schizophrenia spectrum disorder, with paranoid delusions as a core symptom
Conditions
Interventions
EMDR Flash Forward on the worst case scenario's
Sponsors
UMC Utrecht
Eligibility
Inclusion criteria
Inclusion criteria: 1. The participants have been diagnosed with schizophrenia spectrum disorder, with paranoid delusions as a core symptom (DSM-V). 2. A score on the Psyrats DRS of> 15. 3. The age must be between 16 and 60 years. 4. Prescribed medication for the treatment of psychosis must be stable for at least a month. 5. A comorbid diagnosis of PTSD must have been treated adequately and symptoms must be in remission.
Exclusion criteria
Exclusion criteria: 1. Participants who still have to be adjusted to appropriate antipsychotic medication. 2. Participants with serious dissociative symptoms. 3. Participants with an alcohol or substance dependence 4. Participants with an organic syndrome or learning disability, or severe visual impairments. 5. Participants who are already following a different psychological treatment aimed at delusions. 6. Participants who have insufficient understanding of the Dutch language. 7. Participants who are suicidal.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary Objective: Investigate whether EMDR Flash Forward is a feasible intervention to process emotionally disturbing mental images of worst case scenarios that occur in paranoid delusions, in order to decreases the preoccupation with the delusion. This is operationalized by a lower score on the Psyrats DRS (Psychotic Symptoms, Delusion Rating Scale) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary Objective: Investigate whether the patient is less inclined to avoid situations caused by the paranoid delusion in his/her daily life if he/she is less preoccupied with the worst case scenario’s (after the intervention on the mental images). This is operationalized by lower scores on the SBQ (Safety Behavior Questionnaire) | — |
Contacts
Public ContactHeleen van Loon
UMC Utrecht
Outcome results
None listed