement intervention for parents after prenatal loss against controls.”
BackgroundGäebel, W., Großimlinghaus, I., Mucić, D., Maercker, A. R. A., Zielasek, J., & Kerst, A. (2017) · European Psychiatry · doi:10.1016/j.eurpsy.2017.01.001 · Cited by 23 · see citing works
Charrois, E. M., Bright, K. S., Wajid, A., Mughal, M. K., Hayden, A., & Kingston, D. E. (2020) · Systematic Reviews · doi:10.1186/s13643-020-01387-6 · Cited by 22 · see citing works
Lau, Y., Yen, K. Y., Wong, S. H., Cheng, J. Y., & Cheng, L. J. (2021) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2021.11.012 · Cited by 20 · see citing works
Wagner, B., Hofmann, L., & Maaß, U. (2022) · Palliative Medicine · doi:10.1177/02692163221122344 · Cited by 20 · see citing works
Komischke-Konnerup, K., O'Connor, M., Hoijtink, H., & Boelen, P. (2023) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2023.11.001 · Cited by 20 · see citing works
Wagner, B., Hofmann, L., & Maaß, U. (2020) · Trials · doi:10.1186/s13063-019-3891-5 · Cited by 20 · see citing works
Dominguez-Rodriguez, A., Martínez-Luna, S. C., Hernández Jiménez, M. J., De La Rosa-Gómez, A., Arenas-Landgrave, P., Esquivel Santoveña, E. E., Arzola-Sánchez, C., Alvarez Silva, J., Solis Nicolas, A. M., Colmenero Guadián, A. M., et al. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.644782 · Cited by 18 · see citing works
“The participants in the intervention group reduced the symptoms of post-traumatic stress, prolonged grief, depression, and anxiety, with statistically significant changes (Kersting et al., 2013).”
BackgroundReitsma, L., Boelen, P. A., de Keijser, J., & Lenferink, L. I. M. (2021) · European Journal of Psychotraumatology · doi:10.1080/20008198.2021.1987687 · Cited by 19 · see citing works
“Specifically, they were solely focused on recently (Litz et al., 2014) or perinatally bereaved people (Kersting et al., 2013), relied on relatively small samples (Eisma et al., 2015; Wagner et al., 2006), or had considerable dropout rates (Eisma et al., 2015).”
BackgroundMethodInfluentialEklund, R., Eisma, M., Boelen, P., Arnberg, F. K., & Sveen, J. (2021) · BMJ Open · doi:10.1136/bmjopen-2021-052763 · Cited by 5 · see citing works
Hoffmann, R., Große, J., Nagl, M., Niederwieser, D., Mehnert, A., & Kersting, A. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1633-y · Cited by 18 · see citing works
“Interapy was adapted for PGD [46] and its efficacy was shown for various groups of bereaved individuals showing medium to large treatment effects [46, 47].”
BackgroundA scoping review of therapies used to treat psychological trauma post perinatal bereavement
Martin, C. J. H., & Reid, K. (2022) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2021.2021477 · Cited by 18 · see citing works
Cognitive behavioral therapy for pregnancy loss.
Wenzel, A. E. (2017) · Psychotherapy · doi:10.1037/pst0000132 · Cited by 18 · see citing works
“Kersting et al. (2013) conducted the largest study to date, in which they examined the efficacy of an Internetbased CBT intervention to a wait list control condition in 228 women and partners who had experienced pregnancy loss.”
MethodTraumatic grief research and care in the aftermath of the COVID-19 pandemic
Djelantik, A. A. M., Bui, E., O'Connor, M., Rosner, R., Robinaugh, D., Simon, N. M., & Boelen, P. (2021) · European Journal of Psychotraumatology · doi:10.1080/20008198.2021.1957272 · Cited by 16 · see citing works
“Other studies found similarly promising results for online treatment for bereaved individuals (e.g. Kersting et al. (2013), van der Houwen, Schut, Van Den Bout, Stroebe, and Stroebe (2010)).”
ResultLenferink, L. I. M., de Keijser, J., Eisma, M. C., Smid, G. E., & Boelen, P. A. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-035050 · Cited by 17 · see citing works
Rowbottom, B., Galhardo, A., Donovan, E., & Gameiro, S. (2022) · Human Reproduction · doi:10.1093/humrep/deac168 · Cited by 16 · see citing works
“Previous research (e.g. Cousineau et al. , 2008; Kersting et al. , 2013; van Dongen et al. , 2016) indicated around 60% of interested people would be eligible, consent and complete the T1 assessment, from these, 80% would register to MyJourney, and from these 70% would complete the T2 assessment,…”
The self-help app My Grief: Bereaved parents' experiences of helpfulness, satisfaction and usability
Eklund, R., Eisma, M., Boelen, P., Arnberg, F. K., & Sveen, J. (2024) · Internet Interventions · doi:10.1016/j.invent.2024.100712 · Cited by 17 · see citing works
“…Bryant et al., 2014; Rosner et al., 2014; Shear et al., 2005) as well as in internet-based formats, with the latter yielding moderate to large effects (Eisma et al., 2015; Kersting et al., 2013; Treml et al., 2021; Reitsma et al., 2023, for reviews see: Wagner et al., 2020; Zuelke et al., 2021).”
