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

Horsch, Antje (author)
Univ Hosp Lausanne, Dept Woman Mother Child, Lausanne, Switzerland;Univ Hosp Lausanne, Dept Endocrinol Diabet & Metab, Lausanne, Switzerland
Vial, Yvan (author)
Univ Hosp Lausanne, Dept Woman Mother Child, Lausanne, Switzerland
Favrod, Celine (author)
Univ Hosp Lausanne, Dept Woman Mother Child, Lausanne, Switzerland
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Harari, Mathilde Morisod (author)
Univ Hosp Lausanne, Dept Child & Adolescent Psychiat, Lausanne, Switzerland
Blackwell, Simon E. (author)
Ruhr Univ Bochum, Mental Hlth Res & Treatment Ctr, Bochum, Germany
Watson, Peter (author)
MRC, Cognit & Brain Sci Unit, Cambridge, England
Iyadurai, Lalitha (author)
Univ Oxford, Dept Psychiat, Oxford, England
Bonsall, Michael B. (author)
Univ Oxford, Dept Zool, Oxford, England
Holmes, Emily A. (author)
Karolinska Institutet
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 (creator_code:org_t)
PERGAMON-ELSEVIER SCIENCE LTD, 2017
2017
English.
In: Behaviour Research and Therapy. - : PERGAMON-ELSEVIER SCIENCE LTD. - 0005-7967 .- 1873-622X. ; 94, s. 36-47
Related links:
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • 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. Clinical trial registration: ClinicalTrials.gov, www.clinicaltrials.gov, NCT02502513. (C) 2017 The Authors. Published by Elsevier Ltd.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Psykiatri (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Psychiatry (hsv//eng)

Keyword

Posttraumatic stress disorder
Acute stress disorder
Early intervention
Proof-of-principle randomized controlled study
Cognitive
Computerized
Childbirth
Universal intervention
EMILkeypub

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