Actively Recruiting

Phase Not Applicable
Age: 18Years - 50Years
FEMALE
Healthy Volunteers
ID05662423

The Effects of Expressive Writing Following Traumatic Childbirth

Led by Massachusetts General Hospital · Updated on 2026-05-22

136

Participants Needed

1

Research Sites

1 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are investigating a brief psychological intervention aimed at preventing post-traumatic stress disorder (PTSD) related to childbirth and promoting bonding between mothers and their infants. This study focuses on women who have recently experienced a potentially stressful childbirth and are at risk for developing childbirth-related PTSD (CB-PTSD). Since no recommended interventions currently exist for this condition in U.S. hospitals, this research seeks to fill that gap by testing a low-cost, feasible approach. Participants will be randomly assigned to one of two groups. One group will write about their recent childbirth experience, focusing on their deepest emotions and thoughts related to the most stressful aspects. The other group will write about neutral daily events unrelated to childbirth. Writing sessions will occur for three consecutive days, about 15 minutes each day. Assessments including surveys about birth experience and mental health will be completed before and after the intervention. Around two months postpartum, participants will undergo mental health and physiological evaluations and participate in a brief play session with their infant. Throughout the study, researchers will measure changes in PTSD symptoms using standardized checklists before and after the intervention and at two months postpartum. They will also assess maternal-infant bonding through various scales and observational assessments, as well as monitor physiological responses related to traumatic memory recall. The total participation includes the initial writing sessions, surveys, and follow-up assessments up to about three months postpartum, with safety and mental health carefully monitored during this period.

CONDITIONS

Brief Title

Preventing Childbirth-Related PTSD With Expressive Writing

Who Can Participate

Age: 18Years - 50Years
FEMALE
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Women who recently delivered at Massachusetts General Hospital (MGH)
  • Women at risk for developing childbirth-related PTSD based on a Peritraumatic Distress Inventory score greater than 16
  • Female participants aged between 18 and 50 years
Not Eligible

You will not qualify if you...

  • Age less than 18 or greater than 50 years
  • Stillbirth
  • Newborn with Down's Syndrome, serious genetic disorder, or serious birth defect such as microcephaly or spina bifida
  • Infant admitted to the neonatal intensive care unit (NICU) for more than one week or infant not medically healthy
  • Current diagnosable DSM-5 psychotic or bipolar disorder or current substance abuse disorder
  • Active suicidality
  • Present substance abuse as indicated in medical records
  • Severe maternal morbidity
  • General anesthesia
  • Inability to understand study procedures, risks, or to give informed consent due to neurological or other reasons
  • Inability to understand English

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Outpatient Treatment

Duration - Within a few days postpartum

Participants write repeatedly about their recent childbirth or neutral daily events to assess the effects of expressive writing on postpartum mental health.

1 baseline visit and 1 follow-up visit within 1 day of treatment

Outpatient Treatment

Duration - Up to around 3 months postpartum

Participants continue to be observed for mental health and bonding outcomes up to around Month 3 postpartum.

Approximately 1 visit at Month 2 postpartum

Trial Site Locations

Total: 1 location

1

Massachusetts General Hospital

Boston, Massachusetts, United States, 02129

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Research Team

S

Sharon Dekel, Ph.D. M.Phil., M.S.

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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Published Research Related To This Trial

The prevalence of posttraumatic stress disorder in pregnancy and after birth: A systematic review and meta-analysis.

Pelin Dikmen Yildiz, Susan Ayers, Louise Phillips

https://pubmed.ncbi.nlm.nih.gov/27865585