Assessing the Feasibility and Acceptability of Narrative Exposure Therapy to Address IPV-related Mental Health in Parenting and Pregnant Adolescents

Volpe, Ellen M.; Quinn, Camille R.; Resch, Kathryn; Douglas, Valerie; Cerulli, Catherine

doi:10.1007/s10896-016-9818-y

Cited by 8 publications

(11 citation statements)

References 44 publications

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“…One potential exception among empirically based treatments is narrative exposure therapy (NET; Schauer et al., 2011), a short‐term trauma therapy based on principles of CBT and testimony therapy, with a robust evidence base across multiple RCTs (Robjant & Fazel, 2010). Volpe, Quinn, Resch, Douglas, and colleagues (2017) used focus groups to qualitatively study NET as a possible treatment for pregnant trauma‐exposed adolescents and their partners. Although participants did not receive the full treatment, the results were promising, indicating favorable attitudes and acceptability of NET for addressing the effects of past traumatic experiences.…”

Section: Discussionmentioning

confidence: 99%

Psychological Intervention and Treatment for Posttraumatic Stress Disorder During Pregnancy: A Systematic Review and Call to Action

Stevens

Miller

Puetz

et al. 2020

Journal of Traumatic Stress

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Posttraumatic stress disorder (PTSD) during pregnancy is a significant global mental health concern that affects up to 1 in 5 trauma‐exposed pregnant women and is associated with an increased risk of adverse maternal and infant complications and health outcomes. This systematic literature review, conducted in accordance with PRISMA guidelines, examined findings from studies of psychological interventions and treatments for prenatal PTSD to inform recommendations for future research. Relevant evidence was identified from reference reviews and electronic databases (i.e., PubMed, Google Scholar, PsychInfo, and Scopus). Included studies reported on the effect of nonpharmacological intervention or treatment of PTSD symptomatology delivered during pregnancy, with at least one postintervention follow‐up collected during pregnancy to assess prenatal treatment outcomes. The systematic review was augmented with a discussion of lower‐level evidence. Of the 954 articles screened, six peer‐reviewed, quantitative reports met the inclusion criteria and featured three empirically based interventions, including two randomized controlled trials: Two psychoeducation interventions for PTSD and one treatment study of interpersonal psychotherapy in trauma‐exposed pregnant women. Effect sizes for PTSD symptom change ranged from small to large, Cohen's d/ηp2 = 0.16–0.78. No studies examined evidence‐based PTSD treatments (e.g., exposure therapy, cognitive processing therapy). A risk of bias assessment indicated variability in study quality. This review demonstrates that research on prenatal PTSD symptoms, diagnosis, and treatment is extremely limited despite a clear link between prenatal PTSD and perinatal complications. Early evidence supports further scientific inquiry into psychoeducation, psychotherapy treatments (e.g., exposure therapy), integrated prenatal care approaches, and community‐based approaches.

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Section: Discussionmentioning

confidence: 99%

Psychological Intervention and Treatment for Posttraumatic Stress Disorder During Pregnancy: A Systematic Review and Call to Action

Stevens

Miller

Puetz

et al. 2020

Journal of Traumatic Stress

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“…1). The median age was 27 years (range [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35]. Participants described their race as Black (n = 3), Asian (n = 1), or white (n = 1) and three participants described their ethnicity as Hispanic.…”

Section: Participantsmentioning

confidence: 99%

“…Taken together, these observations offer a strong case for investigating NET as a treatment for PTSD during pregnancy [33,34] in a prenatal care setting in which collaboration with perinatal healthcare providers is facilitated through a shared electronic medical record and co-located behavioral health services. Situated within an academic medical center, our clinical setting primarily serves low-income, pregnant patients from the surrounding urban communities, most of whom (> 70%) identify as Black or Hispanic/Latina.…”

mentioning

confidence: 99%

Exposure therapy for PTSD during pregnancy: a feasibility, acceptability, and case series study of Narrative Exposure Therapy (NET)

