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Background <p>Posttraumatic stress disorder (PTSD) symptoms are associated with poorer direct and downstream health outcomes for reproductive-aged individuals. There is limited literature targeting treatment of PTSD symptoms during reproductive time periods, especially the <i>preconception</i> period, yet effective and acceptable interventions are needed.</p> Objective <p>The current study is an open pilot feasibility study that aimed to explore acceptability, feasibility, and preliminary efficacy of a 4-week virtual Acceptance and Commitment Therapy (ACT) psychotherapy group for trauma-exposed reproductive aged women with PTSD.</p> Methods <p>A trauma-exposed treatment-seeking sample (<i>N</i> = 8, mean age = 30, 60% White) participated in an ACT for PTSD group (two cohorts). Participants completed self-report measures assessing PTSD symptoms at baseline, 1-week post-intervention, and 1-month post-intervention.</p> Results <p>Participation in the group was feasible, with most participants (87.5%) attending most sessions (≥ 75%). Participants reported high levels of acceptability and satisfaction. The intervention demonstrated preliminary efficacy in the preconception period as participants showed clinically meaningful reduction in PTSD symptoms (≥ 10 points on PTSD Checklist for DSM-5 (PCL-5)) from baseline (<i>M</i> = 46.25, <i>SD</i> = 24.04) to post-intervention (<i>M</i> = 27.33, SD = 22.35, <i>d</i> = 0.82) and baseline to follow-up (<i>M</i> = 34.25, <i>SD</i> = 31.58, <i>d</i> = 0.43).</p> Conclusion <p>This is the first study to look at a group intervention to reduce PTSD for individuals in the preconception period. The protocol was acceptable, feasible, and efficacious, although there were challenges to consider for future tailoring.</p>

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Posttraumatic stress disorder in the preconception period: an open pilot feasibility study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年10月1日

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  • Leah Danson,
  • Marissa J. Ward,
  • Lily J. Jiang,
  • Michelle L. Miller

摘要

Background

Posttraumatic stress disorder (PTSD) symptoms are associated with poorer direct and downstream health outcomes for reproductive-aged individuals. There is limited literature targeting treatment of PTSD symptoms during reproductive time periods, especially the preconception period, yet effective and acceptable interventions are needed.

Objective

The current study is an open pilot feasibility study that aimed to explore acceptability, feasibility, and preliminary efficacy of a 4-week virtual Acceptance and Commitment Therapy (ACT) psychotherapy group for trauma-exposed reproductive aged women with PTSD.

Methods

A trauma-exposed treatment-seeking sample (N = 8, mean age = 30, 60% White) participated in an ACT for PTSD group (two cohorts). Participants completed self-report measures assessing PTSD symptoms at baseline, 1-week post-intervention, and 1-month post-intervention.

Results

Participation in the group was feasible, with most participants (87.5%) attending most sessions (≥ 75%). Participants reported high levels of acceptability and satisfaction. The intervention demonstrated preliminary efficacy in the preconception period as participants showed clinically meaningful reduction in PTSD symptoms (≥ 10 points on PTSD Checklist for DSM-5 (PCL-5)) from baseline (M = 46.25, SD = 24.04) to post-intervention (M = 27.33, SD = 22.35, d = 0.82) and baseline to follow-up (M = 34.25, SD = 31.58, d = 0.43).

Conclusion

This is the first study to look at a group intervention to reduce PTSD for individuals in the preconception period. The protocol was acceptable, feasible, and efficacious, although there were challenges to consider for future tailoring.