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Treatment of posttraumatic stress disorder following childbirth

Lisa de Bruijn1, Claire A Stramrood2, Mijke P Lambregtse-van den Berg3,4

  • 1Department of Psychiatry and Department of Child & Adolescent Psychiatry/Psychology, Erasmus MC, Rotterdam, The Netherlands.

Journal of Psychosomatic Obstetrics and Gynaecology
|June 6, 2019
PubMed

Insights

Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR) show promise for treating posttraumatic stress disorder (PTSD) after childbirth. More research is needed to confirm these findings.

Area of Science:

  • Psychiatry
  • Obstetrics
  • Psychology

Background:

  • Posttraumatic stress disorder (PTSD) can occur following childbirth.
  • Effective treatment options for this condition require further investigation.

Purpose of the Study:

  • To systematically review and assess the efficacy of treatments for PTSD after childbirth.

Main Methods:

  • A comprehensive literature search was conducted across multiple databases (PubMed, Embase, Web of Science, Cochrane, PsycINFO) from 2000-2017.
  • Studies focusing on PTSD confirmed prior to treatment, with childbirth as the traumatic event, were included.
  • Included studies were analyzed for sample characteristics, study design, interventions, and treatment outcomes.

Main Results:

  • Six studies met the inclusion criteria, including one on debriefing, three on Cognitive Behavioral Therapy (CBT), and two on Eye Movement Desensitization and Reprocessing (EMDR).
  • Both EMDR and CBT demonstrated potential efficacy in treating PTSD following childbirth.
  • Debriefing appeared beneficial when initiated by the patient.

Conclusions:

  • EMDR and CBT are suggested as effective therapies for childbirth-related PTSD.
  • The current evidence base is limited, underscoring the need for more rigorous, controlled trials to establish definitive conclusions.

Keywords:
CBTEMDRPTSD following childbirthdebriefingtreatment

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