A., Kersting R., Dölemeyer J., Steinig F., Walter K., Kroker K., Baust B., Wagner Supplementary Material for: Brief Internet-Based Intervention Reduces Posttraumatic Stress and Prolonged Grief in Parents after the Loss of a Child during Pregnancy: A Randomized Controlled Trial <b><i>Background:</i></b> The loss of a child during pregnancy causes significant psychological distress for many women and their partners, and may lead to long-lasting psychiatric disorders. Internet-based interventions using exposure techniques and cognitive restructuring have proved effective for posttraumatic stress disorder (PTSD) and prolonged grief. This study compared the effects of an Internet-based intervention for parents after prenatal loss with a waiting list condition (WLC). <b><i>Methods:</i></b> The Impact of Event Scale - Revised assessed symptoms of PTSD; the Inventory of Complicated Grief and the Brief Symptom Inventory assessed depression, anxiety, and general mental health. The 228 participants (92% female) were randomly allocated to a treatment group (TG; n = 115) or a WLC group (n = 113). The TG received a 5-week cognitive behavioral intervention including (1) self-confrontation, (2) cognitive restructuring, and (3) social sharing. <b><i>Results:</i></b> The TG showed significantly reduced symptoms of posttraumatic stress, prolonged grief, depression, and anxiety relative to the WLC control group. Intention-to-treat analysis revealed treatment effects of between d = 0.84 and d = 1.02 for posttraumatic stress and prolonged grief from pre- to posttreatment time points. Further significant improvement in all symptoms of PTSD and prolonged grief was found from the posttreatment evaluation to the 12-month follow-up. The attrition rate of 14% was relatively low. <b><i>Conclusions:</i></b> The Internet-based intervention proved to be a feasible and cost-effective treatment, reducing symptoms of posttraumatic stress, grief, depression, anxiety, and general mental health after pregnancy loss. Low-threshold e-health interventions should be further evaluated and implemented routinely to improve psychological support after pregnancy loss. Internet-based intervention;Cognitive behavioral therapy;Posttraumatic stress disorder;Prolonged grief;Complicated grief;Pregnancy loss;Prenatal loss;Depression;Pregnancy 2013-09-20
    https://karger.figshare.com/articles/dataset/Supplementary_Material_for_Brief_Internet-Based_Intervention_Reduces_Posttraumatic_Stress_and_Prolonged_Grief_in_Parents_after_the_Loss_of_a_Child_during_Pregnancy_A_Randomized_Controlled_Trial/5124751
10.6084/m9.figshare.5124751.v1