Childbirth-related posttraumatic stress disorder: definition, risk factors, pathophysiology, diagnosis, prevention, and treatment

Horsch, Antje; Garthus-Niegel, Susan; Ayers, Susan; Chandra, Prabha; Hartmann, Katharina; Vaisbuch, Edi; Lalor, Joan

doi:10.1016/j.ajog.2023.09.089

Cited by 23 publications

(2 citation statements)

References 85 publications

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“…The results of our study, particularly the identi ed disorder-speci c barriers in help-seeking behavior of women with CB-PTSD, gPTSD, and women who are not affected by clinically relevant symptoms of these two disorders, imply that a targeted reduction of barriers such as stigma, instrumental factors, and knowledge and awareness gaps regarding CB-PTSD is key to improve access to appropriate services. This is in line with central statements of a recently published expert review by Horsch et al [110] that offers various recommendations for the implementation of preventive measures at the level of health care professionals as well as at the level of policy making in order to improve access to treatment and counseling services for postpartum women with CB-PTSD. These measures should include awareness campaigns, e.g.…”

Section: Discussionsupporting

confidence: 81%

Access and Barriers to Treatment and Counseling for Postpartum Women With and Without Symptoms of (CB-)PTSD Within the Cross-Sectional Study INVITE

Jehn,

Seefeld,

Schellong

et al. 2024

Preprint

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Background Although childbirth is frequently described as a positive experience, the transition to parenthood can be challenging and many postpartum women suffer from mental health problems. Nevertheless, the utilization of treatment and counseling services remains low. To improve this, it is necessary to examine the likelihood of and barriers to help-seeking among postpartum women. There is a paucity of research on postpartum posttraumatic stress disorder (PTSD), that addresses these issues, especially when considering both types of postpartum PTSD, namely childbirth-related PTSD (CB-PTSD) and general PTSD (gPTSD). Thus, we examined differences in the likelihood of and barriers to help-seeking between postpartum women with CB-PTSD, gPTSD, and women who were not affected by clinically relevant symptoms of these two mental health problems. Methods Data from the cross-sectional study INVITE were used, consisting of n = 3,875 telephone interviews with women between 6 weeks and 6 months after childbirth. CB-PTSD was assessed using the City Birth Trauma Scale and gPTSD using a short version of the Primary Care Posttraumatic Stress Disorder Screen for DSM-5. Women were asked about their likelihood of and specific barriers to help-seeking through self-developed questionnaires. Analyses of covariance were conducted to examine group differences and multiple regression analyses to investigate associations between symptom severity and the likelihood of help-seeking. Results Groups did not differ in their likelihood of help-seeking. Additionally, the severity of the symptoms did not predict the likelihood of help-seeking. Post-hoc comparisons revealed more overall barriers among women with CB-PTSD compared to non-affected women. Concerning different types of barriers, women affected by CB-PTSD or gPTSD reported more instrumental barriers than non-affected women. More barriers related to fears about treatment and stigmatization were only reported by women with CB-PTSD compared to non-affected women but not by women with gPTSD. Significant associations with socio-demographic confounders were found in all analyses. Conclusions Reducing instrumental barriers, e.g. through outreach services or financial subsidies, seems to be key in order to improve access to services for postpartum women with CB-PTSD or gPTSD. Since women with CB-PTSD reported more fears about treatment and stigmatization, education about CB-PTSD among perinatal women and health professionals may also be important.

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Section: Discussionsupporting

confidence: 81%

Access and Barriers to Treatment and Counseling for Postpartum Women With and Without Symptoms of (CB-)PTSD Within the Cross-Sectional Study INVITE

Jehn,

Seefeld,

Schellong

et al. 2024

Preprint

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“…In this text, we explore the theoretical foundation underlying the cognitive behavioral approach and examine practical strategies that can help individuals turn stress-related challenges into opportunities for personal growth and improvement in quality of life. To provide a clear and concise understanding of the internal mechanisms that determine our ability to adapt to external challenges, this article analyses stress and its management through the lens of cognitive behavioral therapy (Hofmann et al, 2012;Horsch et al, 2024). By using this approach, we can effectively reduce the level of stress in our lives and enhance our psychological well-being, leading to a more harmonious and fulfilling environment.…”

Section: Introductionmentioning

confidence: 99%

Harnessing Positive Thinking: A Cognitive Behavioural Approach to Stress Management

Diachkova,

Yeremenko,

Donets

et al. 2024

Intl. J. Rel.

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This article discusses the role of positive thinking in Cognitive Behavioral Therapy (CBT) for treating psychological disorders. The relevance of the topic is due to the growing use of CBT in psychotherapeutic practice and the need for a better understanding of its effectiveness, including the role of positive thinking. This work highlights the importance of positive thinking in promoting mental health and well-being. It argues that positive thinking is a practical tool for developing adaptive cognitive strategies, rather than an unattainable ideal. In CBT, positive thinking is not just about replacing negative thoughts with positive ones, but is a component of a comprehensive approach to re-evaluating an individual's experience. Such an approach contributes to the formation of a more realistic and adaptive perception of oneself and the world. The main methods and techniques of CBT, including cognitive restructuring and behavioral experiments, utilize positive thinking as a tool for correcting destructive thoughts and behaviors. This article discusses different perspectives on the effectiveness of positive thinking in CBT, weighing the arguments for and against its potential limitations. Positive thinking is an essential component of Cognitive Behavioral Therapy. It contributes to improving an individual's psychological well-being and developing psychological resilience, which enables more effective coping with life challenges and stresses. However, to achieve maximum effectiveness, the application of positive thinking must be closely integrated with a comprehensive treatment strategy that considers the individual needs and characteristics of each client. This approach requires a profound understanding of the mechanisms of cognitive distortions and their impact on a person's emotional state, as well as knowledge of how to most effectively apply positive thinking to correct these distortions.

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Childbirth-related posttraumatic stress disorder in postpartum mothers and its associated factors during the COVID-19 pandemic in Turkey

Şen,

Daşıkan

2024

Curr Psychol

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Childbirth-related posttraumatic stress disorder: definition, risk factors, pathophysiology, diagnosis, prevention, and treatment

Cited by 23 publications

References 85 publications

Access and Barriers to Treatment and Counseling for Postpartum Women With and Without Symptoms of (CB-)PTSD Within the Cross-Sectional Study INVITE

Access and Barriers to Treatment and Counseling for Postpartum Women With and Without Symptoms of (CB-)PTSD Within the Cross-Sectional Study INVITE

Harnessing Positive Thinking: A Cognitive Behavioural Approach to Stress Management

Childbirth-related posttraumatic stress disorder in postpartum mothers and its associated factors during the COVID-19 pandemic in Turkey

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