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Resilience, Recovery, and Therapeutic Interventions for Peripartum Women with Histories of Trauma

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Motherhood in the Face of Trauma

Abstract

Although traumatic experiences increase risk for myriad mental health sequelae, most individuals who experience marked adverse events do not meet the criteria for psychiatric disorders or appear to sustain chronic injury or functional impairments. This chapter entails several of the critical aspects of psychosocial resilience and recovery in the context of distal and proximal trauma. First, we review the literature on posttraumatic well-being among peripartum women. Second, we consider therapeutic processes central to trauma recovery and survivors’ care preferences. Finally, we present information on the current state of knowledge regarding the application of empirically supported interventions for major depressive disorder (MDD), posttraumatic stress disorder (PTSD), and affect regulation difficulties to trauma-exposed peripartum women.

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References

  • Andersson L, Sundstrom-Poromaa I, Wulff M, Astrom M, Bixo M (2006) Depression and anxiety during pregnancy and six months postpartum: a follow-up study. Acta Obstet Gynecol Scand 85:937–944

    Article  PubMed  Google Scholar 

  • Apter-Danon G, Candilis-Huisman D (2005) A challenge for perinatal psychiatry: therapeutic management of maternal borderline personality disorder and their very young infants. Clin Neuropsychiatr 2:302–314

    Google Scholar 

  • Arch JJ, Dimidjian S, Chessick CA (2012) Are exposure-based cognitive behavioral therapies safe during pregnancy? Arch Womens Ment Health 15:445–457

    Article  PubMed  Google Scholar 

  • Ayers S, McKenzie-McHarg K, Eagle A (2007) Cognitive behaviour therapy for postnatal post-traumatic stress disorder: case studies. J Psychosom Obstet Gynaecol 28:177–184

    Article  PubMed  Google Scholar 

  • Bradley R, Greene J, Russ E, Dutra L, Westen D (2005) A multidimensional meta-analysis of psychotherapy for PTSD. Am J Psychiatr 162:214–227

    Article  PubMed  Google Scholar 

  • Connor M, Davidson JR (2003) Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety 18:76–82

    Article  PubMed  Google Scholar 

  • Dossa NI, Hatem M (2012) Cognitive-behavioral therapy versus other PTSD psychotherapies as treatment for women victims of war-related violence: a systematic review. Sci World J 2012:1–9

    Article  Google Scholar 

  • Foa EB, Hembree EA, Rothbaum BO (2007) Prolonged exposure therapy for PTSD: emotional processing of traumatic experiences, therapist guide (treatments that work). Oxford University, New York, NY

    Google Scholar 

  • Gotlib IH, Whiffen VE, Wallace PM, Mount JH (1991) Prospective investigation of postpartum depression: factors involved in onset and recovery. J Abnorm Psychol 100:122–132

    Article  CAS  PubMed  Google Scholar 

  • Harned M, Korslund K, Foa E, Linehan M (2012) Treating PTSD in suicidal and self-injuring women with borderline personality disorder: development and preliminary evaluation of a dialectical behavior therapy prolonged exposure protocol. Behav Res Ther 50:381–386

    Article  PubMed  PubMed Central  Google Scholar 

  • Harville EW, Xiong X, Buekens P, Pridjian G, Elkind-Hirsch K (2010) Resilience after hurricane Katrina among pregnant and postpartum women. Womens Health Issues 20:20–27

    Article  PubMed  PubMed Central  Google Scholar 

  • Hughes P, Riches S (2003) Psychological aspects of perinatal loss. Curr Opin Obstet Gynecol 15:107–111

    Article  PubMed  Google Scholar 

  • Leahy-Warren P, McCarthy G, Corcoran P (2012) First-time mothers: social support, maternal parental self-efficacy and postnatal depression. J Clin Nurs 21:388–397

    Article  PubMed  Google Scholar 

  • Linehan MM (1993) Cognitive behavioral treatment of borderline personality disorder. Guilford Press, New York

    Google Scholar 

  • Lynch TR, Trost WT, Salsman N, Linehan MM (2007) Dialectical behavior therapy for borderline personality disorder. Annu Rev Clin Psychol 3:181–205

    Article  PubMed  Google Scholar 

  • Mouilso ER, Tuerk PW, Schnurr PP, Rauch SA (2015) Addressing the gender gap: prolonged exposure for PTSD in veterans. Psychol Serv 13(3):308–316. doi:10.1037/ser0000040

    Article  PubMed  Google Scholar 

  • Muzik M, Ads M, Bonham C, Rosenblum K, Broderick A, Kirk R (2013) Perspectives on trauma-informed care from mothers with a history of childhood maltreatment: a qualitative study. Child Abuse Negl 37:1215–1224

