Persistent Complex Bereavement Disorder, Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: In order to be eligible to participate in this study, a subject must meet all of the following criteria: be a first, second, or third degree (adoption- or step) family member, spouse, colleague or friend of a person who died at the Plane Crash Ukraine; be at least 18 years of age; written informed consent; meet the DSM-5 criteria for PCBD, PTSD and/or MDD based on questionnaire scores. PCBD will be assessed with the Traumatic Grief Inventory - Self Report. Participants meet research criteria for PCBD when they score a 3 (3 = sometimes) or higher on at least 1 B-cluster symptom (Item 1, item 2, item 3 and item 14), and at least 6 C-cluster symptoms (item 4 up to 11 and item 15 up to 18) and a score of 2 (2 = seldom) or higher on the D-cluster symptom (item 13). PTSD will be assessed with the PTSD Checklist for DSM-5, by treating each item rated as 2 = "Moderately" or higher as a symptom endorsed, then following the DSM-5 diagnostic rule which requires at least: 1 B item (items 1-5), 1 C item (items 6-7), 2 D items (items 8-14), 2 E items (items 15-20), or a totalscore of 39 or higher. Severity of MDD will be assessed with the Quick Inventory of Depressive Symptomatology Self report, by which an established cut-off score of at least 6 will be used.
Exclusion criteria
Exclusion criteria: A potential subject who meets any of the following criteria will be excluded from participation in this study if he or she: - does not master the Dutch language; - suffers from a substance use disorder; - suffers from a psychotic disorder; - is mentally disabled; - is highly suicidal.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary study parameter is the difference in severity of PCBD-complaints of the immediate intervention group compared to the delayed intervention group. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary study parameters are (1) the difference in severity of PTSD and MDD of the immediate intervention group compared to the delayed intervention group (2) the possibly mediating effect of reduction of maladaptive thoughts, avoidance behavior and intrusive memories in reducing PCBD of the immediate intervention group compared to the delayed intervention group | — |