Instruction Category: Domain

Hippocampal activity (van Rooij et al., 2017).

Brief EMDR intervention, R-TEP (Gil-Jardiné et al, 2018). There is no consensus whether or not EMDR alter the trajectory in a favourable way. We do not recommend to do this, because it could be just the waste of resourses.

Sleep deprivation – some benefit (Porcheret, 2015). Not benefitial in reduction of traumatic intrusions (Sopp, 2020). Data is contradictory (Porcheret, 2019). week: sleeping “too little” or “too much” was associated with more intrusive memories (Porcheret, 2020).

Clinical findings showed that a single session of approx. 25 minute behavioural intervention (reminder cue + mental rotation instructions + Tetris game play) reduce intrusive memories of trauma over one week (Yiadurai, 2018, Horsch, 2017). Idealy it should be applied before the first night of sleep after the exposure. Longer term studies needed.

Prolonged exposure intervention (Rothbaum et al, 2012). There is no consensus whether or not CBT alter the trajectory in a favourable way. We do not recommend to do this, because it could be just the waste of resourses.

Some evidence of subjective sleep disruption predictive of future PTSD

Laboratory findings – Single approx 25-min behavioural intervention (reminder + filler + mental rotation instructions for Tetris game play) 24 hours after trauma: tested after experimental trauma but not real-world trauma. Main outcome is reduction of intrusive memories over 1 week. Neither game play alone not trauma reminder cue alone was sufficinet: full intervention package is needed.

EMDR (Jarero et al, 2015). There is no consensus whether or not EMDR alter the trajectory. We do not recommend to do this, because it could be just the waste of resourses.

Prior Childhood Trauma and Substance Abuse