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Tackling Intrusive Traumatic Memories After a Difficult Birth

Not Applicable
Completed
Conditions
Posttraumatic Stress Disorder
Intrusive Traumatic Memories
Interventions
Behavioral: Brief behavioural procedure including a computerized visuospatial task (computer game "Tetris")
Registration Number
NCT04286724
Lead Sponsor
Antje Horsch
Brief Summary

This proof-of-principle study aims to investigate the effects of a brief behavioural procedure including a computerized visuospatial task (the computer game "Tetris") preceded by a reactivation of the traumatic memory of childbirth, on birth-related intrusive traumatic memories and other postpartum posttraumatic stress symptoms. Women who report birth-related intrusive memories after 6 weeks postpartum will monitor their intrusive traumatic memories in a daily diary. After two weeks of diary, they will meet a psychologist to briefly evoke the memory of their birth, and receive a brief behavioural procedure including playing Tetris. Participants will then continue to complete an intrusive traumatic memory diary during two weeks. It is predicted that they will report fewer intrusive memories in the two weeks following the intervention, compared to the two weeks before. This will inform the potential future development of a simple computerized intervention procedure to reduce distressing psychological symptoms after traumatic childbirth.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
23
Inclusion Criteria
  • Gave birth at the Lausanne University Hospital
  • Gave written consent
  • Have at least 4 related-to-childbirth intrusions over the two weeks prior to recruitment, and at least 2 related-to-childbirth intrusions during the pre-intervention diary
  • Gave birth more than 6 weeks ago
  • Is able to distinguish intrusions linked to the traumatic childbirth from intrusions linked to other traumatic events
Exclusion Criteria
  • Gave birth to a stillborn child
  • Not fluent in French
  • Severe illness of mother or infant (e.g. cancer, cardiovascular disease, severe neurodevelopmental difficulties, malformations)
  • Have an established intellectual disability, or psychiatric history such as psychotic illness
  • Alcohol abuse and/or illegal drug use
  • Currently receiving psychological care in relation with the traumatic birth experience

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
InterventionBrief behavioural procedure including a computerized visuospatial task (computer game "Tetris")-
Primary Outcome Measures
NameTimeMethod
Frequency of intrusive memories of the index traumaWithin 2 weeks following the intervention

Frequency of intrusive traumatic memories related to childbirth recorded by participants in a trauma-related intrusive memories diary over the two weeks after the intervention

Secondary Outcome Measures
NameTimeMethod
Frequency of intrusive memories of the index traumaBetween 4 and 6 weeks after the intervention

Frequency of intrusive traumatic memories related to childbirth recorded by participants in a trauma-related intrusive memories diary between the 4th and 6th weeks following the intervention

Presence and severity of maternal PTSD symptoms1 month after the intervention

PTSD Checklist (PCL-5) for DSM-5

Psychological distress related to intrusive memories of the index traumaWithin 2 weeks following the intervention

Rating scale for psychological distress related to intrusive memories related to childbirth that are reported in an intrusive memories diary over the two weeks after the intervention. It is a SUDS (Subjective Units of Distress Scale) from 1 to 10 (1= No distress at all while having the intrusion ; 10 = Extreme distress while having the intrusion).

Trial Locations

Locations (1)

Centre Hospitalier Universitaire Vaudois

🇨🇭

Lausanne, Canton De Vaud, Switzerland

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