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Postnatal debriefing: Have we thrown the baby out with the bathwater?

Warren, FM, Meades, R, Pond, C and Ayers, S (2011) Postnatal debriefing: Have we thrown the baby out with the bathwater? Behaviour Research and Therapy, 49 (5). pp. 367-372.

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Abstract

Postnatal debriefing is offered by 78% of maternity services in the UK despite little evidence from randomised controlled trials (RCTs) that it is effective. RCTs in this area have applied debriefing as a prophylactic to all or high risk women, rather than as a treatment for women who request it. This pragmatic trial therefore evaluated existing postnatal debriefing services that provide debriefing as a treatment for women who request it. Forty-six women who met criterion A for posttraumatic stress disorder (PTSD) and requested debriefing 1.3–72.2 months (median 16 weeks) postpartum completed measures of depression, PTSD, support and negative appraisals of the birth before and one month after debriefing. Women were compared with others who gave birth in the same hospitals during the same time period (n = 34), who met criterion A for PTSD but had not requested debriefing. Results showed PTSD symptoms reduced over time in both groups but greater decreases were observed in women who attended debriefing. Debriefing also led to reduction in negative appraisals but did not affect symptoms of depression. Therefore, results suggest providing debriefing as a treatment to women who request or are referred to it may help to reduce symptoms of PTSD.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Psychology
Authors :
AuthorsEmailORCID
Warren, FMUNSPECIFIEDUNSPECIFIED
Meades, RUNSPECIFIEDUNSPECIFIED
Pond, CUNSPECIFIEDUNSPECIFIED
Ayers, SUNSPECIFIEDUNSPECIFIED
Date : May 2011
Identification Number : 10.1016/j.brat.2011.03.002
Related URLs :
Additional Information : NOTICE: this is the author’s version of a work that was accepted for publication in Behaviour Research and Therapy. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Behaviour Research and Therapy, 49(5), May 2011, DOI 10.1016/j.brat.2011.03.002.
Depositing User : Symplectic Elements
Date Deposited : 27 Jun 2014 16:25
Last Modified : 16 Aug 2014 13:35
URI: http://epubs.surrey.ac.uk/id/eprint/804155

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