Pharmacotherapeutic considerations for the treatment of posttraumatic stress disorder during and after pregnancy

Thomson, Michael; Sharma, Verinder

doi:10.1080/14656566.2020.1854727

Cited by 5 publications

(5 citation statements)

References 77 publications

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“…The standard treatment for women suffering from PTSD involves the use of psychotherapy and medications. However, the use of medications for the management of PTSD postpartum is generally avoided due to the low rate of adherence and the potential harm that these medications might pose to the child as a result of breastfeeding [ 46 ]. A meta-analysis concluded that psychotherapy in the form of cognitive behavioral therapy, reprocessing desensitization, and exposure therapy could reduce PTSD symptoms in the early postnatal period [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

The mediation role of resilience and postpartum traumatic stress disorder on parental attachment and the maternal-infant bonding

Nie,

Pan,

Liu

2023

BMC Psychol

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Aims This study aimed to evaluate the correlation between parental attachment, resilience, postpartum traumatic stress disorder (PTSD), and maternal-infant bonding at 1 to 3 months postpartum. The mediation effect of resilience and PTSD on the postpartum parental attachment and maternal-infant bond was also evaluated. Design A cross-sectional research design was used. Methods A total of 400 postpartum women examined at a tertiary hospital in Wuhan from January 2021 to June 2021 were enrolled in the study. At about 1 to 3 months after giving birth, the women were asked to complete the Postpartum Bonding Questionnaire (PBQ), Connor-Davidson Resilience scale(CD-RISC), PTSD CheckList-Civilian version (PCL-C), and the Parental Bonding Instrument (PBI). The data were summarized using descriptive statistics. Mediation analyse and the Spearman correlation (r) were used to correlate the resilience and PTSD questionnaire scores. Results The care attachment dimension was significantly associated with resilience (r = 0.24, p < 0.01), PTSD (r = − 0.27, p < 0.01), and maternal-infant bonding (r = 0.10, p < 0.01), and the overprotection attachment dimension was significantly associated with resilience (r = − 0.11, p < 0.01), PTSD (r = 0.33, p < 0.01), and maternal-infant bonding (r = 0.16, p < 0.01). Resilience and PTSD can mediate the relationship between attachment and maternal-infant bonding. Conclusion Parental attachment, resilience, and PTSD significantly affect maternal-infant bonding at 1 to 3 months postpartum. Impact This study demonstrated that new interventions aimed at addressing PTSD symptoms and improving resilience might increase parental attachment and maternal-infant bonding after birth. However, further research is required to evaluate the success of these interventions.

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Section: Discussionmentioning

confidence: 99%

The mediation role of resilience and postpartum traumatic stress disorder on parental attachment and the maternal-infant bonding

Nie,

Pan,

Liu

2023

BMC Psychol

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“…Referral to evidence‐based psychotherapy could help resolve PTSD. Prescribing or referring for psychopharmacologic agents used to treat PTSD could reduce the symptom burden as well 43 . The evidence base for effective treatments for PTSD continues to evolve and expand, with new treatment guidelines produced in 2020 by the leading PTSD specialist organizations 13,14…”

Section: Shared Interprofessional Diagnostic and Treatment Frameworkmentioning

confidence: 99%

“…The Trauma‐Informed Continuum of CareAbbreviation: ACEs, adverse childhood experiences.Source: Adapted from trauma‐informed continuum of care from World Health Organization 43 …”

Section: The Trauma‐informed Continuum Of Carementioning

confidence: 99%

“…Despite potential risks to the fetus or breastfeeding infant (eg, differential weight gain in woman and/or fetus, premature birth, some risk of birth defects) these medications may be used during pregnancy and breastfeeding in circumstances where the benefits outweigh the risks 59,60 . A recent review of medications used to treat PTSD for persons who are pregnant recommends sertraline (Zoloft) because of its superior pregnancy and breastfeeding safety profile 43 . Discontinuing medications because of pregnancy or failing to treat PTSD during pregnancy is not recommended because of the noxious effects of PTSD symptoms on both women and infants 5 .…”

Section: The Trauma‐informed Continuum Of Carementioning

confidence: 99%

“…A 3‐Tiered System for Trauma‐Informed Care in Perinatal Settings Source: Adapted from trauma‐informed continuum of care from World Health Organization 43 …”

Section: Introductionmentioning

confidence: 99%

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Using Theories of Posttraumatic Stress to Inform Perinatal Care Clinician Responses to Trauma Reactions

Granner

Seng

2021

J Midwife Womens Health

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Understanding of the importance of addressing trauma in health care is increasing rapidly. Health care providers may be actively seeking ways to address trauma sequelae affecting their patients with a trauma‐informed continuum of care. Such a continuum includes a universal approach, targeted interventions (ie, practices and programs), and specialist treatment for posttraumatic stress disorder (PTSD), as well as responses to historic and intergenerational trauma. Client presentations and their needs are highly individualized. Therefore, an understanding of prominent theories of what causes PTSD may assist perinatal care professionals in adapting their practice to be trauma‐informed and trauma‐specific. The purpose of this article is to review 4 theories of PTSD relevant to perinatal practice and present an evidence‐based practice framework that encourages collaborative choices consistent with client values and preferences. A brief summary of current evidence‐based PTSD treatment guidelines is presented.

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Careful considerations for the treatment of posttraumatic stress disorder during and following pregnancy

Oliver,

Puiras,

Sharma

et al. 2024

Expert Review of Neurotherapeutics

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Pharmacotherapeutic considerations for the treatment of posttraumatic stress disorder during and after pregnancy

Cited by 5 publications

References 77 publications

The mediation role of resilience and postpartum traumatic stress disorder on parental attachment and the maternal-infant bonding

The mediation role of resilience and postpartum traumatic stress disorder on parental attachment and the maternal-infant bonding

Using Theories of Posttraumatic Stress to Inform Perinatal Care Clinician Responses to Trauma Reactions

Careful considerations for the treatment of posttraumatic stress disorder during and following pregnancy

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