The aim of this research is to investigate the treatment outcome of EMDR in preschoolers (4-8 years) with PTSD.Primary objectives:Does EMDR ameliorate post-traumatic stress symptoms in young children (4-8 years)?Do participants after treatment no…
ID
Source
Brief title
Condition
- Anxiety disorders and symptoms
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Primary outcome measures:
-post-traumatic stress symptoms, measured by daily diary and a questionnaire
for parents (Trauma Symptom Checklist for Young Children, TSCYC).
DSM-V PTSD diagnostic status, assessed by a semi-structured diagnostic
interview with parents (Diagnostic Infant and Preschool Assessment, DIPA)
Analysis of the diary measurements (time-series design) by randomization test.
Analysis of the questionnaires using the Reliable Change Index (RCI
Secondary outcome
Emotional and behavioral problems, measured by 2 questionnaires for parents
(Trauma Symptom Checklist for Young Children, TSCYC; Strengths and Difficulties
Questionnaire, SDQ).
Background summary
Meta-analyses indicate that approximately 16% of traumatically exposed children
develop posttraumatic stress disorder (PTSD; Alisic et al, 2014). One of the
evidence based trauma treatments for children is Eye Movement Desensitization
and Reprocessing (EMDR). EMDR is a brief, trauma focused treatment, that has
been regularly applied in the Netherlands since 2000 in children and
adolescents with PTSD, and also in young children. Research has shown that EMDR
is an effective treatment for children aged 8-18 years old. However, few trials
have studied the effect of EMDR on preschoolers. The current research proposal
aims to strengthen the evidence for EMDR as treatment for PTSD in children and
to fill the gap of evidence for young children (<8 years old).
Study objective
The aim of this research is to investigate the treatment outcome of EMDR in
preschoolers (4-8 years) with PTSD.
Primary objectives:
Does EMDR ameliorate post-traumatic stress symptoms in young children (4-8
years)?
Do participants after treatment no longer meet the diagnostic criteria of a
post-traumatic stress disorder as described in DSM V?
Secondary objectives:
Does EMDR ameliorate emotional and behavioral problems in young children with
PTSD?
Will these above-mentioned results be maintained at follow-up 3 months after
treatment?
Study design
We intent to investigate this in a Single Case Experimental Design (SCED). A
multiple baseline with an AB-design is used (A= baseline, B= treatment), the
start of the treatment will be randomised for each participant. Measurements
consist of i) daily diary measurement of the 2 most severe post-traumatic
stress symptoms and ii) Three single-time point measurements (baseline,
posttreatment, and 3- month follow-up) of:
- post-traumatic stress symptoms;
- DSM-V PTSD diagnostic status;
- emotional and behavioural problems.
Intervention
Participants receive EMDR treatment as they would receive if they did not
participate in the study (up to 6 weekly sessions of 1 hour). Only the
measurements (with parents) are extra.
Study burden and risks
There are no known risks of EMDR. EMDR is a brief and well-tolerated treatment
method that is proven effective for children and adolescents between the ages
of 8 and 18 with PTSD, without negative side effects. There is no reason to
assume that there would be side effects or other adverse effects of EMDR for
young children with PTSD.
Stadhouderslaan 98
Schiedam 3116 HT
NL
Stadhouderslaan 98
Schiedam 3116 HT
NL
Listed location countries
Age
Inclusion criteria
Participants are a) regular referrals to GGZ Delfland aged 4-8 years; and b) meeting full DSM-V diagnostic criteria for PTSD established through the Diagnostic Infant and Preschool Assessment (DIPA); c) written parental consent; d) parents are in possession of a smartphone to install the diary app on. Participants are to refrain from another form of psychological treatment during the treatment phase of the trial.
Exclusion criteria
Exclusion criterium is ongoing trauma (abuse, threats by perpetrator), in that case the primary goal is safety for the child, before trauma treatment can take place.
Design
Recruitment
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 | NL66334.078.18 |