Comparing the Efficacy of Competitive Memory Training (COMET) and MEmory Specificity Training (MEST) on Posttraumatic Stress Disorder Among Newly Diagnosed Cancer Patients

Abstract

Cancer has been considered a potentially traumatic experience and is a distinct pathway by which one might develop symptoms of posttraumatic stress disorder (PTSD). This study compared the efficacy of COmpetitive MEmory Training (COMET), an intervention aimed at altering dysfunctional self-representations, and MEmory Specificity Training (MEST), an intervention targeting autobiographical memory deficits, on PTSD and depression symptoms. As a secondary aim, we also investigated the effect of COMET and MEST on trauma-related attentional biases. Sixty newly diagnosed cancer patients with PTSD were randomly assigned to either the COMET (n = 30) or MEST groups (n = 30). Each participant completed the Posttraumatic Stress Disorder Checklist-5, Beck Depression Inventory-II and a dot-probe task. The groups then underwent either COMET or MEST. All the assessments were re-conducted after the treatment (post-treatment) and at three months post-treatment (follow-up). The COMET group had significantly fewer PTSD and depression symptoms compared to the MEST group at post-training and follow-up. Both groups indicated a significant reduction in attentional biases following training. This study suggests that COMET is a promising brief intervention for the treatment of PTSD in cancer patients.