    Article  PubMed  Google Scholar 

  • Muzik M, Brier Z, Menke R, Davis MT, Sexton MB (2016) Longitudinal suicidal ideation across 18-months postpartum in mothers with childhood maltreatment histories: temporal trajectories and predictors of risk. J Affect Disord 204:138–145

    Article  PubMed  PubMed Central  Google Scholar 

  • Muzik M, Umarji R, Sexton MB, Davis MT (2017) Social support buffers the relationships between childhood maltreatment severity, economic adversity and postpartum depressive symptoms. Matern Child Health J 21:1018–1025

    Google Scholar 

  • O’Hara MW, Stuart S, Gorman LL, Wenzel A (2000) Efficacy of interpersonal psychotherapy for postpartum depression. Arch Gen Psychiatry 57:1039–1045

    Article  PubMed  Google Scholar 

  • Powers MB, Halpern JM, Ferenschak MP, Gillihan SJ, Foa EB (2010) A meta-analytic review of prolonged exposure for posttraumatic stress disorder. Clin Psychol Rev 30:635–641

    Article  PubMed  Google Scholar 

  • Resick PA, Schnicke MK (1993) Cognitive processing therapy for sexual assault victims: a treatment manual. Sage Publications, Newbury Park

    Google Scholar 

  • Resick PA, Nishith P, Weaver TL, Astin MC, Feuer CA (2002) A comparison of cognitive-processing therapy with prolonged exposure and a waiting condition for the treatment of chronic posttraumatic stress disorder in female rape victims. J Consult Clin Psychol 70:867–879

    Article  PubMed  PubMed Central  Google Scholar 

  • Robertson E, Grace S, Wallington T, Stewart DE (2004) Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry 26:289–295

    Article  PubMed  Google Scholar 

  • Sexton MB, Flynn HA, Lancaster C, Marcus S, McDonough S et al (2012) Predictors of recovery from prenatal depressive symptoms from pregnancy through postpartum. J Womens Ment Health 21:43–49

    Article  Google Scholar 

  • Sexton MB, Hamilton L, McGinnis EW, Rosenblum KL, Muzik M (2015) The roles of resilience and childhood trauma history: main and moderating effects on postpartum maternal mental health and functioning. J Affect Disord 174:562–568

    Article  PubMed  Google Scholar 

  • Sockol LE, Epperson CN, Barber JP (2011) A meta-analysis of treatments for perinatal depression. Clin Psychol Rev 31:839–849

    Google Scholar 

  • Spinelli MB, Endicott J (2003) Controlled clinical trial of interpersonal psychotherapy versus parenting education program for depressed pregnant women. Am J Psychiatr 160:555–562

    Article  PubMed  Google Scholar 

  • Swanson LM, Flynn H, Adams-Mundy JD, Armitage R, Arnedt JT (2013) An open pilot of cognitive-behavioral therapy for insomnia in women with postpartum depression. Behav Sleep Med 11:297–307

    Article  PubMed  Google Scholar 

  • Turton P, Hughes P, Evans CDH, Fainman D (2001) Incidence, correlates, and predictors of posttraumatic stress disorder in the pregnancy after stillbirth. Br J Psychiatry 178:556–560

    Article  CAS  PubMed  Google Scholar 

  • Twohig MP, O’Donohue WT (2007) Treatment of posttraumatic stress disorder with exposure therapy during late term pregnancy. Clin Case Stud 6:525–535

    Article  Google Scholar 

  • Walter KH, Varkovitzky RL, Owens GP, Lewis J, Chard KM (2014) Cognitive processing therapy for veterans with posttraumatic stress disorder: a cross-sectional and longitudinal comparison between outpatient and residential PTSD treatment. J Consult Clin Psychol 82:551–561

    Article  PubMed  Google Scholar 

  • Zlotnick C, Miller IW, Pearlstein T, Howard M, Sweeney P (2006) A preventative intervention for pregnant women on public assistance at risk for postpartum depression. Am J Psychiatr 163:1443–1445

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Minden B. Sexton PhD .

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Sexton, M.B., Bennett, D.C., Muzik, M., Rosenblum, K.L. (2018). Resilience, Recovery, and Therapeutic Interventions for Peripartum Women with Histories of Trauma. In: Muzik, M., Rosenblum, K. (eds) Motherhood in the Face of Trauma. Integrating Psychiatry and Primary Care. Springer, Cham. https://doi.org/10.1007/978-3-319-65724-0_8

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  • DOI: https://doi.org/10.1007/978-3-319-65724-0_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-65722-6

  • Online ISBN: 978-3-319-65724-0

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