Hitting the rewind button: Imagining analogue trauma memories in reverse reduces distressing intrusions

Rattel, Julina A. ; Danböck, Sarah K. ; Miedl, Stephan Franz ; Liedlgruber, Michael ; Wilhelm, Frank H.

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DOI:	https://doi.org/10.1007/s10608-024-10488-8
URL:	https://link.springer.com/article/10.1007/s10608-0...
URN:	urn:nbn:de:bsz:180-madoc-692056
Dokumenttyp:	Zeitschriftenartikel
Erscheinungsjahr:	2024
Titel einer Zeitschrift oder einer Reihe:	Cognitive Therapy and Research
Band/Volume:	48
Heft/Issue:	5
Seitenbereich:	932-943
Ort der Veröffentlichung:	New York, NY ; Dordrecht
Verlag:	Springer
ISSN:	0147-5916 , 1573-2819
Sprache der Veröffentlichung:	Englisch
Einrichtung:	Fakultät für Sozialwissenschaften > Klinische u. Biologische Psychologie u. Psychotherapie (Alpers 2010-)
Bereits vorhandene Lizenz:	Creative Commons Namensnennung 4.0 International (CC BY 4.0)
Fachgebiet:	150 Psychologie
Abstract:	Background Intrusive re-experiencing of trauma is a core symptom of posttraumatic stress disorder. Intrusive re-experiencing could potentially be reduced by ‘rewinding’, a new treatment approach assumed to take advantage of reconsolidation-updating by mentally replaying trauma fast-backward. Methods The present analogue study was the first to investigate ‘rewinding’ in a controlled laboratory setting. First, 115 healthy women watched a highly aversive film and were instructed to report film-related intrusions during the following week. Twenty-four hours after film-viewing, participants reporting at least one intrusion (N = 81) were randomly allocated to an intervention (fast-backward, or fast-forward as active control condition) or a passive control condition. Intervention groups reactivated their trauma memory, followed by mentally replaying the aversive film either fast-backward or fast-forward repeatedly. Results Results indicate that replaying trauma fast-backward reduced intrusion load (intrusion frequency weighted for intrusion distress) compared to the passive group, whereas replaying fast-forward did not. No above-threshold differences between fast-backward and fast-forward emerged. Conclusion Present findings strengthen the view that ‘rewinding’ could be a promising intervention to reduce intrusions.

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