Post-traumatic stress disorder managed successfully with hypnosis and the rewind technique: two cases in obstetric patients

Slater, P.

doi:10.1016/j.ijoa.2015.03.003

Cited by 8 publications

(12 citation statements)

References 9 publications

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“…In completers, there was a significant decrease in level of PTSD symptoms ( η 2 = 0.5). (see Sperlich et al, 2011 ) Not reported Slater ( 2015 ) 2/2 (100%) Patient 1: Still anxious, but persistent neutral feelings about previous childbirth. Uneventful caesarean, healthy baby A few weeks Patient 2: relaxation during hypnosis.…”

Section: Results Of the Systematic Reviewmentioning

confidence: 99%

“…Some studies included only patients that were self-referred (e.g. Beck & Barnes, 2006 ; Twohig & Donohue, 2007 ) or referred by their maternity care provider (Slater, 2015 ; Stramrood et al, 2012 ) based on reporting PTSD (symptoms), while in two studies recruitment consisted of screening all pregnant women of a certain cohort for PTSD (symptoms) (e.g. Stevens et al, 2019 ; Weinreb, Wenz-gross, & Upshur, 2018 ).…”

Section: Results Of the Systematic Reviewmentioning

confidence: 99%

“…Gestational age at the start of therapy was reported in eight out of 13 included studies. In four studies therapy started before the third trimester without any further specification (Seng, Sperlich, Rowe, & Cameron, 2011 ; Sperlich, Seng, Rowe, & Cameron, 2011 ; Stevens et al, 2019 ; Weinreb et al, 2018 ), in two studies the intervention started in the second trimester (Madigan et al, 2015 ; Twohig & Donohue, 2007 ), and in two studies in the third trimester (Beck & Barnes, 2006 ; Slater, 2015 ).…”

Section: Results Of the Systematic Reviewmentioning

confidence: 99%

“…Correcting for two studies describing the same sample of 32 participants (Seng et al, 2011 ; Sperlich et al, 2011 ), treatments aimed at symptoms of PTSD were evaluated in a total of 206 pregnant women. In three out of the 13 included studies the traumatic event was patients’ first childbirth (Sandström, Wiberg, Wikman, Willman, & Högberg, 2008 ; Slater, 2015 ; Stramrood et al, 2012 ) and in one study an obstetric procedure (Beck & Barnes, 2006 ). In the other studies, the traumatic events included childhood maltreatment, physical or sexual abuse and in two studies (Twohig & Donohue, 2007 ; Weinreb et al, 2018 ) a series of such events.…”

Section: Results Of the Systematic Reviewmentioning

confidence: 99%

“…Gestational age at the start of therapy was reported in eight out of 13 included studies. In four studies therapy started before the third trimester without any further specification Stevens et al, 2019;Weinreb et al, 2018), in two studies the intervention started in the second trimester (Madigan et al, 2015;Twohig & Donohue, 2007), and in two studies in the third trimester (Beck & Barnes, 2006;Slater, 2015). Four out of 13 studies contained a control group (Madigan et al, 2015;Rowe, Sperlich, Cameron, & Seng, 2014;Weinreb et al, 2018;Zlotnick, Capezza, & Parker, 2011).…”

Section: Setting and Designmentioning

confidence: 99%

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The effects of PTSD treatment during pregnancy: systematic review and case study

