Posttraumatic Stress Disorder
Conditions
Keywords
posttraumatic stress disorder, prenatal care
Brief summary
The objectives of this research study are to screen 750 pregnant women at risk of trauma-related stress symptoms, and adapt and test an evidence-based intervention for pregnant women with PTSD and sub-threshold PTSD symptoms served by two public payer community health centers.
Detailed description
Studies of Posttraumatic Stress Disorder (PTSD) in pregnant women in public payer settings have shown rates 5 or more times that of other populations, and rates as high as 33% of lifetime PTSD sub-threshold symptoms. PTSD during pregnancy has been linked to poor prenatal care and high risk behaviors such as drug and alcohol use and smoking. Further, PTSD may pose a barrier to care as obstetric procedures and pregnancy may trigger PTSD symptoms and avoidance of care. PTSD is also associated with pregnancy and birth complications and negative postpartum outcomes including excessive weight gain, preterm birth, low birth weight, risk for parenting problems, and increased barriers to breastfeeding. However, screening, identification, and support for PTSD is lacking. This study will screen 750 pregnant women at risk of trauma-related stress symptoms, and adapt and test an evidence-based intervention for pregnant women with PTSD and sub-threshold PTSD symptoms served by two public payer community health centers.
Interventions
BEHAVIORALAdapted Seeking Safety Intervention
Intervention participants received Seeking Safety psychosocial education Intervention adapted for prenatal care setting.
Sponsors
Health Resources and Services Administration (HRSA)
University of Massachusetts, Worcester
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Mothers who are receiving prenatal care * 18 years or older * In the first 20 weeks of pregnancy * Screen positive for posttraumatic stress disorder
Exclusion criteria
* Not pregnant * Not currently psychotic * No current suicidal ideation * Language other than English, Spanish, Vietnamese, and Portuguese
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in posttraumatic stress disorder symptoms | The primary endpoint is one month postpartum |
| Preterm labor | the primary endpoint is one month postpartum |
| Birthweight | the primary endpoint is one month postpartum |
Secondary
| Measure | Time frame |
|---|---|
| Number of visits for prenatal care | the primary end point is one month postpartum |
| Change in depression symptoms | the primary endpoint is one month postpartum |
| change in coping strategies inventory | the primary endpoint is one month postpartum |
Outcome results
None listed