A systematic review and meta-analysis of the effect of cognitive interventions to prevent intrusive memories using the trauma film paradigm

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Asselbergs, JoostVrije Univ Amsterdam, Fac Behav & Movement Sci, Sect Clin Psychol, Boechorststr 7, NL-1081 BT Amsterdam, Netherlands.;Vrije Univ, Med Ctr, Amsterdam Publ Hlth Res Inst, Boechorststr 7, NL-1081 BT Amsterdam, Netherlands. (författare)

A systematic review and meta-analysis of the effect of cognitive interventions to prevent intrusive memories using the trauma film paradigm

Artikel/kapitelEngelska2023

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Elsevier,2023
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LIBRIS-ID:oai:DiVA.org:uu-502740
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-502740URI
https://doi.org/10.1016/j.jpsychires.2023.01.028DOI

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Språk:engelska
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There is an unmet need for effective early interventions that can relieve initial trauma symptoms and reduce symptoms of posttraumatic stress disorder (PTSD). We evaluated the efficacy of cognitive interventions compared to control in reducing intrusion frequency and PTSD symptoms in healthy individuals using the trauma film paradigm, in which participants view a film with aversive content as an experimental analogue of trauma exposure. A systematic literature search identified 41 experiments of different cognitive interventions targeting intrusions. In the meta-analysis, the pooled effect size of 52 comparisons comparing cognitive interventions to no-intervention controls on intrusions was moderate (g =-0.46, 95% CI [-0.61 to-0.32], p < .001). The pooled effect size of 16 comparisons on PTSD symptoms was also moderate (g =-0.31, 95% CI [-0.46 to-0.17], p < .001). Both visuospatial interference and imagery rescripting tasks were associated with significantly fewer in-trusions than controls, whereas verbal interference and meta-cognitive processing tasks showed nonsignificant effect sizes. Interventions administered after viewing the trauma film showed significantly fewer intrusions than controls, whereas interventions administered during film viewing did not. No experiments had low risk of bias (ROB), 37 experiments had some concerns of ROB, while the remaining four experiments had high ROB. To the best of our knowledge, this is the first meta-analysis investigating the efficacy of cognitive interventions targeting intrusions in non-clinical samples. Results seem to be in favour of visuospatial interference tasks rather than verbal tasks. More research is needed to develop an evidence base on the efficacy of various cognitive in-terventions and test their clinical translation to reduce intrusive memories of real trauma.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Psykiatri hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Psychiatry hsv//eng
Intrusions
Trauma film paradigm
PTSD
Cognitive interventions
Non-clinical sample

Biuppslag (personer, institutioner, konferenser, titlar ...)

van Bentum, JaelVrije Univ Amsterdam, Fac Behav & Movement Sci, Sect Clin Psychol, Boechorststr 7, NL-1081 BT Amsterdam, Netherlands.;Vrije Univ, Med Ctr, Amsterdam Publ Hlth Res Inst, Boechorststr 7, NL-1081 BT Amsterdam, Netherlands.;Univ Utrecht, Fac Social & Behav Sci, Dept Clin Psychol, Heidelberglaan 1, NL-3584 CS Utrecht, Netherlands.;Boechorststr 7, NL-1081 BT Amsterdam, Netherlands.;Heidelberglaan 1, NL-3584 CS Utrecht, Netherlands. (författare)
Riper, HeleenVrije Univ Amsterdam, Fac Behav & Movement Sci, Sect Clin Psychol, Boechorststr 7, NL-1081 BT Amsterdam, Netherlands.;Vrije Univ, Med Ctr, Amsterdam Publ Hlth Res Inst, Boechorststr 7, NL-1081 BT Amsterdam, Netherlands.;Vrije Univ Amsterdam Med Ctr, Amsterdam Med Ctr, Dept Psychiat, Amsterdam, Netherlands.;Univ Southern Denmark, Fac Hlth Sci, Dept Clin Res, Res Unit Telepsychiat & E Mental Hlth, JB Winslows Vej 19, DK-5000 Odense, Denmark. (författare)
Cuijpers, PimVrije Univ Amsterdam, Fac Behav & Movement Sci, Sect Clin Psychol, Boechorststr 7, NL-1081 BT Amsterdam, Netherlands.;Vrije Univ, Med Ctr, Amsterdam Publ Hlth Res Inst, Boechorststr 7, NL-1081 BT Amsterdam, Netherlands.;Babes Bolyai Univ, Int Inst Psychotherapy, Cluj Napoca, Romania.;WHO, Collaborating Ctr Res & Disseminat Psychol Interve, Amsterdam, Netherlands. (författare)
Holmes, Emily A.Uppsala universitet,Institutionen för psykologi(Swepub:uu)emiho252 (författare)
Sijbrandij, MaritVrije Univ Amsterdam, Fac Behav & Movement Sci, Sect Clin Psychol, Boechorststr 7, NL-1081 BT Amsterdam, Netherlands.;Vrije Univ, Med Ctr, Amsterdam Publ Hlth Res Inst, Boechorststr 7, NL-1081 BT Amsterdam, Netherlands.;WHO, Collaborating Ctr Res & Disseminat Psychol Interve, Amsterdam, Netherlands. (författare)
Vrije Univ Amsterdam, Fac Behav & Movement Sci, Sect Clin Psychol, Boechorststr 7, NL-1081 BT Amsterdam, Netherlands.;Vrije Univ, Med Ctr, Amsterdam Publ Hlth Res Inst, Boechorststr 7, NL-1081 BT Amsterdam, Netherlands.Vrije Univ Amsterdam, Fac Behav & Movement Sci, Sect Clin Psychol, Boechorststr 7, NL-1081 BT Amsterdam, Netherlands.;Vrije Univ, Med Ctr, Amsterdam Publ Hlth Res Inst, Boechorststr 7, NL-1081 BT Amsterdam, Netherlands.;Univ Utrecht, Fac Social & Behav Sci, Dept Clin Psychol, Heidelberglaan 1, NL-3584 CS Utrecht, Netherlands.;Boechorststr 7, NL-1081 BT Amsterdam, Netherlands.;Heidelberglaan 1, NL-3584 CS Utrecht, Netherlands. (creator_code:org_t)

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Ingår i:Journal of Psychiatric Research: Elsevier159, s. 116-1290022-39561879-1379

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Av författaren/redakt...: Asselbergs, Joos ...; van Bentum, Jael; Riper, Heleen; Cuijpers, Pim; Holmes, Emily A.; Sijbrandij, Mari ...

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