Cochrane · systematic review · CD014874

Interventions from pregnancy to two years after birth for parents experiencing complex post‐traumatic stress disorder and/or with childhood experience of maltreatment

Jones, KA, Freijah, I, Brennan, SE, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
21
current version
GRADE rated
11
No studies
10
Included studies
NR
No studies 10 · 47.6%Ungraded 0 · 0%Very low 3 · 14.3%Low 8 · 38.1%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Summary of findings table ‐ Parenting interventions compared to inactive control (usual care care, attention control, waitlist) for parents who are experiencing CPTSD symptoms or have experienced maltreatment in childhood

Population: parents who are experiencing CPTSD symptoms or have experienced maltreatment in childhood
7 questions
OutcomeEffectEvidenceStatus / GRADE
Trauma‐related symptoms ‐ post‐interventionb
Summary of findings table ‐ Parenting interventions vs inactive control (usual care care, attention control, waitlist)
no estimate extracted1 study · 33 participantsVery low
Downgraded: risk of bias, imprecision
Psychological wellbeing ‐ post‐interventione
Summary of findings table ‐ Parenting interventions vs inactive control (usual care care, attention control, waitlist)
no estimate extracted1 study · 33 participantsVery low
Downgraded: risk of bias, imprecision
Substance use ‐ post‐intervention ‐ not reported
Summary of findings table ‐ Parenting interventions vs inactive control (usual care care, attention control, waitlist)
no estimate extractedNRNo studies
Parent relationship quality ‐ post‐intervention ‐ not reported
Summary of findings table ‐ Parenting interventions vs inactive control (usual care care, attention control, waitlist)
no estimate extractedNRNo studies
Parental self‐harm ‐ post‐intervention ‐ not reported
Summary of findings table ‐ Parenting interventions vs inactive control (usual care care, attention control, waitlist)
no estimate extractedNRNo studies
Parent–child relationship (continuous data) ‐ post‐interventionf
Summary of findings table ‐ Parenting interventions vs inactive control (usual care care, attention control, waitlist)
no estimate extracted2 studies · 153 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Parenting skills ‐ post‐interventionj
Summary of findings table ‐ Parenting interventions vs inactive control (usual care care, attention control, waitlist)
no estimate extracted4 studies · 149 participantsLow
Downgraded: risk of bias, imprecision

Summary of findings table ‐ Psychological interventions compared to inactive control (usual care care, attention control, waitlist) for parents who are experiencing CPTSD symptoms or have experienced maltreatment in their childhood

Population: parents who are experiencing CPTSD symptoms or have experienced maltreatment in their childhood
7 questions
OutcomeEffectEvidenceStatus / GRADE
Trauma‐related symptoms ‐ post‐interventionb
Summary of findings table ‐ Psychological interventions vs inactive control (usual care care, attention control, waitlist)
no estimate extracted4 studies · 247 participantsLow
Downgraded: risk of bias
Psychological wellbeing ‐ post‐interventiond
Summary of findings table ‐ Psychological interventions vs inactive control (usual care care, attention control, waitlist)
no estimate extracted8 studies · 507 participantsLow
Downgraded: risk of bias, imprecision
Substance use ‐ post‐interventiong
Summary of findings table ‐ Psychological interventions vs inactive control (usual care care, attention control, waitlist)
RR 1.57 [0.72, 3.45]1 study · 189 participantsLow
Downgraded: risk of bias, imprecision
Parent relationship quality ‐ post‐interventionj
Summary of findings table ‐ Psychological interventions vs inactive control (usual care care, attention control, waitlist)
no estimate extracted1 study · 67 participantsLow
Downgraded: risk of bias, imprecision
Parental self‐harm ‐ post‐intervention ‐ not reported
Summary of findings table ‐ Psychological interventions vs inactive control (usual care care, attention control, waitlist)
no estimate extractedNRNo studies
Parent–child relationship ‐ post‐interventionm
Summary of findings table ‐ Psychological interventions vs inactive control (usual care care, attention control, waitlist)
RR 4.67 [0.6, 36.29]1 study · 26 participantsVery low
Downgraded: risk of bias, imprecision
Parenting skills ‐ post‐interventionp
Summary of findings table ‐ Psychological interventions vs inactive control (usual care care, attention control, waitlist)
no estimate extracted1 study · 66 participantsLow
Downgraded: risk of bias, imprecision

Summary of findings table ‐ Service system approaches compared to inactive control (usual care care, attention control, waitlist) for for parents who are experiencing CPTSD symptoms or have experienced maltreatment in their childhood

Population: for parents who are experiencing CPTSD symptoms or have experienced maltreatment in their childhood
7 questions
OutcomeEffectEvidenceStatus / GRADE
Trauma‐related symptoms ‐ post‐intervention ‐ not reported
Summary of findings table ‐ Service system approaches vs inactive control (usual care care, attention control, waitlist)
no estimate extractedNRNo studies
Psychological well‐being ‐ post‐interventiona
Summary of findings table ‐ Service system approaches vs inactive control (usual care care, attention control, waitlist)
no estimate extracted1 study · 52 participantsLow
Downgraded: risk of bias, imprecision
Substance use ‐ post‐intervention ‐ not reported
Summary of findings table ‐ Service system approaches vs inactive control (usual care care, attention control, waitlist)
no estimate extractedNRNo studies
Parent relationship quality ‐ not reported
Summary of findings table ‐ Service system approaches vs inactive control (usual care care, attention control, waitlist)
no estimate extractedNRNo studies
Parental self‐harm ‐ post‐intervention ‐ not reported
Summary of findings table ‐ Service system approaches vs inactive control (usual care care, attention control, waitlist)
no estimate extractedNRNo studies
Parent–child relationship ‐ not reported
Summary of findings table ‐ Service system approaches vs inactive control (usual care care, attention control, waitlist)
no estimate extractedNRNo studies
Parenting skills ‐ post‐intervention ‐ not reported
Summary of findings table ‐ Service system approaches vs inactive control (usual care care, attention control, waitlist)
no estimate extractedNRNo studies