Titre
Reducing intrusive traumatic memories after emergency caesarean section: A proof-of-principle randomized controlled study.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Horsch, A.
Auteure/Auteur
Vial, Y.
Auteure/Auteur
Favrod, C.
Auteure/Auteur
Harari, M.M.
Auteure/Auteur
Blackwell, S.E.
Auteure/Auteur
Watson, P.
Auteure/Auteur
Iyadurai, L.
Auteure/Auteur
Bonsall, M.B.
Auteure/Auteur
Holmes, E.A.
Auteure/Auteur
Liens vers les personnes
ISSN
1873-622X
Statut éditorial
Publié
Date de publication
2017-07
Volume
94
Première page
36
Dernière page/numéro d’article
47
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article ; Randomized Controlled Trial
Publication Status: ppublish
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.
ClinicalTrials.gov, www.clinicaltrials.gov, NCT02502513.
Sujets
PID Serval
serval:BIB_FDF32A1C63FD
PMID
Open Access
Oui
Date de création
2017-05-09T16:36:51.804Z
Date de création dans IRIS
2025-05-21T07:00:32Z
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Nom
1-s2.0-S0005796717300670-main.pdf
Version du manuscrit
published
Licence
https://creativecommons.org/licenses/by/4.0
Taille
1.35 MB
Format
Adobe PDF
PID Serval
serval:BIB_FDF32A1C63FD.P001
URN
urn:nbn:ch:serval-BIB_FDF32A1C63FD8
Somme de contrôle
(MD5):b423dd376353f0b3ec761ced141a1d14