Efficacy of cognitive behavioral Internet-based therapy in parents after the loss of a child during pregnancy: Pilot data from a randomized controlled trial

Department of Psychosomatic Medicine, University of Leipzig, Semmelweisstr 10, 04103, Leipzig, Germany.
Archives of Women s Mental Health (Impact Factor: 2.16). 12/2011; 14(6):465-77. DOI: 10.1007/s00737-011-0240-4
Source: PubMed


The loss of a child during pregnancy can be a traumatic event associated with long-lasting grief and psychological distress. This study examined the efficacy of an internet-based cognitive behavioral therapy program for mothers after pregnancy loss. In a randomized controlled trial with a waiting list control group, 83 participants who had lost a child during pregnancy were randomly allocated either to 5 weeks of internet therapy or to a 5-week waiting condition. Within a manualized cognitive behavioral treatment program, participants wrote ten essays on loss-specific topics. Posttraumatic stress, grief, and general psychopathology, especially depression, were assessed pretreatment, posttreatment, and at 3-month follow-up. Intention-to-treat analyses and completer analyses were performed. Relative to controls, participants in the treatment group showed significant improvements in posttraumatic stress, grief, depression, and overall mental health, but not in anxiety or somatization. Medium to large effect sizes were observed, and the improvement was maintained at 3-month follow-up. This internet-based cognitive behavioral therapy program represents an effective treatment approach with stable effects for women after pregnancy loss. Implementation of the program can thus help to improve the health care provision for mothers in this traumatic loss situation.

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    • "A further recent study examining the efficacy of an Internet-based cognitive behavioral therapy for mothers after pregnancy loss67 showed positive treatment effects, with the intervention group showing significantly reduced symptoms of grief, PTSD, and depression after treatment relative to the waiting-list group, and this symptom reduction was maintained at 3-month followup.68,69 The treatment program involved self-confrontation with the most painful memories relating to the loss, social sharing as well as cognitive restructuring with regard to feelings of guilt and blame.70 "
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