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Tytuł pozycji:

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.

Tytuł :
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.
Autorzy :
Slade PP; Faculty of Health and Life Sciences, University of Liverpool, United Kingdom. Electronic address: .
Molyneux DR; Faculty of Health and Life Sciences, University of Liverpool, United Kingdom.
Watt DA; Liverpool Clinical Commissioning Group, United Kingdom.
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Źródło :
Journal of affective disorders [J Affect Disord] 2021 Feb 15; Vol. 281, pp. 678-694. Date of Electronic Publication: 2020 Nov 11.
Typ publikacji :
Journal Article; Research Support, Non-U.S. Gov't; Review; Systematic Review
Język :
English
Imprint Name(s) :
Original Publication: Amsterdam, Elsevier/North-Holland Biomedical Press.
MeSH Terms :
Eye Movement Desensitization Reprocessing*
Stress Disorders, Post-Traumatic*/therapy
Female ; Humans ; Parturition ; Pregnancy ; Psychosocial Intervention ; Treatment Outcome
Contributed Indexing :
Keywords: Childbirth*; intervention*; post traumatic stress disorder*; trauma*
Entry Date(s) :
Date Created: 20201122 Date Completed: 20210423 Latest Revision: 20210423
Update Code :
20210623
DOI :
10.1016/j.jad.2020.11.092
PMID :
33220947
Czasopismo naukowe
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 intervention timing or follow-up duration. A single independent reviewer with team discussion was utilised.
Conclusion: There is little definitive evidence assessing the effectiveness of psychological interventions for PTSDFC. There are psychological barriers for women accessing help for traumatic childbirth which services can mitigate.
(Copyright © 2020. Published by Elsevier B.V.)

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