A further recent study examining the efficacy of an Internet-based cognitive behavioral therapy for mothers after pregnancy loss showed positive treatment effects, with the intervention group showing significantly reduced symptoms of grief, PTSD, and depression after treatment relative to the waiting-list group, and this symptom reduction was maintained at 3-month followup. The treatment program involved self-confrontation with the most painful memories relating to the loss, social sharing as well as cognitive restructuring with regard to feelings of guilt and blame.