
@article{ref1,
title="Condensed internet-delivered prolonged exposure provided soon after trauma: a randomised pilot trial",
journal="Internet interventions : the application of information technology in mental and behavioural health",
year="2021",
author="Bragesjö, Maria and Arnberg, Filip K. and Särnholm, Josefin and Olofsdotter Lauri, Klara and Andersson, Erik",
volume="23",
number="",
pages="e100358-e100358",
abstract="Exposure to trauma is common and may have detrimental psychological consequences. Brief exposure therapy provided early after trauma has shown encouraging results in  promoting recovery. To scale up treatment availability, we developed a 3-week  internet-delivered intervention comprised of four modules based on prolonged  exposure (condensed internet-delivered prolonged exposure; CIPE) with therapist  support. In this pilot study, we assessed the feasibility, acceptability, and  preliminary efficacy of CIPE delivered within 2 months after the index event. Thirty-three participants were randomised to CIPE or a waiting list (WL). The  frequency, vividness and distress of intrusive recollections or flashback memories  of the traumatic event were assessed using an intrusive memory smartphone app. Symptoms of post-traumatic stress were assessed by the PTSD Symptom Checklist for  DSM-5 (PCL-5). The most common index traumas in the sample were rape, interpersonal  violence and life-threatening accidents. A majority of participants (82%) randomised  to CIPE completed all modules, and the number of logins per participant to the  Internet platform was high during the three-week intervention (M = 19.6, SD = 11.8). At post-treatment, the CIPE participants had a more favourable reduction than the WL  group on the vividness and distress ratings, as well as on the PCL-5 sum score  (bootstrapped d = 0.85; 95% CI [0.25-1.45]). Treatment effects were sustained at  6-months follow up and no severe adverse events associated with the intervention  were found. CIPE seems to be a feasible and possibly efficacious early intervention  after trauma. Large-scale trials are needed to assess its efficacy and long-term  benefits.<p /> <p>Language: en</p>",
language="en",
issn="2214-7829",
doi="10.1016/j.invent.2020.100358",
url="http://dx.doi.org/10.1016/j.invent.2020.100358"
}