The objective of this study is to study whether Eye Movement Desensitization and Reprocessing (EMDR) treatment leads to a significant decline of the negative self-image in patients with ADHD. The objective is to create a stronger improvement in self…
ID
Source
Brief title
Condition
- Cognitive and attention disorders and disturbances
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The main parameter is improvement of self-image. The self-image is measured
with the Rosenberg -NL Self-esteem Scale, which consists of 10 items which
represent one underlying construct. Items are answered on a 4-point-Likert
scale. Five items are reversed, so a positive score represents higher
self-confidence. Total scores can vary between 0 and 30 points. EMDR is
considered as helpful when there is a significant higher improvement on these
scales between T3 and T1 (EMDR treatment) than between T1 and T0 (waiting list
period).
Secondary outcome
Improvement of other psychological and physical symptoms is monitored with the
90-item Symptom Checklist (SCL-90). Psychological symptoms that could be
influenced during this study are for example anxiety, depression and sleep
related problems. EMDR is considered as helpful when there is a significant
higher improvement on this scale between T3 and T1 (EMDR treatment) than
between T1 and T0 (waiting list period).
Background summary
Some of the ADHD patients with a negative self-image who received cognitive
behavioural therapy, still misses something. It doesn't feel right to them.
This is the so called difference between 'knowing in your mind' and 'knowing in
your heart', which is also called 'cold and hot cognitions' (Sanders en ten
Broeke, 2011). The negative self-image emerges due to experiences of failure in
the past (Safren, 2006). For example when someone was bullied or had learning
difficulties in school. These experiences can lead to negative core beliefs
about oneself (Beck, 1976).
Study objective
The objective of this study is to study whether Eye Movement Desensitization
and Reprocessing (EMDR) treatment leads to a significant decline of the
negative self-image in patients with ADHD. The objective is to create a
stronger improvement in self-image as compared to regular therapy.
Study design
This pilot has a cross-over design. All patients start with five weeks waiting
list (the control condition). After this period, every patient receives five to
eight EMDR sessions.
Intervention
All participants undergo at least five EMDR sessions. When necessary, treatment
is prolonged to eight sessions.
Study burden and risks
The patients receive a minimum of two intakes of 120 minutes in total (before
the study intervention) and a maximum of two intakes, eight EMDR sessions and
an personal evaluation with a total duration of 895 minutes in a period of
thirteen weeks. Participants fill out the set of questionnaires three (five
EMDR sessions) or four (if they continue to eight EMDR sessions) times during
the study, which will take about 45 minutes per occasion. They continue their
regular treatment during the research. The main advantage of participation is
the possible improvement of self-image. A possible risk is that EMDR treatment
can trigger many emotional responses which can be uncomfortable.
Carel Reinierszkade 197
Den Haag 2593 HR
NL
Carel Reinierszkade 197
Den Haag 2593 HR
NL
Listed location countries
Age
Inclusion criteria
1. ADHD/ADD diagnosis.
2. Negative self-image. A negative self-image can emerge due to harmful experiences. These can lead to negative thoughts and feelings about oneself.
3. Stable situation regarding medication (consultation with doctor).
4. Continuity in psychosocial and psychic functioning.
Exclusion criteria
1. Current suicidality.
2. PTSD diagnosis.
3. Type 2 trauma (Long-term recurrent traumatic events, like sexual abuse).
4. Comorbidity: Severe current depression, bipolar disorder (type 1), psychotic disorders and substance dependency.
5. Severe personality disorder or the comorbid disorder (axis 1 or 2) demands specialised treatment first.
6. No request for help regarding a negative self-image.
7. Severe automutilation.
8. Low IQ, mental retardation.
9. Many problems on Axis-IV.
10. Unstable living situation (for example: No housing or unsufficient support system).
11. Crisis-prone and regular acting-out behaviour.
Design
Recruitment
metc-ldd@lumc.nl
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL50671.058.14 |