Trauma exposure therapy in a pregnant woman suffering from complex posttraumatic stress disorder after childhood sexual abuse: risk or benefit?

Becker-Sadzio, Julia; Gundel, Friederike; Kroczek, Agnes; Wekenmann, Stefanie; Rapp, Alexander; Fallgatter, Andreas J.; Deppermann, Saskia

doi:10.1080/20008198.2019.1697581

Cited by 5 publications

(10 citation statements)

References 28 publications

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“…Importantly, most therapists in the present sample observed a clinically relevant reduction in PTSD symptoms in more than 50% of the pregnant women they treated, suggesting that treatment in pregnancy is often successful. This is in line with published studies exploring the effectiveness of various interventions, including psychoeducation, CBT, and EMDR, during pregnancy (Arch et al., 2012; Baas et al., 2020; Becker‐Sadzio et al., 2020; Stevens et al., 2021; Stevens et al., 2020). Treatment discontinuation (28.8%) was most often initiated by the pregnant client herself; less frequently, it was a consequence of adverse psychological or physical effects attributed to treatment.…”

Section: Discussionsupporting

confidence: 86%

“…Research on the treatment of PTSD during pregnancy is scarce, and recommendations vary across studies. A case report that included a pregnant woman with complex PTSD stemming from childhood sexual abuse found that although PTSD symptoms worsened initially during dialectical behavior therapy for PTSD (DBT‐PTSD), which included exposure therapy, they ultimately decreased and remained stable 6 months after the birth (Becker‐Sadzio et al., 2020). Furthermore, the course of the pregnancy did not appear to be affected by the treatment.…”

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confidence: 99%

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Therapist perceptions of treating posttraumatic stress disorder in pregnancy: The VIP Study

Hendrix

Sier

Baas

et al. 2022

Journal of Traumatic Stress

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There is no consensus on the treatment of posttraumatic stress disorder (PTSD) during pregnancy, and therapists' views on the matter are largely unknown. This cross-sectional study aimed to explore therapist beliefs and experiences regarding PTSD treatment during pregnancy. Participants were therapists (N = 301) with experience treating PTSD who completed an online survey. The primary outcome measure was the percentage of therapists who were experienced in treating PTSD symptoms during pregnancy; secondary outcome measures assessed preferred treatments for the general and pregnant populations, perceived reluctance to treat PTSD in pregnancy, and perceived effects and adverse events attributed to treatment for pregnant women and fetuses. The majority of participants (n = 246, 81.7%) had experience with treating PTSD during pregnancy. Eye movement desensitization and reprocessing was the pre-1420

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Section: Discussionsupporting

confidence: 86%

mentioning

confidence: 99%

Therapist perceptions of treating posttraumatic stress disorder in pregnancy: The VIP Study

Hendrix

Sier

Baas

et al. 2022

Journal of Traumatic Stress

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“…The DTS has been shown to have excellent psychometric properties (Cronbach's alpha ranges from .97 to .99 for the total score; Chen et al., 2001; McDonald et al., 2009). Further, the DTS has been used extensively in samples of pregnant women (e.g., Becker‐Sadzio et al., 2020; Vignato et al., 2018). The DTS demonstrated excellent internal consistency in the current sample ( α = .97 at both prenatal and postpartum assessments).…”

Section: Methodsmentioning

confidence: 99%

Understanding links between maternal perinatal posttraumatic stress symptoms and infant socioemotional and physical health

Huffhines

Coe

Busuito

et al. 2022

Infant Mental Health Journal

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Maternal posttraumatic stress symptoms (PTSS) are associated with adverse consequences for older children, but very few studies have examined links between perinatal maternal PTSS and infant outcomes. Trauma exposure and psychopathology, including PTSS, is often heightened for women during pregnancy through 1 year postpartum. Therefore, the perinatal period may be a critical time for understanding the risk maternal PTSS and other mental health factors pose to the socioemotional and physical health of infants. The present study explored the relation between maternal PTSS and infant socioemotional and physical health problems in a sample of racially and ethnically diverse mother-infant dyads (N = 295) assessed prenatally and at 12 months postpartum. This study also examined whether there are: (1) moderating effects of maternal depressive symptoms and parenting stress on these associations and (2) indirect effects of PTSS on infant outcomes through observed maternal sensitivity. Results indicated that postpartum depressive symptoms and parenting stress, rather than PTSS, were associated with greater infant socioemotional health problems. However, prenatal PTSS were associated with greater infant physical health problems when mothers also reported clinically significant levels of postpartum depressive symptoms. Maternal sensitivity was not associated with maternal PTSS, depressive symptoms, or parenting stress, nor was it related to infant socioemotional and physical health; thus, maternal sensitivity was not tested as an intermediary mechanism linking maternal mental health with infant outcomes. Implications for promoting maternal mental health in the perinatal period to bolster socioemotional and physical health of infants are discussed.

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“…In addition, three studies assessed clinical outcomes related to BPD (Becker-Sadzio et al, 2020;Sved Williams et al, 2018, 2021.…”

Section: Intervention Acceptability and Feasibilitymentioning

confidence: 99%

Applications of dialectical behavioural therapy in the perinatal period: A scoping review

Hellberg,

Bruening,

Thompson

et al. 2023

Clin Psychology and Psychoth

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Psychological distress is the most common complication of pregnancy. High‐risk concerns can include severe emotion dysregulation, suicidality and self‐injury, and health risk behaviours, which bear substantial consequences for caregivers and families. Yet, effective, comprehensive interventions for high‐risk caregivers have received limited attention. Dialectical behaviour therapy (DBT) is a frontline treatment for such concerns. Accordingly, we conducted a scoping review on the implementation of DBT in the perinatal period. The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines were followed. Seven studies were identified; study designs included case studies and single‐arm pilot trials. Most studies used DBT‐informed protocols with significant adaptations, few included multiple components of DBT (i.e. skills group, individual therapy, phone coaching and consultation team), and none met criteria for adherent delivery of all four modes of DBT treatment. Findings suggest DBT‐informed interventions may be successfully implemented to treat a range of perinatal mental health symptoms, including borderline personality disorder, depression, anxiety, and post‐traumatic stress, and to promote emotion regulation and positive parenting behaviours. While results provide preliminary support for perinatal DBT, this literature is scant and empirical rigour considerably lacking. Clinical implications and future directions are outlined to aid researchers and providers in addressing the ongoing perinatal mental health crisis and developing sorely needed interventions to address the needs of high‐risk caregivers.

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Trauma exposure therapy in a pregnant woman suffering from complex posttraumatic stress disorder after childhood sexual abuse: risk or benefit?

Cited by 5 publications

References 28 publications

Therapist perceptions of treating posttraumatic stress disorder in pregnancy: The VIP Study

Therapist perceptions of treating posttraumatic stress disorder in pregnancy: The VIP Study

Understanding links between maternal perinatal posttraumatic stress symptoms and infant socioemotional and physical health

Applications of dialectical behavioural therapy in the perinatal period: A scoping review

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