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| Name | Class |
|---|---|
| Istanbul Rumeli University | OTHER |
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The purpose of this retrospective study was to evaluate the effectiveness of a new psychotherapy technique called Psychological Cognitive Reprocessing Procedure (P-CRP) in treating trauma symptoms. The P-CRP intervention was developed and manualized by the principal investigator (Z.B.Baydar). Participants were randomly assigned to either the P-CRP intervention group, an active control group, or a waitlist condition. The study aimed to determine if this new method, which focused on episodic buffer processing, significantly reduced trauma-related psychological distress compared to standard approaches. Data collected during the intervention phase were analyzed to assess the efficacy of the P-CRP technique.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Psychological-cognitive reprocessing procedure (P-CRP). | Experimental | The P-CRP was the experimental group receiving four session the intervention. The Psychological-Cognitive Reprocessing Procedure (P-CRP) is a brief and a neuro-psychological intervention based on the episodic buffer model. This process facilitates the separation of cognitions from automatic processing and pulls traumatic fragments into the episodic buffer through simultaneous neuronal firing. This integration helps resolve the semantic fragmentation caused by trauma, allowing for cognitive reintegration and meaning making. |
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| Expressive Narrative and Symbolic Drawing (ENSD) | Active Comparator | Control participants received four session a narrative-based expressive and symbolic drawing protocol. The intervention delivered to the control group can be characterized as an active, experiential, projective, and sensory-supported approach. |
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| Waitlist Group | No Intervention | Participants in this group did not receive any active psychological intervention during the study period. They completed the pre-test and follow-up assessments at the same time intervals as the intervention groups. Following the completion of the follow-up phase, participants in the wait-list group were offered a psychological intervention protocol based on the study's findings to ensure ethical treatment standards. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Psychological-cognitive reprocessing procedure (P-CRP). | Behavioral | Unlike traditional approaches, the traumatic imagery is not directly targeted in the first session. The intervention begins with the silent repetition of a word or phrase representing the core negative belief associated with the traumatic experience. . During each 1-minute set, bilateral stimulation (synchronized tapping on the shoulders only) is applied, allowing the client to process the traumatic material through spontaneously emerging associations selected by the mind itself. Rather than relying on external direction, the protocol activates internal self-regulation capacities. In this respect, it aims to promote semantic and symbolic reorganization, differing from classical cognitive restructuring or desensitization-based methods. The decision about which aspect of the experience will be processed or desensitized is determined by the client's own mental flow, thereby reinforcing a sense of trust in the mind's capacity despite the traumatic history. |
| Measure | Description | Time Frame |
|---|---|---|
| The Impact of Event Scale -Revised (IES-R) | The IES-R is a 22-item self-report scale designed to assess the psychological impact of traumatic experiences across three subdimensions: intrusion, avoidance, and hyperarousal. Items are rated on a 5-point Likert scale (0 = not at all to 4 = extremely) based on symptom frequency over the past seven days. Total scores range from 0 to 88, where higher scores indicate greater severity of post-traumatic stress symptoms. According to the literature, scores of 33 and above suggest a probable PTSD diagnosis. The Turkish adaptation was used, which demonstrated high validity and reliability. | Baseline (Week 0), Post-intervention (Week 6), and Follow-up (Week 10) . |
| Measure | Description | Time Frame |
|---|---|---|
| State-Trait Anxiety Inventory (STAI). | At the beginning of the scale, four demographic questions are included (name, gender, age, and occupation). The instrument uses a four-point Likert-type response format. The State Anxiety subscale consists of 20 items rated on a scale from (1) Not at all to (4) Very much so. The Trait Anxiety subscale also contains 20 items, with response options ranging from (1) Almost never to (4) Almost always. Cronbach's alpha coefficients reported in the Turkish adaptation were α = .72 for the State Anxiety subscale, α = .67 for the Trait Anxiety subscale, and α = .70 for the total scale; overall reliability values for the instrument have been reported to fall between α = .60 and α = .80. |
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Individuals were excluded if they had:
Individuals were included if they had:
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| Name | Affiliation | Role |
|---|---|---|