Baas

Pampus

Braam

et al. 2020

European Journal of Psychotraumatology

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Background: PTSD in pregnant women is associated with adverse outcomes for mothers and their children. It is unknown whether pregnant women with PTSD, or symptoms of PTSD, can receive targeted treatment that is safe and effective. Objective: The purpose of the present paper was to assess the effectiveness and safety of treatment for (symptoms of) PTSD in pregnant women. Method: A systematic review was conducted in accordance with the PRISMA guidelines in Pubmed, Embase, PsychINFO, and Cochrane. In addition, a case is presented of a pregnant woman with PTSD who received eye-movement desensitization and reprocessing (EMDR) therapy aimed at processing the memories of a previous distressing childbirth. Results: In total, 13 studies were included, involving eight types of interventions (i.e. trauma-focused cognitive behavioural therapy, exposure therapy, EMDR therapy, interpersonal psychotherapy, explorative therapy, self-hypnosis and relaxation, Survivor Moms Companion, and Seeking Safety Intervention). In three studies, the traumatic event pertained to a previous childbirth. Five studies reported obstetrical outcomes. After requesting additional information, authors of five studies indicated an absence of serious adverse events. PTSD symptoms improved in 10 studies. However, most studies carried a high risk of bias. In our case study, a pregnant woman with a PTSD diagnosis based on DSM-5 no longer fulfilled the criteria of PTSD after three sessions of EMDR therapy. She had an uncomplicated pregnancy and delivery. Conclusion: Despite the fact that case studies as the one presented here report no adverse events, and treatment is likely safe, due to the poor methodological quality of most studies it is impossible to allow inferences on the effects of any particular treatment of PTSD (symptoms) during pregnancy. Yet, given the elevated maternal stress and cortisol levels in pregnant women with PTSD, and the fact that so far no adverse effects on the unborn child have been reported associated with the application of trauma-focused therapy, treatment of PTSD during pregnancy is most likely safe. Los efectos del tratamiento del TEPT durante el embarazo: revisión sistemática y estudio de caso Antecedentes: El TEPT en mujeres embarazadas se asocia con consecuencias adversas para las madres y sus hijos. Se desconoce si las mujeres que están embarazadas y sufren de TEPT, o síntomas de TEPT, pueden recibir un tratamiento dirigido que sea seguro y efectivo. Objetivo: El objetivo del presente trabajo fue evaluar la efectividad y la seguridad del tratamiento para (síntomas de) TEPT en mujeres embarazadas. Método: Se realizó una revisión sistemática de acuerdo con las directrices PRISMA en Pubmed, Embase, PsychINFO y Cochrane. Además, se presenta un caso de una mujer embarazada con TEPT que recibió terapia de desensibilización y reprocesamiento por movimientos oculares (EMDR) destinada a procesar los recuerdos de un parto traumático anterior. Resultados: En total, se incluyeron 13 estudios, que incluyeron ocho tipos de intervencion...

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Section: Results Of the Systematic Reviewmentioning

confidence: 99%

Section: Results Of the Systematic Reviewmentioning

confidence: 99%

Section: Results Of the Systematic Reviewmentioning

confidence: 99%

Section: Results Of the Systematic Reviewmentioning

confidence: 99%

“…Gestational age at the start of therapy was reported in eight out of 13 included studies. In four studies therapy started before the third trimester without any further specification Stevens et al, 2019;Weinreb et al, 2018), in two studies the intervention started in the second trimester (Madigan et al, 2015;Twohig & Donohue, 2007), and in two studies in the third trimester (Beck & Barnes, 2006;Slater, 2015). Four out of 13 studies contained a control group (Madigan et al, 2015;Rowe, Sperlich, Cameron, & Seng, 2014;Weinreb et al, 2018;Zlotnick, Capezza, & Parker, 2011).…”

Section: Setting and Designmentioning

confidence: 99%

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The effects of PTSD treatment during pregnancy: systematic review and case study

Baas

Pampus

Braam

et al. 2020

European Journal of Psychotraumatology

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Hypnosis-based interventions during pregnancy and childbirth and their impact on women's childbirth experience: A systematic review

Catsaros

Wendland

2020

Midwifery

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Health care practitioners’ views of the support women, partners, and the couple relationship require for birth trauma: current practice and potential improvements

Delicate

Ayers

McMullen

2020

Prim Health Care Res Dev

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Aim: To examine health care practitioners’ views of the support women, partners, and the couple relationship require when affected by birth trauma, barriers to gaining such support, and potential improvements. Background: Ongoing distress following psychologically traumatic childbirth, also known as birth trauma, can affect women, partners, and the couple relationship. Birth trauma can lead to post traumatic stress symptoms (PTSS) or disorder (PTSD). Whilst there is a clear system of care for a PTSD diagnosis, support for the more prevalent experience of birth trauma is not well-defined. Method: An online survey of health care practitioners’ views of the support parents require for birth trauma, barriers to accessing support, and potential improvements. Practitioners were recruited in 2018 and the sample for the results presented in the article ranged from 95 to 110. Results: Practitioners reported differing needs of support for women, partners, and the couple as a unit. There was correlation between practitioners reporting having the skills and knowledge to support couples and feeling confident in giving support. The support most commonly offered by practitioners to reduce the impact on the couple relationship was listening to the couple. However practitioners perceived the most effective support was referral to a debriefing service. Practitioners observed several barriers to both providing support and parents accessing support, and improvements to birth trauma support were suggested. Conclusions: Practitioners indicate that some women, partners, and the couple as a unit require support with birth trauma and that barriers exist to accessing effective support. The support that is currently provided often conflicts with practitioners’ perception of what is most effective. Practitioners indicate a need to improve the identification of parents who need support with birth trauma, and more suitable services to support them.

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Post-traumatic stress disorder managed successfully with hypnosis and the rewind technique: two cases in obstetric patients

Cited by 8 publications

References 9 publications

The effects of PTSD treatment during pregnancy: systematic review and case study

The effects of PTSD treatment during pregnancy: systematic review and case study

Hypnosis-based interventions during pregnancy and childbirth and their impact on women's childbirth experience: A systematic review

Health care practitioners’ views of the support women, partners, and the couple relationship require for birth trauma: current practice and potential improvements

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