Evidence map›Paper›PMID 26673787›Full record

ArticleBMJ (Clinical research ed.)2015

Bloodcurdling movies and measures of coagulation: Fear Factor crossover trial.

Banne Nemeth, Luuk J J Scheres, Willem M Lijfering, Frits R Rosendaal

Registry-linked trialAbstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02601053 (The Fear F8ctor Study - Does Fear Induce a Blood Curdling State? The Origin Behind the Phrase Unravelled), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02601053 nacompletednot on this map

The Fear F8ctor Study - Does Fear Induce a Blood Curdling State? The Origin Behind the Phrase Unravelled

TypeinterventionalSponsorLeiden University Medical CenterRan2015 to 2015Enrolled24ConditionsBlood Coagulation DisorderArmsDull movie, Scary (horrifying) movie, Heart rate measurement
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Banne NemethDepartment of Clinical Epidemiology, Leiden University Medical Centre, 2300 RC, Leiden, Netherlands Department of Orthopaedic Surgery, Leiden University Medical Centre, Leiden, Netherlands.
Luuk J J ScheresDepartment of Clinical Epidemiology, Leiden University Medical Centre, 2300 RC, Leiden, Netherlands Department of Vascular Medicine, Academic Medical Centre, Amsterdam, Netherlands.
Willem M LijferingDepartment of Clinical Epidemiology, Leiden University Medical Centre, 2300 RC, Leiden, Netherlands.
Frits R RosendaalDepartment of Clinical Epidemiology, Leiden University Medical Centre, 2300 RC, Leiden, Netherlands Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Centre, Leiden, Netherlands f.r.rosendaal@lumc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess whether, as has been hypothesised since medieval times, acute fear can curdle blood.

designCrossover trial.

settingMain meeting room of Leiden University's Department of Clinical Epidemiology, the Netherlands, converted to a makeshift cinema.

participants24 healthy volunteers aged ≤30 years recruited among students, alumni, and employees of the Leiden University Medical Center: 14 were assigned to watch a frightening (horror) movie followed by a non-threatening (educational) movie and 10 to watch the movies in reverse order. The movies were viewed more than a week apart at the same time of day and both lasted approximately 90 minutes.

main outcome measuresThe primary outcome measures were markers, or "fear factors" of coagulation activity: blood coagulant factor VIII, D-dimer, thrombin-antithrombin complexes, and prothrombin fragments 1+2. The secondary outcome was participant reported fear experienced during each movie using a visual analogue fear scale.

resultsAll participants completed the study. The horror movie was perceived to be more frightening than the educational movie on a visual analogue fear scale (mean difference 5.4, 95% confidence interval 4.7 to 6.1). The difference in factor VIII levels before and after watching the movies was higher for the horror movie than for the educational movie (mean difference of differences 11.1 IU/dL (111 IU/L), 95% confidence interval 1.2 to 21.0 IU/dL). The effect of either movie on levels of thrombin-antithrombin complexes, D-dimer, and prothrombin fragments 1+2 did not differ.

conclusionFrightening (in this case, horror) movies are associated with an increase of blood coagulant factor VIII without actual thrombin formation in young and healthy adults. Trial registration ClinicalTrials.gov NCT02601053.

Indexed as

Motion PicturesAdultBiomarkersBlood CoagulationBlood Coagulation FactorsCross-Over StudiesFactor VIIIFearFemaleHumansMalePsychiatric Status Rating ScalesYoung AdultBiomarkersBlood Coagulation FactorsFactor VIII

Identifiers

PMID26673787
PMCPMC4987722

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.