| dc.creator |
Horsch, Antje |
|
| dc.creator |
Vial, Yvan |
|
| dc.creator |
Favrod, Céline |
|
| dc.creator |
Harari, Mathilde Morisod |
|
| dc.creator |
Blackwell, Simon E |
|
| dc.creator |
Watson, Peter |
|
| dc.creator |
Iyadurai, Lalitha |
|
| dc.creator |
Bonsall, Michael B |
|
| dc.creator |
Holmes, Emily A |
|
| dc.date |
2018-04-11T10:48:16Z |
|
| dc.date |
2018-04-11T10:48:16Z |
|
| dc.date |
2017-07 |
|
| dc.date.accessioned |
2019-03-20T08:23:01Z |
|
| dc.date.available |
2019-03-20T08:23:01Z |
|
| dc.identifier |
https://www.repository.cam.ac.uk/handle/1810/274758 |
|
| dc.identifier |
10.17863/CAM.21896 |
|
| dc.identifier.uri |
https://evidence.thinkportal.org/handle/123456789/32211 |
|
| dc.description |
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. |
|
| dc.format |
Print-Electronic |
|
| dc.language |
eng |
|
| dc.publisher |
Behaviour research and therapy |
|
| dc.rights |
Attribution 4.0 International |
|
| dc.rights |
http://creativecommons.org/licenses/by/4.0/ |
|
| dc.subject |
Humans |
|
| dc.subject |
Cesarean Section |
|
| dc.subject |
Mental Recall |
|
| dc.subject |
Stress Disorders, Post-Traumatic |
|
| dc.subject |
Cognitive Therapy |
|
| dc.subject |
Psychotherapy, Brief |
|
| dc.subject |
Video Games |
|
| dc.subject |
Adult |
|
| dc.subject |
Female |
|
| dc.subject |
Young Adult |
|
| dc.title |
Reducing intrusive traumatic memories after emergency caesarean section: A proof-of-principle randomized controlled study. |
|
| dc.type |
Article |
|