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

Détails

ID Serval
serval:BIB_1860900EA34E
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Reducing intrusive traumatic memories after emergency caesarean section: A proof-of-principle randomized controlled study.
Périodique
Behaviour research and therapy
Auteur(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
Statut éditorial
Publié
Date de publication
07/2017
Peer-reviewed
Oui
Volume
94
Pages
36-47
Langue
anglais
Notes
Publication types: Journal Article ; Randomized Controlled Trial
Publication Status: ppublish
Résumé
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.

Mots-clé
Adult, Cesarean Section/adverse effects, Cesarean Section/psychology, Cognitive Therapy, Female, Humans, Mental Recall, Psychotherapy, Brief, Stress Disorders, Post-Traumatic/therapy, Video Games/psychology, Young Adult, Acute stress disorder, Childbirth, Cognitive, Computerized, Early intervention, Posttraumatic stress disorder, Proof-of-principle randomized controlled study, Universal intervention
Pubmed
Web of science
Open Access
Oui
Création de la notice
14/12/2017 10:30
Dernière modification de la notice
20/08/2019 12:48
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