{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T06:03:53Z","timestamp":1784527433516,"version":"3.55.0"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003392","name":"Natural Science Foundation of Fujian Province","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003392","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the effects of WeChat-based PERMA (Positive Emotion, Engagement, Relationships, Meaning, and Accomplishment) positive psychological intervention on psychological adaptation during puerperium among women who underwent termination of pregnancy (TOP), with a focus on evaluating its efficacy in alleviating grief, promoting post-traumatic growth, and enhancing subjective wellbeing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A randomized controlled trial was conducted with 118 women who experienced TOP at a tertiary Grade A hospital in Fujian province, China. Participants were randomly allocated to an intervention group (\n                      <jats:italic>n<\/jats:italic>\n                      = 59) receiving 4-week WeChat-based PERMA model intervention alongside routine postpartum care, or a control group (\n                      <jats:italic>n<\/jats:italic>\n                      = 59) receiving routine care only. Repeated measures were used to compare score changes in the Perinatal Grief Scale, Chinese version of Post-Traumatic Growth Inventory, and Index of Wellbeing at baseline, 1-month post-intervention, and 3-month post-intervention.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The intervention group demonstrated significantly greater reductions in grief at both follow-ups (both\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt; 0.001, Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      &amp;gt; 1.3), as well as improvements in post-traumatic growth and subjective wellbeing, with effect sizes ranging from moderate to large. All intervention effects increased over time.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The WeChat-based PERMA intervention significantly reduces grief intensity (to a mean score well below the established threshold for high-level grief), promotes post-traumatic growth, and enhances wellbeing in women after TOP. This nurse-led digital program offers a scalable, low-resource support option for bereavement care during the puerperium.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Trial Registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link>https:\/\/www.chictr.org.cn\/showproj.html?proj=226100<\/jats:ext-link>\n                      , identifier: ChiCTR2400087627.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1823918","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T05:37:33Z","timestamp":1784525853000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of a WeChat-based PERMA model positive psychological intervention on Chinese women after termination of pregnancy: a randomized controlled trial"],"prefix":"10.3389","volume":"17","author":[{"given":"Shaofang","family":"Ye","sequence":"first","affiliation":[{"name":"Department of Gynecology, Fujian Maternity and Child Health Hospital","place":["Fuzhou, Fujian, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiumei","family":"Xiong","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Fujian Maternity and Child Health Hospital","place":["Fuzhou, Fujian, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhumei","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Fujian Maternity and Child Health Hospital","place":["Fuzhou, Fujian, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meirong","family":"Wen","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Fujian Maternity and Child Health Hospital","place":["Fuzhou, Fujian, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lingna","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Fujian Maternity and Child Health Hospital","place":["Fuzhou, Fujian, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yinzhi","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Fujian Maternity and Child Health Hospital","place":["Fuzhou, Fujian, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chenyin","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Fujian Maternity and Child Health Hospital","place":["Fuzhou, Fujian, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"2193525","DOI":"10.1080\/20008066.2023.2193525","article-title":"Habituation of distress during exposure and its relationship to treatment outcome in post-traumatic stress disorder and prolonged grief disorder","volume":"14","author":"Bryant","year":"2023","journal-title":"Eur. 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