BackgroundThe efficacy of psychotherapeutic interventions for prolonged grief disorder: A systematic review.
Srivastava, T., Lee, K., Ehrenkranz, R., Cozzolino, P. J., Wise, F. A., Burns, M., McCormick, T. H., Yaden, D., Agrawal, M., & Penberthy, J. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.03.173 · Cited by 16 · see citing works
Digital Interventions for PTSD Symptoms in the General Population: a Review
Stefanopoulou, E., Lewis, D., Mughal, A., & Larkin, J. (2020) · Psychiatric Quarterly · doi:10.1007/s11126-020-09745-2 · Cited by 15 · see citing works
Singer, J., Shrout, M. R., & Papa, A. (2021) · Journal of Health Psychology · doi:10.1177/1359105321995945 · Cited by 15 · see citing works
“PGD has been examined over many time points with numerous studies finding that females have higher rates of long-term PGD (Chiu et al., 2010; Kersting et al., 2013).”
BackgroundRisk of post-traumatic stress disorder in women after miscarriage
Białek, K. I., & Malmur, M. (2020) · Medical Studies · doi:10.5114/ms.2020.96794 · Cited by 14 · see citing works
“These symptoms, lasting even up to several years, have been particularly observed in women whose pregnancies were terminated after the diagnosis of foetal malformations or severe chromosomal disorders [18].”
BackgroundSoydas, S., Smid, G. E., Goodfellow, B., Wilson, R. A., & Boelen, P. A. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00878 · Cited by 14 · see citing works
“We also found that homicide survivors whose loss occurred recently displayed a greater decline in PG symptoms, suggesting that offering intervention in the early months following loss may actually be beneficial for a subgroup experiencing severe distress (49, 50).”
BackgroundManagement of Grief, Depression, and Suicidal Thoughts in Serious Illness.
McKee, K. Y., & Kelly, A. (2020) · The Medical clinics of North America · doi:10.1016/j.mcna.2020.01.003 · Cited by 12 · see citing works
My Grief App for Prolonged Grief in Bereaved Parents: A Pilot Study
Eklund, R., Eisma, M., Boelen, P., Arnberg, F., & Sveen, J. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.872314 · Cited by 12 · see citing works
Singer, J., McLean, E., Kahler, J., & Papa, A. (2021) · Aging & Mental Health · doi:10.1080/13607863.2021.1998359 · Cited by 14 · see citing works
“Consistent with prior studies within the bereavement field (Chiu et al., 2010; Kersting et al., 2013), Studies 1 and 3 identified that bereaved females predicted higher continuous PG-13 total summed scores, and in Studies 1 and 2, unexpectedness of the death predicted higher continuous PG-13 total summed scores.”
BackgroundResultQian, J., Yu, X., Sun, S., Zhou, X., Wu, M., & Yang, M. (2019) · Midwifery · doi:10.1016/j.midw.2019.102548 · Cited by 13 · see citing works
The meaning in loss protocol: A clinical trial of online grief therapy
Batista, J., Alves, D., Pires, N., Silva, J. R., Mendes, I., Magalhães, C., Rosa, C., Oliveira, J. T., Gonçalves, M. M., & Neimeyer, R. A. (2025) · Death Studies · doi:10.1080/07481187.2024.2370633 · Cited by 12 · see citing works
“In the area of grief therapy, brief tele-health treatments based on cognitive-behavior therapy (e.g., Kersting et al., 2013), exposure and behavioral activation (Eisma et al., 2015), or a self-guided intervention (Reitsma et al., 2023) have shown promising results.”
Li, S. N., Yang, L., Wang, Q., Pan, S., Xiao, M. H., & Jiao, X. (2024) · Depression and Anxiety · doi:10.1155/2024/2181544 · Cited by 15 · see citing works
“These interventions should ideally consist of one to four sessions and be followed up with postdischarge support to promote the maintenance of therapeutic rapport, continuity of care, and reinforcement [34, 41, 45, 48].”
