Evidence map›Paper›PMID 28453969›Full record

Trial reportBehaviour research and therapy2017

Reducing intrusive traumatic memories after emergency caesarean section: A proof-of-principle randomized controlled study.

Antje Horsch, Yvan Vial, Céline Favrod, Mathilde Morisod Harari, Simon E Blackwell, Peter Watson, Lalitha Iyadurai, Michael B Bonsall, Emily A Holmes

4 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Behaviour research and therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 76 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 5 pooled it
13.1field-weighted citation impact, top 1% of its field
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.

NCT02502513 nacompletednot on this map

Can Playing Tetris Prevent the Development of Traumatic Intrusions in Mothers Following an Emergency Cesarean Section? A Pilot Study

TypeinterventionalSponsorCentre Hospitalier Universitaire VaudoisRan2013 to 2015Enrolled56ConditionsPosttraumatic Stress Disorder, Acute Stress DisorderArmsBrief computerized intervention
NCT03576586 nacompletednot on this mapstarted 2018, after this paper: background citation

Improving Mental Health and Physiological Stress Responses in Mothers Following Traumatic Childbirth and in Their Infants: a Randomised Controlled Trial (START)

TypeinterventionalSponsorCentre Hospitalier Universitaire VaudoisRan2018 to 2022Enrolled147ConditionsPosttraumatic Stress Disorder, Acute Stress DisorderArmsBrief computerized intervention, Attention placebo control
NCT05381155 nacompletednot on this mapstarted 2022, after this paper: background citation

tAckling intruSive Traumatic memoRies After chiLdbirth (ASTRAL): A Single-blind Waitlist Randomized Controlled Trial

TypeinterventionalSponsorCentre Hospitalier Universitaire VaudoisRan2022 to 2026Enrolled120ConditionsPosttraumatic Stress Disorder, Intrusive Traumatic MemoriesArmsA single-session behavioral intervention composed of a brief evocation of the childbirth memory followed by a Tetris gameplay
NCT07290127 naenrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Effects of a Computer Game on Postpartum Mental Health After Emergency Cesarean Birth: a Feasibility Randomized Controlled Trial

TypeinterventionalSponsorKyoto University, Graduate School of MedicineRan2025 to 2027Enrolled120ConditionsPost-traumatic Stress Disorder (PTSD), Postpartum Mental HealthArmsimplementation of a brief computer-based intervention "Tetris"
3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 5 syntheses or guidelines pooled it, 162 citations in OpenAlex.

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16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 4 countries.

Antje HorschDepartment Woman-Mother-Child, University Hospital Lausanne, Lausanne, Switzerland; Department of Endocrinology, Diabetes, and Metabolism, University Hospital Lausanne, Lausanne, Switzerland. Electronic address: antje.horsch@chuv.ch.
Yvan VialDepartment Woman-Mother-Child, University Hospital Lausanne, Lausanne, Switzerland.
Céline FavrodDepartment Woman-Mother-Child, University Hospital Lausanne, Lausanne, Switzerland.
Mathilde Morisod HarariDepartment of Child and Adolescent Psychiatry, University Hospital Lausanne, Lausanne, Switzerland.
Simon E BlackwellMental Health Research and Treatment Center, Ruhr-Universität Bochum, Bochum, Germany.
Peter WatsonMedical Research Council Cognition and Brain Sciences Unit, Cambridge, UK.
Lalitha IyaduraiDepartment of Psychiatry, University of Oxford, Oxford, UK.
Michael B BonsallDepartment of Zoology, University of Oxford, Oxford, UK.
Emily A HolmesDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
University of Oxford · GBKarolinska Institutet · SEMRC Cognition and Brain Sciences Unit · GBRuhr University Bochum · DEUniversity of Lausanne · CH

Funding

Medical Research Council MC_UU_00005/14Wellcome Trust
6 · The paper itself

Abstract

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 registrationClinicalTrials.gov, www.clinicaltrials.gov, NCT02502513.

Indexed as

Cognitive Behavioral TherapyMental RecallAdultCesarean SectionFemaleHumansPsychotherapy, BriefStress Disorders, Post-TraumaticVideo GamesYoung AdultAcute stress disorderChildbirthCognitiveComputerizedEarly interventionPosttraumatic stress disorderProof-of-principle randomized controlled studyUniversal intervention

Identifiers

PMID28453969
PMCPMC5466064
OpenAlexW2604223534

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.