Evidence map›Paper›PMID 34818326›Full record

SynthesisPloS one2021

Early psychological interventions for prevention and treatment of post-traumatic stress disorder (PTSD) and post-traumatic stress symptoms in post-partum women: A systematic review and meta-analysis.

P G Taylor Miller, M Sinclair, P Gillen, J E M McCullough, P W Miller, D P Farrell, P F Slater, E Shapiro, P Klaus

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
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  8. Article
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  11. Traumatic Psychedelic Experiences.Current topics in behavioral neurosciences · 2026
    Review
  12. Article
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  15. Article
  16. Article
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  19. Childbirth as a traumatic event for attendant fathers.European journal of psychotraumatology · 2024
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

P G Taylor MillerInstitute of Nursing and Health Research, Faculty of Life and Health Sciences, Ulster University, Belfast, Northern Ireland, United Kingdom.
M SinclairInstitute of Nursing and Health Research, Faculty of Life and Health Sciences, Ulster University, Belfast, Northern Ireland, United Kingdom.
P GillenInstitute of Nursing and Health Research, Faculty of Life and Health Sciences, Ulster University, Belfast, Northern Ireland, United Kingdom.
J E M McCulloughInstitute of Nursing and Health Research, Faculty of Life and Health Sciences, Ulster University, Belfast, Northern Ireland, United Kingdom.
P W MillerInstitute of Nursing and Health Research, Faculty of Life and Health Sciences, Ulster University, Belfast, Northern Ireland, United Kingdom.
D P FarrellDepartment of Violence Prevention, Trauma and Criminology, School of Psychology, University of Worcester, Worcester, England, United Kingdom.
P F SlaterInstitute of Nursing and Health Research, Faculty of Life and Health Sciences, Ulster University, Belfast, Northern Ireland, United Kingdom.
E ShapiroEMDR Association, Mental Health Centre, Lev HaSharon, Israel.
P KlausDona International, Chicago, Illinois, United States of America.
University of Ulster · GBSouthern Health and Social Care Trust · GBUniversity of Worcester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPre-term or full-term childbirth can be experienced as physically or psychologically traumatic. Cumulative and trans-generational effects of traumatic stress on both psychological and physical health indicate the ethical requirement to investigate appropriate preventative treatment for stress symptoms in women following a routine traumatic experience such as childbirth.

objectiveThe objective of this review was to investigate the effectiveness of early psychological interventions in reducing or preventing post-traumatic stress symptoms and post-traumatic stress disorder in post-partum women within twelve weeks of a traumatic birth.

methodsRandomised controlled trials and pilot studies of psychological interventions preventing or reducing post-traumatic stress symptoms or PTSD, that included women who had experienced a traumatic birth, were identified in a search of Cochrane Central Register of Randomised Controlled Trials, MEDLINE, Embase, Psychinfo, PILOTS, CINAHL and Proquest Dissertations databases. One author performed database searches, verified results with a subject librarian, extracted study details and data. Five authors appraised extracted data and agreed upon risk of bias. Analysis was completed with Rev Man 5 software and quality of findings were rated according to Grading of Recommendation, Assessment, Development, and Evaluation.

resultsEleven studies were identified that evaluated the effectiveness of a range of early psychological interventions. There was firm evidence to suggest that midwifery or clinician led early psychological interventions administered within 72 hours following traumatic childbirth are more effective than usual care in reducing traumatic stress symptoms in women at 4-6 weeks. Further studies of high methodological quality that include longer follow up of 6-12 months are required in order to substantiate the evidence of the effectiveness of specific face to face and online early psychological intervention modalities in preventing the effects of stress symptoms and PTSD in women following a traumatic birth before introduction to routine care and practice. PROSPERO REGISTRATION: CRD42020202576, https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=202576.

Indexed as

Psychosocial InterventionDepression, PostpartumFemaleHumansOutcome Assessment, Health CareParturitionPostpartum PeriodPregnancyPublication BiasRiskStress Disorders, Post-Traumatic

Identifiers

PMID34818326
PMCPMC8612536
OpenAlexW3217182455

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.