期刊
BEHAVIOUR RESEARCH AND THERAPY
卷 94, 期 -, 页码 36-47出版社
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.brat.2017.03.018
关键词
Posttraumatic stress disorder; Acute stress disorder; Early intervention; Proof-of-principle randomized controlled study; Cognitive; Computerized; Childbirth; Universal intervention
资金
- Department of Obstetrics and Gynecology at the University Hospital Lausanne (Switzerland)
- Neonatology Service at the University Hospital Lausanne (Switzerland)
- Karolinska Institutet
- Medical Research Council (United Kingdom) [MC-A060-5PR50]
- Wellcome Trust [098461/Z/12/Z]
- Medical Research Council [MC_UU_00005/14, MC_U105579212] Funding Source: researchfish
- MRC [MC_U105579212, MC_UU_00005/14] Funding Source: UKRI
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.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据