ptsd trauma
Conditions
Interventions
EMDR is an eight-phase protocolized approach intended to resolve the symptoms
that can result from disturbing and unprocessed life experiences (Shapiro,
2001). The patient is asked to focus on an im
Ten Broeke, De Jongh, & Oppenheim, 2012). The working memory
has a limited capacity and is therefore unable to retain the aversive memory
(target) in all its intensity while simultaneously paying at
Gunter & Bodner, 2008
Kavanagh,
Freese, Andrade, & May, Van den Hout & Engelhard, 2011). Negative cognitions
associated with the memory of the traumatic event lose credibility and positive
cognitions become more believa
De Jongh,
Ernst, Marques, Hornsveld, 2013
Sponsors
GGZ Oost Brabant (Rosmalen)
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Ten participants between 18 and 65 years of age will be recruited for this study. They are mental care patients (i.e. at GGZ Oost Brabant). They receive health care from the specialist department for persons with mild Intellectual disorders to borderline Intellectual functioning and mental disorders (LVB-P circuit). All participants are diagnosed with a mild ID or borderline IF on the basis of results of an intelligence test (e.g. WAIS II; WAIS IV). Participants have a current psychotic disorder, as assessed by the Mini PAS-ADD (M.i.n.i International Neuropsychiatric interview-Psychiatric Assessment Schedules for Adults with Developmental Disabilities (Prosser, Moss, Costello, Simpson, & Patel, 1997), in Dutch translation (Moss & Van Gennep, 2008), and a current PTSD as assessed by the by the Anxiety Disorder Interview Schedule-Children section PTSD which has been adapted for Adults with mild ID and borderline IF (ADIS-C-PTSD-LVB-Adult version) (Mevissen, Barnhoorn, Didden, & De Jongh, 2014).
Exclusion criteria
Exclusion criteria: Exclusion -poor language skills (dutch) -IQ
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| PTSD symptoms The Adapted Anxiety Disorder Interview Schedule-Adults, PTSD section (ADIS-C-PTSD, LVB-Adult version, unpublished) (Mevissen et al., 2014), is used to measure type and severity of PTSD symptoms in adults with mild ID and borderline IF. Mevissen et al. (2014) developed the Adapted ADIS-C -PTSD for the assessment of PTSD in children and adolescents with mild to borderline IF. A recent study showed good interrater reliability, content and convergent validity (Mevissen et al., in press). Next to the child version, the ADIS-PTSD- LVB-Adult version Interview was developed. At this moment a study on its psychometric characteristics is in progress. The first part of the ADIS-PTSD-LVB-Adult version consists of 29 questions addressing different types of traumatic events. The response format for each question is *yes*, *no* or *otherwise*. When participant responds to the question about one of the traumatic events in the affirmative, the participant is asked three more questions: (1) *what happened?*; (2) *how did you react to that*; (3) *how old were you when it happened?*. To help the participant to keep in mind the events when symptoms are asked, all events the participants are exposed to, are visualized on a time line. Next, the participant is asked which event actually is the worst to think about. The second part of the interview consists of 40 questions about PTSD symptoms and several questions addressing atypical symptoms. For these questions, the response format is *yes*, *no* or *otherwise. The participant is then asked to rate his or her subjective level of daily life impairment. To this end a thermometer card is used. During the selection process the entire interview will be conducted by an EMDR therapist, trained in administering the interview. To monitor the weekly changes in PTSD symptoms only the second part of the interview will be used. The monitoring of the weekly changes will be carried out by a research assistant. | — |
Secondary
| Measure | Time frame |
|---|---|
| Psychotic symptoms Psychotic symptoms will be weekly monitored by means of the Psychotic Symptom Rating Scale Interview (PSYRATS) (Haddock, 1994), in Dutch translation (Valmaggia, 1998). The interview uses the Auditory Hallucination Rating Scale (AHRS; 11 questions, total score ranges from 0-55). The AHRS assesses the frequency, duration, location, loudness, causal attribution of daily life caused by hearing voices. The Delusion Rating Scale (DRS; 6 questions, total score ranges from 0-30) and assesses the extent and duration of preoccupation with the delusion, the credibility of the delusion, the extent and severity of discomfort and suffering, and the disruption of daily life caused by the delusions. All PSYRATS items are scored from 0 (not) to 5 (continuously). Results of a study by Haddock and his colleagues (1999) showed an adequate internal reliability, largely good test-retest reliability and logical inter-correlations between subscales of the PSYRATS interrater reliability (AHRS alphas .78-100; DRS .88-.99) and validity were found to be good to excellent. Although the PSYRATS (sub-scale AHRS and sub-scale DRS) are used in studies for non-disabled patients, there are indications that it is also useful in people with mild ID and borderline IF. Hatton and his colleagues (2005) found that the PSYRATS, especially the scale for auditory hallucinations, are well-suited to people with ID and psychotic symptoms. In addition, in comparable studies, where participants are included with an IQ of 70, also used the PSYRATS (De Bont, et al., 2013; De Bont et al., 2016, Van den Berg & Van der Gaag; 2012; Van den Berg et al., 2015). This suggests that the PSYRATS can be used reliably in persons with mild ID to borderline IF. The PSYRATS will be administrated by a research assistant at pre-and post-treatment and follow-up. General psychopathology and distress The Brief symptom Inventory (BSI) is a short version of the SCL-90-R to quickly measure p | — |
Countries
Netherlands
Outcome results
None listed