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A feasibility study of trauma-sensitive obstetric care for low-income, ethno-racial minority pregnant abuse survivors.

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Title: A feasibility study of trauma-sensitive obstetric care for low-income, ethno-racial minority pregnant abuse survivors.
Authors: Stevens, N. R., Lillis, T. A., Wagner, L., Tirone, V., Hobfoll, S. E.
Source: Journal of Psychosomatic Obstetrics & Gynecology. Mar2019, Vol. 40 Issue 1, p66-74. 9p.
Subjects: Prenatal depression, Post-traumatic stress, Cognitive therapy, Feasibility studies, Life skills, Pregnant women, Abuse of older people
Abstract: Purpose: This study evaluated the feasibility and acceptability of an integrated (psychological and obstetric) intervention for pregnant abuse survivors with posttraumatic stress symptoms (PTS) from low-income, ethno-racial minority backgrounds.Methods: Trauma-sensitive obstetrics to promote control, anxiety-reduction and empowerment (TO-CARE) offers cognitive-behavioral therapy (CBT) coping skills delivered over six sessions by therapists, coupled with trauma-sensitive obstetric care from specially-trained obstetric physicians.Results: Participants were 21 women who completed at least three sessions of CBT, totaling 51.2% of eligible participants. Participants received approximately one-third (M = 2.29; SD = 2.15) of their prenatal visits with obstetric residents trained in trauma-sensitive care. Nearly all participants (95%) reported that they benefited from the intervention. Although most participants demonstrated improvement in PTS, only four demonstrated reliable improvement, and two demonstrated reliable improvement in depression symptoms. These improvements appeared to be maintained at postpartum follow-up for two of the participants.Conclusions: Our findings suggest that TO-CARE was acceptable to pregnant abuse survivors and may be a promising intervention to reduce symptoms of distress. Implications of the low retention rate for the CBT (51.2%) are discussed in the context of interventions for low-income minority pregnant women. Limitations regarding feasibility of the integrated intervention are discussed. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Psychosomatic Obstetrics & Gynecology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: A feasibility study of trauma-sensitive obstetric care for low-income, ethno-racial minority pregnant abuse survivors.
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  Data: <searchLink fieldCode="AR" term="%22Stevens%2C+N%2E+R%2E%22">Stevens, N. R.</searchLink><br /><searchLink fieldCode="AR" term="%22Lillis%2C+T%2E+A%2E%22">Lillis, T. A.</searchLink><br /><searchLink fieldCode="AR" term="%22Wagner%2C+L%2E%22">Wagner, L.</searchLink><br /><searchLink fieldCode="AR" term="%22Tirone%2C+V%2E%22">Tirone, V.</searchLink><br /><searchLink fieldCode="AR" term="%22Hobfoll%2C+S%2E+E%2E%22">Hobfoll, S. E.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Psychosomatic+Obstetrics+%26+Gynecology%22">Journal of Psychosomatic Obstetrics & Gynecology</searchLink>. Mar2019, Vol. 40 Issue 1, p66-74. 9p.
– Name: Subject
  Label: Subjects
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  Data: <searchLink fieldCode="DE" term="%22Prenatal+depression%22">Prenatal depression</searchLink><br /><searchLink fieldCode="DE" term="%22Post-traumatic+stress%22">Post-traumatic stress</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Feasibility+studies%22">Feasibility studies</searchLink><br /><searchLink fieldCode="DE" term="%22Life+skills%22">Life skills</searchLink><br /><searchLink fieldCode="DE" term="%22Pregnant+women%22">Pregnant women</searchLink><br /><searchLink fieldCode="DE" term="%22Abuse+of+older+people%22">Abuse of older people</searchLink>
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  Label: Abstract
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  Data: <bold>Purpose: </bold>This study evaluated the feasibility and acceptability of an integrated (psychological and obstetric) intervention for pregnant abuse survivors with posttraumatic stress symptoms (PTS) from low-income, ethno-racial minority backgrounds.<bold>Methods: </bold>Trauma-sensitive obstetrics to promote control, anxiety-reduction and empowerment (TO-CARE) offers cognitive-behavioral therapy (CBT) coping skills delivered over six sessions by therapists, coupled with trauma-sensitive obstetric care from specially-trained obstetric physicians.<bold>Results: </bold>Participants were 21 women who completed at least three sessions of CBT, totaling 51.2% of eligible participants. Participants received approximately one-third (M = 2.29; SD = 2.15) of their prenatal visits with obstetric residents trained in trauma-sensitive care. Nearly all participants (95%) reported that they benefited from the intervention. Although most participants demonstrated improvement in PTS, only four demonstrated reliable improvement, and two demonstrated reliable improvement in depression symptoms. These improvements appeared to be maintained at postpartum follow-up for two of the participants.<bold>Conclusions: </bold>Our findings suggest that TO-CARE was acceptable to pregnant abuse survivors and may be a promising intervention to reduce symptoms of distress. Implications of the low retention rate for the CBT (51.2%) are discussed in the context of interventions for low-income minority pregnant women. Limitations regarding feasibility of the integrated intervention are discussed. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Journal of Psychosomatic Obstetrics & Gynecology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/0167482X.2017.1398727
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        Text: English
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      – SubjectFull: Prenatal depression
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      – SubjectFull: Post-traumatic stress
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      – SubjectFull: Cognitive therapy
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      – SubjectFull: Life skills
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      – SubjectFull: Pregnant women
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      – SubjectFull: Abuse of older people
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      – TitleFull: A feasibility study of trauma-sensitive obstetric care for low-income, ethno-racial minority pregnant abuse survivors.
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              Text: Mar2019
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