Perceptions on the use of the positive reappraisal coping intervention in recurrent pregnancy loss: a secondary analysis of a randomised controlled trial

Bailey, Sarah, Parkinson, Amy, Steer, Jade and Boivin, Jacky ORCID: https://orcid.org/0000-0001-9498-1708 2025. Perceptions on the use of the positive reappraisal coping intervention in recurrent pregnancy loss: a secondary analysis of a randomised controlled trial. Reproductive BioMedicine Online 10.1016/j.rbmo.2025.105122 Item availability restricted.

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Abstract

Research question How do patients perceive the Positive Reappraisal Coping Intervention (PRCI) helped them to sustain their coping during the early waiting stages of a new pregnancy after recurrent pregnancy loss (RPL)? Design A secondary analysis of qualitative process data collected as part of a feasibility two-centred randomised controlled trial to determine the effectiveness of the PRCI on the psychological wellbeing of women with RPL. Results Inductive thematic analysis identified 3 themes; ‘PRCI prevents further falling,’ ‘PRCI stimulates positive coping’ and ‘PRCI is used as a coping resource’ which together contributed to the main theme pf ‘PRCI sustains coping.’ The study identified that the PRCI was a ‘go to’ resource in times of strong emotional need, perceived to generate benefits in psychological wellbeing by stimulating positive coping, restoring depleted coping resources, and providing micro moments of psychological respite from the stress of the waiting period of a new pregnancy following RPL. Conclusion(s) This secondary analysis provided insight into the potential mechanisms of action of PRCI during the early waiting period of a new pregnancy following RPL. Together these suggest that PRCI may bolster resilience and suggest this psychological construct as a direction for further research on PRCI effects.

Item Type:	Article
Date Type:	Published Online
Status:	In Press
Schools:	Schools > Psychology
Publisher:	Elsevier
ISSN:	1472-6483
Date of First Compliant Deposit:	25 July 2025
Date of Acceptance:	9 June 2025
Last Modified:	25 Jul 2025 12:00
URI:	https://orca.cardiff.ac.uk/id/eprint/180032

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