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Cited by 210Grief, Bereavement, and Mental HealthDigital Mental Health InterventionsMaternal Mental Health During Pregnancy and Postpartum

The DOI matches its Crossref record; 60 of the 60 references it cites were found in a registry or an index.

Brief Internet-Based Intervention Reduces Posttraumatic Stress and Prolonged Grief in Parents after the Loss of a Child during Pregnancy: A Randomized Controlled Trial

Kersting, Anette, Dölemeyer, Ruth, Steinig, Jana, Walter, Franziska, Kroker, Kristin, Baust, Katja, Wagner, Birgit·2013·Psychotherapy and Psychosomatics
DOI 10.1159/000348713
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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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Crossref · 10.1159/000348713

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  1. 10.1002%2Fjts.2490070310 · DOI
  2. 10.1037%2F0022-006X.71.5.901 · DOI · Paper page
  3. 10.1016%2Fj.brat.2009.12.009 · DOI · Paper page

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Metadata

Authors
Kersting, A., Dölemeyer, R., Steinig, J., Walter, F., Kroker, K., Baust, K., & Wagner, B.
Affiliations
  • Leipzig University (DE)
  • University of Münster (DE)
ORCID
Venue
Psychotherapy and Psychosomatics
Publisher
S. Karger AG
Published
2013
Volume
82
Issue
6
Pages
372-381
ISSN
  • 0033-3190 (ISSN-L)
  • 1423-0348
DOI
10.1159/000348713
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
Licence
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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