Reducing intrusive traumatic memories after emergency caesarean section: A proof-of-principle randomized controlled study.

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State: Public
Version: Final published version
Serval ID
serval:BIB_FDF32A1C63FD
Type
Article: article from journal or magazin.
Collection
Publications
Title
Reducing intrusive traumatic memories after emergency caesarean section: A proof-of-principle randomized controlled study.
Journal
Behaviour research and therapy
Author(s)
Horsch A., Vial Y., Favrod C., Harari M.M., Blackwell S.E., Watson P., Iyadurai L., Bonsall M.B., Holmes E.A.
ISSN
1873-622X (Electronic)
ISSN-L
0005-7967
Publication state
Published
Issued date
07/2017
Peer-reviewed
Oui
Volume
94
Pages
36-47
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Preventative psychological interventions to aid women after traumatic childbirth are needed. This proof-of-principle randomized controlled study evaluated whether the number of intrusive traumatic memories mothers experience after emergency caesarean section (ECS) could be reduced by a brief cognitive intervention. 56 women after ECS were randomized to one of two parallel groups in a 1:1 ratio: intervention (usual care plus cognitive task procedure) or control (usual care). The intervention group engaged in a visuospatial task (computer-game 'Tetris' via a handheld gaming device) for 15 min within six hours following their ECS. The primary outcome was the number of intrusive traumatic memories related to the ECS recorded in a diary for the week post-ECS. As predicted, compared with controls, the intervention group reported fewer intrusive traumatic memories (M = 4.77, SD = 10.71 vs. M = 9.22, SD = 10.69, d = 0.647 [95% CI: 0.106, 1.182]) over 1 week (intention-to-treat analyses, primary outcome). There was a trend towards reduced acute stress re-experiencing symptoms (d = 0.503 [95% CI: -0.032, 1.033]) after 1 week (intention-to-treat analyses). Times series analysis on daily intrusions data confirmed the predicted difference between groups. 72% of women rated the intervention "rather" to "extremely" acceptable. This represents a first step in the development of an early (and potentially universal) intervention to prevent postnatal posttraumatic stress symptoms that may benefit both mother and child.
ClinicalTrials.gov, www.clinicaltrials.gov, NCT02502513.

Pubmed
Web of science
Open Access
Yes
Create date
09/05/2017 17:36
Last modification date
20/08/2019 16:28
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