Cognitive Behavior Therapy: the utility of psychological intervention for coping with spontaneous abortion, by Natalène Séjourné, Stacey Callahan, and Henri Chabrolb (excerpts)
The utility of psychological intervention for coping with spontaneous abortion
Between 12 and 24% of confirmed pregnancies [end in miscarriage].
The feelings of isolation and blame felt by women who have experienced miscarriage are often poorly confronted by not only their immediate support system, but by health professionals as well (Regan, 2001).
20–40% suffer symptoms of anxiety.
After a miscarriage that 51% of women fulfilled DSM- III criteria for depression (Garel et al., 1992). Miscarriage is an unexpected event that can imply sudden and intense pain, bleeding, hospitalisation, and surgical intervention; it thus constitutes a physically traumatising event. In one study, the prevalence of PTSD was observed to be 25% one month after the loss.
CBT-based prevention interventions on post-traumatic stress…Many authors underline the interest in using CBT techniques in situations necessitating emotional adaptation, such as grief and loss.
CBT for helping women deal with miscarriages emphasising that these methods were particularly suitable for dealing with the feelings of guilt, incapacity, fear, and depression often noted in miscarriage experiences.
Simply discussing the experience does not seem to have any notable positive impact on well- being, and it seems logical to provide more effective support and supplement therapy with a more active therapeutic approach.
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