The aim of this project is to examine the feasibility of EMDR in physical trauma patients with symptoms of ASD.
ID
Source
Brief title
Condition
- Anxiety disorders and symptoms
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The primary outcome measure is the presence and severity of ASD symptoms
Secondary outcome
Response rate and dropout rate are secondary parameters.
Other study parameters are clinical information (i.e., type of trauma, Injury
Severity Score (ISS), Glasgow Coma Score, being hospitalized, being treated on
the intensive care unit, complications during treatment), and history of
psychological and psychiatric disorders.
Background summary
About 25% of physical trauma patients have subsyndromal acute stress disorder
(ASD) during hospitalization and about 30% experience posttraumatic stress
disorder (PTSD) symptoms one month after injury. Research showed that patients
with ASD or PTSD who were treated almost directly after trauma with
trauma-focused cognitive behavioral therapy (CBT) have a reduction of PTSD
symptoms. Together with CBT, eye movement desensitization reprocessing (EMDR)
therapy is the treatment of choice for physical trauma patients with PTSD. ASD
has hardly been studied in these patients and never in relation to EMDR.
Study objective
The aim of this project is to examine the feasibility of EMDR in physical
trauma patients with symptoms of ASD.
Study design
This is an intervention study with a prospective cohort design
Intervention
This intervention consists of one up to three EMDR sessions, with a duration of
45 minutes, focused on the source of ASD symptoms. This intervention will be
performed by psychologists, who are also EMDR practitioners and specialized in
treating physical trauma patients.
Study burden and risks
This project is exploratory and descriptive in nature. The risks and
discomforts of participation are kept as low as possible. EMDR appears to be an
effective intervention for trauma patients, because one or a couple of short
sessions (45 minutes) can already be effective. This intervention will be
performed by psychologists, who are also EMDR practitioners and specialized in
treating physical trauma patients. They observe and obtain that the
psychological burden of the intervention will not be too high. The global aim
of this project is to provide information about the possibility of performing a
psychological EMDR intervention in the clinical hospital setting. Outcomes will
be assessed using questionnaires and administration of response and dropout
rates. There are no medical interventions involved in the study. Duration of
participation will be about one month. Screening for ASD symptoms, by the nurse
or researcher, will take about 5 minutes. The time to complete the
self-reported questionnaires is approximately 10 minutes. EMDR treatment,
maximum three sessions, will be offered to patients with symptoms of ASD after
trauma. The number of sessions will be administrated by the psychologist.
Hilvarenbeekse Weg 60
Tilburg 5022 GC
NL
Hilvarenbeekse Weg 60
Tilburg 5022 GC
NL
Listed location countries
Age
Inclusion criteria
being treated in the shock room
aged 18 or older
presence of ASD symptoms (based on the DSM-5 criteria)
Exclusion criteria
severe traumatic brain injury (Glasgow Coma Score * 8)
dementia
insufficient knowledge of the Dutch language (verbal and writing)
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
In other registers
| Register | ID |
|---|---|
| CCMO | NL66194.028.18 |
| OMON | NL-OMON25862 |