A Pilot Study Exploring the Feasibility of Virtual Written Exposure Therapy with Underserved Black Perinatal Women.

IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Racial and Ethnic Health Disparities Pub Date : 2024-10-14 DOI:10.1007/s40615-024-02203-w
Angela Neal-Barnett, Robert E Stadulis, Eniolufolake E Ayoade, Alexis McGhee-Dinvaut
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Abstract

In the USA, Black pregnant women are at the highest risk for maternal morbidity. They also experience the highest rates of trauma exposure and posttraumatic stress disorder (PTSD). PTSD takes a toll on Black women's mental and physical health, placing them at risk for maternal morbidity. It increases several mental health symptoms such as suicidality, anxiety, re-living the trauma, and numbness. These mental health conditions adversely affect health behaviors, including those essential for maternal health, such as attending prenatal and postpartum appointments. Furthermore, untreated PTSD is associated with higher blood pressure, increasing Black mothers' risk of pre-eclampsia. For a variety of reasons including cultural mistrust, stigma, transportation, time constraints, and access to care, PTSD is frequently underassessed and undertreated among Black perinatal women. Written exposure therapy (WET) is a state-of-the-art brief treatment for PTSD. In this study, we explored the initial feasibility of the virtual delivery of WET to reduce PTSD symptoms among Black perinatal women. Results found the virtual delivery of WET to be feasible. Symptom reduction for PTSD in participants was 50-100% during follow-up, suggesting potential effectiveness of the intervention. Implications for virtual delivery of WET in reducing risk for Black maternal morbidity are discussed.

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探索虚拟书面暴露疗法对缺乏服务的黑人围产期妇女可行性的试点研究。
在美国,黑人孕妇是产妇发病风险最高的群体。她们遭受创伤和创伤后应激障碍(PTSD)的比例也最高。创伤后应激障碍会损害黑人妇女的身心健康,使她们面临孕产妇发病风险。创伤后应激障碍会增加多种心理健康症状,如自杀、焦虑、重新经历创伤和麻木。这些心理健康问题会对健康行为产生不利影响,包括那些对产妇健康至关重要的行为,例如产前和产后就诊。此外,未经治疗的创伤后应激障碍与血压升高有关,增加了黑人母亲患先兆子痫的风险。由于文化不信任、耻辱感、交通、时间限制和就医途径等各种原因,黑人围产期妇女的创伤后应激障碍常常得不到充分评估和治疗。书面暴露疗法(WET)是治疗创伤后应激障碍的最先进的简短疗法。在这项研究中,我们探讨了虚拟 WET 在减少黑人围产期妇女创伤后应激障碍症状方面的初步可行性。结果发现,WET 虚拟疗法是可行的。在随访期间,参与者的创伤后应激障碍症状减少了 50%-100%,这表明该干预措施具有潜在的有效性。本文讨论了虚拟 WET 在降低黑人孕产妇发病风险方面的意义。
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来源期刊
Journal of Racial and Ethnic Health Disparities
Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.30
自引率
5.10%
发文量
263
期刊介绍: Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.
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