title: Internet-based treatment after pregnancy loss: concept and case study.
abstract: The loss of a child during pregnancy results in significant psychological stress for many women, and may lead to long-lasting grief and psychological illnesses. However, only a small percentage of those affected seek or receive traditional forms of psychological treatment, and therefore novel treatment approaches and methods are required. This article introduces an Internet-based psychotherapy programme for patients after pregnancy loss. The five-week intervention comprises two components: structured writing disclosure and cognitive-behavioural therapy. Communication between the therapist and patient is text-based and asynchronous. The writing protocol consists of three treatment phases: self-confrontation, cognitive reappraisal and social sharing. A case report is presented to illustrate the course of the treatment and clinical considerations associated with delivering Internet-based interventions to patients after pregnancy loss.
authors.affiliation: Department of Psychosomatic Medicine, University of Leipzig, Leipzig, Germany. anette.kersting@medizin.uni-leipzig.de
authors.forename: Anette
authors.initials: A
authors.lastname: Kersting
authors.forename: Kristin
authors.initials: K
authors.lastname: Kroker
authors.forename: Sarah
authors.initials: S
authors.lastname: Schlicht
authors.forename: Birgit
authors.initials: B
authors.lastname: Wagner
mesh_terms: D000022:Abortion, Spontaneous / Q000523:psychology*; D000223:Adaptation, Psychological; D000328:Adult; D001007:Anxiety / Q000523:psychology / Q000628:therapy; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003863:Depression / Q000523:psychology / Q000628:therapy; D005260:Female; D006117:Grief; D006801:Humans; D020407:Internet; D011247:Pregnancy; D012648:Self Care; D017216:Telemedicine; D016896:Treatment Outcome