Bakhbakhi, D., Siassakos, D. M., Davies, A. K., Merriel, A., Barnard, K., Stead, E., Shakespeare, C., Duffy, J. M., Hinton, L., McDowell, K., et al. (2023) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.17390 · Cited by 12 · see citing works
Couple and family therapies for post-traumatic stress disorder (PTSD)
Cowlishaw, S., Evans, L., Suomi, A., & Rodgers, B. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011257 · Cited by 11 · see citing works
A Research Literature Review to Determine How Bereavement Programs Are Evaluated
Wilson, D. M., Errasti‐Ibarrondo, B., & Rodríguez‐Prat, A. (2019) · OMEGA - Journal of Death and Dying · doi:10.1177/0030222819869492 · Cited by 11 · see citing works
“Kersting et al. (2013) Germany Brief Internet bereavement intervention for parents after prenatal loss.”
BackgroundFitzpatrick, S., Wagner, A. C., Crenshaw, A. O., Varma, S., Whitfield, K. M., Valela, R., Bartolomeo, A. A. D., Fulham, L., Martin-Newnham, C., Mensah, D. H., et al. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100423 · Cited by 11 · see citing works
“The GAD-7 has strong psychometric characteristics, including good test-retest reliability (Löwe et al., 2008; Spitzer et al., 2006) and convergent validity with other measures of anxiety and related constructs for worry and stress (Kertz et al., 2013; Rutter and Brown, 2017).”
BackgroundState of the Science: Psychotherapeutic Interventions for Prolonged Grief Disorder
LaPlante, C. D., Hardt, M. M., Maciejewski, P., & Prigerson, H. G. (2024) · The Behavior Therapist · doi:10.1016/j.beth.2024.07.002 · Cited by 9 · see citing works
Exploratory study of metacognitive beliefs about coping processes in prolonged grief symptomatology
Wenn, J. A., O’Connor, M., Breen, L. J., & Rees, C. S. (2018) · Death Studies · doi:10.1080/07481187.2018.1440032 · Cited by 10 · see citing works
“Although these tailored interventions have produced significant reductions in PGD symptomatology (Bryant et al., 2014; Eisma, Boelen et al., 2015; Kersting et al., 2013; Papa, Sewell, Garrison-Diehn, & Rummel, 2013; Shear et al., 2014), a substantial proportion of participants does not achieve…”
BackgroundStress Reduction Through a Brief Writing Intervention With Women in Jail
Pankey, T. L., Kelly, P. J., & Ramaswamy, M. (2016) · Journal of Correctional Health Care · doi:10.1177/1078345816654230 · Cited by 10 · see citing works
Hanschmidt, F., Hoffmann, R., Klingner, J., Kersting, A., & Stepan, H. (2018) · Geburtshilfe und Frauenheilkunde · doi:10.1055/s-0044-100380 · Cited by 10 · see citing works
“Internet interventions have become increasingly popular and are available for bereavement populations [31,32].”
Tur, C., Campos, D., Herrero, R., Mor, S., López-Montoyo, A., Castilla, D., & Quero, S. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-046477 · Cited by 9 · see citing works
- Authors
- Kersting, A., Dölemeyer, R., Steinig, J., Walter, F., Kroker, K., Baust, K., & Wagner, B.
- Affiliations
- Leipzig University (DE)
- University of Münster (DE)
- Venue
- Psychotherapy and Psychosomatics
- Publisher
- S. Karger AG
- Published
- 2013
- Volume
- 82
- Issue
- 6
- Pages
- 372-381
- ISSN
- 0033-3190 (ISSN-L)
- 1423-0348
- OpenAlex
- W2040747248
- Cited by
- 210
- References
- 60
- Citations by year
- 2026: 13 · 2025: 21 · 2024: 25 · 2023: 23 · 2022: 15 · 2021: 21 · 2020: 20 · 2019: 6 · 2018: 14 · 2017: 18 · 2016: 17 · 2015: 9 · 2014: 4 · 2013: 4
- FWCI
- 12.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychotherapy and Psychosomatics (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, post-traumatic stress disorder, prolonged grief disorder, complicated grief, online intervention, cognitive behavioral therapy, cognitive restructuring, self-confrontation, social sharing, depression, anxiety, e-health, parents
- MeSH terms
- Adaptation, Psychological, Adult, Analysis of Variance, Anxiety, Depression, Female, Fetal Death, Follow-Up Studies, Grief, Humans, Male, Parents, Pregnancy, Psychiatric Status Rating Scales, Stress Disorders, Post-Traumatic, Therapy, Computer-Assisted, Writing, Cognitive Behavioral Therapy, Outcome Assessment, Health Care, Internet, Intention to Treat Analysis, Self Report
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