et al. 2020

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Background Prenatal posttraumatic stress disorder (PTSD) is a significant complication of pregnancy linked to increased risk of adverse perinatal outcomes. Although 1 in 5 pregnant trauma-exposed individuals have PTSD, most PTSD treatment trials exclude participants who are pregnant, and none focus on treatment specifically during pregnancy. Moreover, access to mental health treatment is particularly challenging in low-resource settings with high rates of trauma. This study examined implementation of Narrative Exposure Therapy (NET), a short-term evidence-based PTSD treatment, in an urban prenatal care setting. Partial telehealth delivery was used to increase accessibility. Study aims were to examine (a) feasibility, (b) acceptability, and (c) case-based treatment outcomes associated with NET participation. Method Eight pregnant participants (median age = 27, median gestational week in pregnancy = 22.5) received up to six sessions of NET with partial telehealth delivery. PTSD and depression symptoms were assessed at pre-treatment intake (T1), at each session (T2), and 1-week post-treatment (T3). A multiple case study approach was used to examine recruitment and engagement, retention, treatment completion, treatment barriers, use of telehealth, participants’ experiences of treatment, and PTSD and depression symptoms. Results Nine of the 16 participants (56%) who were invited to participate engaged in treatment, and one dropped out after the first session. Eight participants completed the minimum “dose” of 4 NET sessions (N = 8/9, 89%). Seven participants gave the highest ratings of treatment acceptability. The most frequently reported barriers to treatment were competing priorities of work and caring for other children. Pre-post treatment symptom measures revealed clinically meaningful change in PTSD severity for nearly all participants (7/8, 88%). Conclusions Results suggest that a brief exposure therapy PTSD treatment can be successfully implemented during pregnancy, suggesting promising results for conducting a larger-scale investigation. Trial registration ClinicalTrials.gov, NCT04525469. Registered 20 August 2020–Retrospectively registered, https://register.clinicaltrials.gov/prs/app/template/EditRecord.vm?epmode=View&listmode=Edit&uid=U00058T2&ts=3&sid=S000A59A&cx=-w1vnvn

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“…Las conductas disruptivas son una secuencia de comportamientos en respuesta a las situaciones sociales que afrontan las adolescentes gestantes, entre las cuales destacan el aislamiento, ocultamiento y exclusion que la adolescente adopta por temor al rechazo social, especialmente por parte de su círculo familiar, en el cual es muy común que encontremos alteración del rol familiar e inclusive casos de violencia, generando sobrecarga física-emocional por fal-ta de apoyo y desencadenando una concepción negativa del embarazado por parte de la joven gestante. De modo que por sus consecuencias y por los sectores de población a los que afecta, el embarazo en la adolescencia suele ser considerado como un problema social desde los sectores salud, educación y desarrollo social [24,25]. Situación evidenciada en los hallazgos de la revisión sistemática cuando mencionan que el embrazo adolescente acentúa ciclos de pobreza y déficit educativo por los índices de deserción escolar y escaso acceso a ingresos económicos de las jóvenes.…”

Section: Vivencias Sociales En El Embarazo Adolescenteunclassified

Percepción de las adolescentes frente al embarazo: revisión sistemática

Peñafiel¹,

Solis²,

Domo³

et al. 2019

archmed

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Objetivo: describir la percepción de las adolescentes frente al embarazo en una revisión sistemática. La percepción de las adolescentes frente al embarazo es una realidad que determina la comprensión de los sentimientos conflictivos ante una vivencia no planificada. Materiales y métodos: metodología cualitativa de revisión bibliográfica con 25 artículos de alto prestigio científico entre el periodo del 2013 - 2017, fundamentados en aspectos psicológicos, fisiopatológicos y sociales, donde se constató el estado actual de la misma. Resultados: presencia de reacciones de ambivalencia, aceptación o rechazo, en las cuales predominan las apreciaciones negativas, el miedo, impotencia, concepciones de embarazo no deseado, frustración de metas por deserción escolar e ideas de aborto; entre las percepciones positivas encontradas la aceptación, responsabilidad, afrontamiento y activación del rol materno. Conclusión: que la joven gestante puede concebir su embarazo en función de los diferentes factores biopsicosociales que atraviese.

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Assessing the Feasibility and Acceptability of Narrative Exposure Therapy to Address IPV-related Mental Health in Parenting and Pregnant Adolescents

Cited by 8 publications

References 44 publications

Psychological Intervention and Treatment for Posttraumatic Stress Disorder During Pregnancy: A Systematic Review and Call to Action

Psychological Intervention and Treatment for Posttraumatic Stress Disorder During Pregnancy: A Systematic Review and Call to Action

Exposure therapy for PTSD during pregnancy: a feasibility, acceptability, and case series study of Narrative Exposure Therapy (NET)

Percepción de las adolescentes frente al embarazo: revisión sistemática

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