The Effects of Expressive Writing Following Traumatic Childbirth
Massachusetts General Hospital
Summary
The goal of this clinical trial is to test a brief psychological intervention given to individuals in the first days following childbirth who have experienced a potentially stressful childbirth. The treatment is aimed at preventing post-traumatic stress disorder following childbirth and promoting maternal-infant bonding. In the days following childbirth, participants will be asked to write about their childbirth experience or a neutral event for three consecutive days, for around 15 minutes each day. Additionally, they will complete a short survey before and after the intervention about their birth experience and mental health. Around 2 months postpartum (with the option of up to around Month 3 PP), participants will take part in mental health and physiological assessments, and in a brief play session with their infant.
Description
Childbirth-related PTSD (CB-PTSD) is a debilitating maternal mental disorder that undermines the well-being of mothers and can interfere with bonding with their infants during an important time of infant development. A significant portion of delivering women, particularly those who have experienced complicated deliveries, are at-risk for developing CB-PTSD. Underrepresented minorities are also at higher risk for CB-PTSD. An estimated 240,000 American women are likely to be affected by CB-PTSD each year. Currently, there is no recommended intervention for individuals exposed to traumatic child…
Eligibility
- Age range
- 18–50 years
- Sex
- Female
- Healthy volunteers
- Yes
Inclusion Criteria: * Women who recently delivered at Massachusetts General Hospital (MGH). * Women who are at risk for developing CB-PTSD based on their scoring of \>16 on the Peritraumatic Distress Inventory (PDI). Exclusion Criteria: * Age \<18 or \>50. * Stillbirth. * Down's Syndrome, other serious genetic disorder in the newborn, or serious birth defect (e.g., microcephaly, spina bifida). * Admission to the neonatal intensive care unit (NICU) for more than 1 week or infant that is not medically healthy. * Current diagnosable DSM-5 psychotic or bipolar disorder, or current substance abu…
Interventions
- BehavioralExpressive Writing about Childbirth
Participants will write repeatedly about their deepest emotions and thoughts related to their recent childbirth, focusing on the most stressful experiences.
- BehavioralNeutral Writing
Participants will write repeatedly about neutral daily events/tasks not related to childbirth.
Location
- Massachusetts General HospitalBoston, Massachusetts