| Zahide B. Baydar, Clinical Psychologist (Msc.) | Istanbul Rumeli University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zahide Betül Baydar | Istanbul | Istanbul | 34876 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Whitall, J., Waller, S. M., Silver, K. H. C., & Macko, R. F. (2000). Repetitive bilateral arm training with rhythmic auditory cueing improves motor function in chronic hemiparetic stroke. Stroke, 31(10), 2390-2395. Whitall, J., Waller, S. M., Sorkin, J. D., Forrester, L. W., Macko, R. F., Hanley, D. F., & Goldberg, A. P. (2011). Bilateral and unilateral arm training improve motor function through differing neuroplastic mechanisms: A single-blinded randomized controlled trial. Neurorehabilitation and Neural Repair, 25(2), 118-129. Zainal, N., Newman, M., & Hong, R. (2019). Cross-cultural and gender invariance of transdiagnostic processes in the united states and singapore. Assessment, 28(2), 485-502. | ||
| 20350031 | Background | Webb CA, Derubeis RJ, Barber JP. Therapist adherence/competence and treatment outcome: A meta-analytic review. J Consult Clin Psychol. 2010 Apr;78(2):200-11. doi: 10.1037/a0018912. | |
| Background | Pagani, M., Di Lorenzo, G., Verardo, A. R., Nicolais, G., Monaco, L., Lauretti, G., Russo, R., Niolu, C., & Siracusano, A. (2012). Neurobiological correlates of EMDR monitoring-An EEG study. PLoS ONE, 7(9), e45753. Pagani, M., Amann, B. L., Landin-Romero, R., & Carletto, S. (2017). Eye Movement Desensitization and Reprocessing and slow wave sleep: A putative mechanism of action. Frontiers in Psychology, 8, 1935. Park, C. L. (2022). Meaning making following trauma. Frontiers in Psychology, 13:844891 Picó-Pérez, M., Fullana, M. À., Albajes-Eizagirre, A., Vega, D., Marco-Pallarés, J., Vilar, A., … & Soriano-Mas, C. (2022). Neural predictors of cognitive-behavior therapy outcome in anxiety-related disorders: a meta-analysis of task-based fmri studies. Psychological Medicine, 53(8), 3387-3395. Rank, O. (2001/2024). Doğum travması (S. Yücesoy, Çev.). Metis Yayınları. (Orijinal eser 1924'te yayımlandı.) Resick, P. A., Wachen, J. S., Mintz, J., Young-McCaughan, S., Roache, J. D., Borah, A. M., … & Peterson, A. L. (2015). A randomized clinical trial of group cognitive processing therapy compared with group present-centered therapy for ptsd among active duty military personnel.Journal of Consulting and Clinical Psychology, 83(6), 1058-1068. Shapiro, F. (2001). Eye movement desensitization and repro-cessing: Basic principles, protocols and procedures (2nd ed.).New York: Guilford Shapiro, F. (2021). Eye movement desensitization and reprocessing (EMDR) therapy: Basic principles, protocols, and procedures (3rd ed.). Guilford Press. Shiffrin, R. and Atkinson, R. (1969). Storage and retrieval processes in long-term memory.. Psychological Review, 76(2), 179-193. Schore, A. (2021). The interpersonal neurobiology of intersubjectivity. Frontiers in Psychology, 12. Silfwerbrand, L., Ogata, Y., Yoshimura, N., Koike, Y., & Gingnell, M. (2022). An fMRI-study of leading and following using rhythmic tapping. Social Neuroscience, 17(6), 558-567. Spielberger, C. D., Gorsuch, R. L.,& Lu |
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The datasets generated and analyzed during the current study are not publicly available due to participant confidentiality and ethical restrictions established in the informed consent agreement. However, de-identified data may be made available from the corresponding author ([Z.B.B]) upon reasonable request for scientific purposes.
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The study is a three-arm pilot randomized controlled trial consisting of an intervention group, a control group, and a waiting-list group.
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| Expressive Narrative and Symbolic Drawing (ENSD) | Behavioral | Following initial anamnesis and psychoeducation, clients recounted their trauma and drew a self-selected symbol of the event using their non-dominant hand. Each session involved discussing the memory and updating this symbol to facilitate indirect processing through creative expression. |
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| Baseline (Week 0), Post-intervention (Week 6), and Follow-up (Week 10) |
| The Body Sensations Questionnaire (BSQ). | It is a 17-item self-report measure assessing fear of bodily sensations associated with arousal and panic. Cronbach's alpha for the scale is reported as .92; in the current study, internal consistency was α = .93. | Baseline (Week 0), Post-intervention (Week 6), and Follow-up (Week 10) |
| The Positive and Negative Affect Schedule (PANAS) | Scale is a 20-item scale consisting of 10 positive and 10 negative affect items. In the present study, Cronbach's alpha coefficients were α = .86 for Positive Affect and α = .82 for Negative Affect. | Baseline (Week 0), Post-intervention (Week 6), and Follow-up (Week 10) |
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| ID | Term |
|---|---|
| D000068099 | Trauma and Stressor Related Disorders |
| D000090382 | Prolonged Grief Disorder |
| D013313 | Stress Disorders, Post-Traumatic |
| D014947 | Wounds and Injuries |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D040921 | Stress Disorders, Traumatic |
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