The Effect of Brief Supportive Psychotherapy on Prevention of Psychiatric Morbidity in Women with Miscarriage: A Randomized Controlled Trial about the First 24-hours of Hospitalization

Barat, Shahnaz; Yazdani, Shahla; Faramarzi, Mahbobeh; Khafri, Soraya; Darvish, Maryam; Rad, Mojgan Naeimi; Asnafi, N

doi:10.5001/omj.2020.48

Cited by 6 publications

(6 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We also hypothesized that a short course of counselling, with a maximum of 4 sessions of 45 min each, delivered by teleconsultation with a psychologist, would yield a clinically measurable benefit, as assessed by validated instruments (the STAI-Y for anxiety, the BDI for depression and the PCLS for PTSD). According to Barat et al, brief supportive psychotherapy was effective in reducing symptoms of anxiety, depression and grief in women with miscarriage when conducted in the first 24 h of hospitalization, as compared to a control group [ 31 ]. Our randomized, controlled trial was designed taking into account the recommendations issued by the WHO regarding flexibility in terms of scheduling of appointments and the care offered, as well as respect for women’s privacy.…”

Section: Discussionmentioning

confidence: 99%

“…Study endpoints were measured at varying timepoints, ranging from one month [ 17 ] to 12 months after miscarriage [ 29 ]. The measurement scales used also varied across studies, and included the 12-item General Health Questionnaire (GHQ-12), the Beck Depression Inventory (BDI), the Dyadic Adjustment Scale (DAS) [ 17 ], the Hospital Anxiety and Depression Scale (HADS) [ 27 , 28 ], or the Perinatal Grief Scale (PGS) [ 31 ], amongst others. In a systematic review of the literature investigating the effect of interventions to reduce stress, anxiety or depression in pregnant women with a history of miscarriage, San Lazaro Campillo et al could not find a single study up to 2016 that met their inclusion criteria [ 32 ].…”

Section: Introductionmentioning

confidence: 99%

“…Yet, cohort studies and clinical trials suggest that psychological interventions and specific support interventions could improve well-being in women who experience miscarriage, and could mitigate the mental health repercussions on subsequent pregnancies. Barat et al showed that a 2-hour brief supportive psychotherapy performed during the first 24 h of hospitalization was effective in significantly reducing the frequency of anxiety symptoms (13.5% vs. 60.5%), depressive symptoms (32.4% vs. 71.1%), and grief symptoms (10.8% vs. 65.8%) in the group receiving psychotherapy compared to the control group at four-months of follow-up [ 31 ]. A study by Johnson et al in 2015 suggested that a secondary bereavement intervention on grieving in women who experienced miscarriage at 12–20 weeks gestation promoted women’s ability to cope with early pregnancy loss [ 33 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Utility of early, short psychological care for women who experience early miscarriage: protocol for the randomized, controlled MisTher trial

Barbe,

Boiteux-Chabrier,

Charillon

et al. 2023

BMC Psychol

View full text Add to dashboard Cite

Background Around one in ten women will have a miscarriage in their lifetime. Miscarriage is often considered a trivial event by caregivers, but it is associated with a high burden of psychological morbidity, especially during the first 6 months. There is no validated psychological management strategy for women who have had a miscarriage. The MisTher study aims to evaluate the utility of early, short psychological care for women who have had early miscarriage, in terms of anxiety, depression and post-traumatic stress disorder. Methods This is a prospective, multicenter, randomized, controlled, superiority study. In total, 932 women who have experienced early miscarriage (spontaneous interruption of pregnancy prior to 14 weeks of gestation) will be randomly assigned to either the intervention or the control group. The intervention consists of 4 teleconsultations of 45 min with a psychologist. All women, regardless of their allocated group, will be encouraged to seek an early consultation with a general practitioner or midwife. The primary endpoint will be anxiety at 3 months after randomization evaluated using State Trait Anxiety Inventory. The secondary endpoints will be anxiety at 6 months evaluated using State Trait Anxiety Inventory, depression at 3 and 6 months evaluated with the Beck Depression Inventory, and post-traumatic stress disorder at 3 and 6 months, evaluated using the Posttraumatic stress disorder Checklist Scale. Discussion This project will validate the importance of early psychological management, based on primary care and accessible to most women, via teleconsultation, in reducing the frequency of psychological disorders after early miscarriage. Our results should provide a basis for new recommendations for the management of women who have experienced miscarriage, notably by recommending the involvement of trained psychologists in the management pathway for these women. Trial registration The trial is registered with ClinicalTrials.gov: NCT05653414. December 15th, 2022.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Utility of early, short psychological care for women who experience early miscarriage: protocol for the randomized, controlled MisTher trial

Barbe,

Boiteux-Chabrier,

Charillon

et al. 2023

BMC Psychol

View full text Add to dashboard Cite

show abstract

“…Nurses are recognized as key persons who can help patients mitigate their negative thoughts and emotions, among which depression and anxiety are common reactions, and patients' emotional needs should be addressed during nurse counseling (Rutledge et al, 2018 ; Tay et al, 2018 ). SPT intervention, as an alternative method for giving patients self-confidence in their self-care practice, in understanding their problems, maintaining their hope, and reducing their anxiety (Ruchiwit, 2012 ), has been successfully used as a supportive treatment in many diseases, including hematologic malignancies (Koehler et al, 2022 ), body dysmorphic disorder (Weingarden et al, 2021 ), obesity (Juchacz et al, 2021 ), chronic back pain (Rutledge et al, 2018 ), and miscarriage and so on (Barat et al, 2020 ). However, there is a lack of evidence on its role in the management of patients undergoing FOB.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Supportive Psychotherapy on the Anxiety and Depression Experienced by Patients Receiving Fiberoptic Bronchoscope

Ren

Ruan

et al. 2022

Front. Psychol.

