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

Détails

Ressource 1Télécharger: 1-s2.0-S0005796717300670-main.pdf (1382.28 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_FDF32A1C63FD
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
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.

Pubmed
Web of science
Open Access
Oui
Création de la notice
09/05/2017 17:36
Dernière modification de la notice
20/08/2019 16:28
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