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Increasing self-efficacy reduces visual intrusions to a trauma-film paradigm
Authors:Nadia Rahman  Danny Horesh  Nicole A Kouri  Rony Kapel Lev-Ari  Roseann Titcombe-Parekh  Richard A Bryant
Institution:1. Department of Psychiatry, New York University School of Medicine, New York, NY, USA;2. Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel;3. Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel;4. School of Psychology, University of New South Wales, Kensington, Australia
Abstract:Background and Objectives: It has been proposed that self-efficacy plays a critical role in the onset and maintenance of Posttraumatic Stress Disorder (PTSD). This study aimed to test if increasing perceptions of self-efficacy using a false feedback technique about coping abilities prior to a trauma-film paradigm lead to a reduction of visual intrusions over the course of 6 days.

Design and Methods: Healthy participants recruited from the community were randomized to a high self-efficacy (HSE, N?=?18), low self-efficacy (LSE, N?=?21), or neutral self-efficacy (NSE, N?=?23) conditions.

Results: Participants in the HSE condition reported higher levels of self-efficacy. In addition, individuals in the HSE conditions reported significantly fewer intrusions over 6 days. Unexpectedly, individuals in the LSE condition reported fewer intrusions on the final day of the study compared to those in the NSE condition. The LSE group was also the only group showing a significant linear decline in intrusion across the 6 days.

Discussion: These findings provide further support that perceptions of self-efficacy are modifiable and may contribute to clinically-relevant processes underlying PTSD. Future prospective research with individuals exposed to trauma will help to shed light on the potential role of self-efficacy to buffer the negative impacts of traumatic stress.

Keywords:PTSD  trauma  self-efficacy  intrusions  memory  trauma-film paradigm
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