View full text Add to dashboard Cite

ObjectivesAs the largest cohort of healthcare workers and nurses can practice as psychotherapists to integrate the psychotherapeutic interventions as part of routine care. The present study aims to evaluate the effectiveness of supportive psychotherapy (SPT) on patients who had been scheduled to undergo a fiberoptic bronchoscopy (FOB) procedure.MethodsThis study retrospectively analyzed 92 patients who underwent FOB, which was divided into the SPT group and usual-care group based on whether patients were given SPT interventions or not. The Patient Health Questionnaire-9 (PHQ-9) and Hospital Anxiety and Depression Scale (HADS) were used to determine the severity of depression and anxiety, as well as the 36-Item Short-Form Health Survey questionnaire (SF-36) to evaluate the health-related quality of life (HRQoL). Moreover, the patients' satisfaction was assessed based on the Likert 5-Point Scale.ResultsThe baseline status of anxiety, depression, and HRQoL in patients was similar in the SPT group and the usual-care group with no significant difference. Both PHQ-9 score and HADS-D score in the SPT group after intervention were lower than that in the usual-care group, accompanied by the deceased HADS-A subscale. Moreover, the improved HRQoL was found in the patients undergoing FOB after SPT interventions as compared to those receiving conventional nursing care using the SF-36 score. Additionally, the patient satisfaction in the SPT group was higher than in the usual-care group.ConclusionsThe study demonstrated that anxiety and depression, as negative emotions, can be reduced by supportive psychotherapy in patients receiving FOB with improved mental health and satisfaction with nursing care.

show abstract

“…Given the need of bereaved mothers for coping programs to help them recover from grief and due to a limited number of interventional studies on perinatal grief in Iran, based on cognitive behavioral therapy, brief supportive psychotherapy, and Warden's counseling principles,[ 17 18 19 ] the present study was designed to determine the effect of a coping program on mothers’ grief following perinatal deaths.…”

Section: Introductionmentioning

confidence: 99%

The effect of a coping program on mothers' grief following perinatal deaths

Nourizadeh

Nournorouzi

Hakimi

et al. 2022

J Edu Health Promot

View full text Add to dashboard Cite

BACKGROUND: Mother–child attachment is formed from early stages of pregnancy and peaks in the second trimester and continues until after childbirth. The fetal or neonatal death as a tragic event could lead to the grief experience among parents, especially mothers. The present study aimed to determine the effect of a coping program on mothers’ grief following perinatal deaths. MATERIALS AND METHODS: This trial study was performed on 56 women with the experience of perinatal death during the last 1–3 months with a score of Perinatal Grief Scale (PGS) ≥91, who were referred to the health centers of Tabriz, Iran, from September 2020 to June 2021. Participants were randomly assigned into the intervention and control groups through stratified blocking on the basis of the stillbirth and neonatal death using Random Allocation Software with a block size of 4 and 6 with a ratio of 1:1. The intervention group received a coping program individually during three sessions, once a week for 45–60 min. Data collection tools included the demographic and obstetric characteristic questionnaire and PGS. The data were analyzed using SPSS 24. The groups were compared through t-test, and ANCOVA after adjusting the effect of baseline score. RESULTS: Prior to coping program, the mean standard deviation of the grief total score was 108.32 (14.31) in the intervention group and 107.92 (6.65) in the control group ( P = 0.89). After coping program, the mean of the grief total score was 82.28 (16.72) in the intervention group and 101.05 (12.78) in the control group. After adjusting the effect of baseline score and stratified factors, the mean of the grief total score in the intervention group was significantly lower than that in the control group [Adjusted mean difference (AMD): −18.77, 95% confidence interval: −26.79 to − 10.75, P ≤ 0.001]. CONCLUSION: Conducting a coping program during 1–3 months after experiencing perinatal deaths is effective in reducing the mothers’ grief reactions. It is recommended to evaluate the effectiveness of the same intervention after perinatal deaths for both parents with a longer follow-up period in further studies.

show abstract

The Effect of Brief Supportive Psychotherapy on Prevention of Psychiatric Morbidity in Women with Miscarriage: A Randomized Controlled Trial about the First 24-hours of Hospitalization

Cited by 6 publications

References 24 publications

Utility of early, short psychological care for women who experience early miscarriage: protocol for the randomized, controlled MisTher trial

Utility of early, short psychological care for women who experience early miscarriage: protocol for the randomized, controlled MisTher trial

The Effectiveness of Supportive Psychotherapy on the Anxiety and Depression Experienced by Patients Receiving Fiberoptic Bronchoscope

The effect of a coping program on mothers' grief following perinatal deaths

Contact Info

Product

Resources

About