Childbirth-related posttraumatic stress Mental and Behavioural Disorders
Conditions
Interventions
The multiprofessional intervention used in this trial is built on two components. In the current trial, all interventions will be delivered via online video calls. However, they are designed in a way
Sloan & Marx, 2025). This is a highly manualised exposure-based trauma intervention in 5 sessions. In the first session (60 minutes), the psychologist offers psychoeducation about CB-PTSD s
Sponsors
Mid Sweden University
Dalarna University
Örebro University
Uppsala University
Linköping University
Eligibility
Sex/Gender
Female
Age
18 Years to 50 Years
Inclusion criteria
Inclusion criteria: 1. Age 18 or above 2. Self-reported traumatic experience during (or immediately after) the labour and birth of one’s most recent baby 3. 3 to 12 months have elapsed since the birth 4. Symptom score =14 on the City Birth Trauma Scale 5. Being able to read and write by hand in Swedish
Exclusion criteria
Exclusion criteria: 1. Pregnant at inclusion 2. Having experienced neonatal or perinatal mortality in the last labour and birth 3. Posttraumatic stress symptoms are primarily related to another traumatic experience 4. Severe mental health or social problems 5. Currently receiving other professional support for the traumatic birth experience or related mental health problems 6. Previous completion of WET or other manualised exposure-based intervention targeting the index childbirth trauma
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Symptoms of childbirth-related post-traumatic stress measured using The City Birth Trauma Scale (City BiTS) at post-intervention (approximately 10 weeks after intervention start, or the equivalent time point for the WLC condition) | — |
Secondary
| Measure | Time frame |
|---|---|
| Symptoms of childbirth-related post-traumatic stress measured using the City Birth Trauma Scale (City BiTS) at mid-intervention (3-7 days after CR and before WET, or the equivalent time point for the WLC condition), 6-month follow-up (6 months after intervention start, or the equivalent time point for the WLC condition), and 9-month follow-up (9 months after intervention start, or the equivalent time point for the WLC condition);Symptoms of post traumatic stress (for sensitivity analysis) measured using the PTSD Checklist for DSM 5 (PCL 5) at post-intervention and 9-month follow-up;Symptoms of postpartum depression measured using the Edinburgh Postnatal Depression Scale (EPDS) at mid-intervention, post-intervention, 6-month follow-up, and 9-month follow-up;Fear of childbirth measured using the Fear of Birth Scale (FOBS) at mid-intervention, post-intervention, 6-month follow-up, and 9-month follow-up;Fear of childbirth measured using the Fear of Childbirth Questionnaire (FCQ) at post-intervention and 9-month follow-up;Quality of life measured using items 1 and 2 from WHOQOL-BREF at mid-intervention, post-intervention, 6-month follow-up, and 9-month follow-up;Well-being measured using the World Health Organization-Five Well-Being Index (WHO-5) at mid-intervention, post-intervention, 6-month follow-up, and 9-month follow-up;Symptoms indicating complex PTSD measured using the subscale ‘Disturbances in Self-Organisation’ in the International Trauma Questionnaire (ITQ) at post-intervention and 9-month follow-up;Parental self-efficacy measured using the Karitane Parenting Confidence Scale (KPCS) at post-intervention and 6-month follow-up;Positive parent behaviours measured using the Comprehensive Early Childhood Parenting Questionnaire (CEQPAQ), subdomains Activities and Affection at 6-month follow-up;Parent-infant bonding measured using the Postpartum Bonding Questionnaire (PBQ) at post-intervention and 6-month follow-up;Acceptability of interventions measured using the | — |
Countries
Sweden
Contacts
Public ContactElisabet Rondung
Outcome results
None listed