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Accordingly, this study examined how engagement with negative memories influences intrusion frequency (Experiment 1) and WM load (Experiment 2). In Experiment 1 (\n                    <jats:italic>N<\/jats:italic>\n                    = 90), participants viewed a trauma film and were assigned to Tetris without memory recall, Tetris with memory recall, or a no\u2010task control condition. Participants rated memory vividness and unpleasantness before and after the intervention and recorded film\u2010related intrusions in a diary for 1 week. In Experiment 2 (\n                    <jats:italic>N<\/jats:italic>\n                    = 45), a reaction time task assessed whether brief memory reactivation (as used in the Tetris without memory recall condition) or concurrent, deliberate recall (as used in the Tetris with memory recall condition) differentially taxed WM. Experiment 1 showed that the Tetris with memory recall task led to the largest reductions in memory vividness, \u03b7\n                    <jats:sub>p<\/jats:sub>\n                    <jats:sup>2<\/jats:sup>\n                    =\u00a0.09,\n                    <jats:italic>p<\/jats:italic>\n                    =\u00a0.017, and unpleasantness, \u03b7\n                    <jats:sub>p<\/jats:sub>\n                    <jats:sup>2<\/jats:sup>\n                    =\u00a0.09,\n                    <jats:italic>p<\/jats:italic>\n                    =\u00a0.015, relative to the other conditions, but, unexpectedly, intrusion frequency did not differ between interventions, \u03b7\n                    <jats:sub>p<\/jats:sub>\n                    <jats:sup>2<\/jats:sup>\n                    =\u00a0.02, BF\n                    <jats:sub>01<\/jats:sub>\n                    = 5.57,\n                    <jats:italic>p<\/jats:italic>\n                    =\u00a0.448. Experiment 2 indicated that only simultaneous, deliberate recall imposed a WM load, \u03b7\n                    <jats:sub>p<\/jats:sub>\n                    <jats:sup>2<\/jats:sup>\n                    =\u00a0.11,\n                    <jats:italic>p<\/jats:italic>\n                    =\u00a0.032. The lack of effects on intrusive memories warrants consideration of methodological differences between this and prior Tetris research and highlights the need to clarify which elements and mechanisms of the intervention\u2014whether implemented with or without deliberate recall\u2014modulate intrusions before translating these findings into clinical practice.\n                  <\/jats:p>","DOI":"10.1002\/jts.70104","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T15:20:35Z","timestamp":1782919235000},"page":"897-908","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects on intrusive memories of playing Tetris with or without simultaneous and deliberate memory recall"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3757-510X","authenticated-orcid":false,"given":"Kevin van","family":"Schie","sequence":"first","affiliation":[{"name":"Department of Medical and Clinical Psychology Tilburg University  Tilburg The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrik","family":"Kessler","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy Campus Fulda Philipps\u2010University of Marburg  Marburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1117-932X","authenticated-orcid":false,"given":"Iris M.","family":"Engelhard","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology Faculty of Social and Behavioural Sciences Utrecht University  Utrecht the Netherlands"},{"name":"Department of Clinical Psychological Science Maastricht University  Maastricht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. 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