alle kinderen die via SEH acuut opgenomen worden i.v.m. een acute interne of chirurgische aandoeningen Congenital heart disease (being born with a heart defect) and acute internal or surgical conditions
Conditions
Interventions
EMDR is a standardized treatment method for trauma, consisting of a structured
nine-phase approach to address the past, present, and future aspects of a
traumatic or distressing memory (a detailed d
the rationale is
that the working memory in the brain cannot handle competing tasks and thus the
traumatic memory is neutralized. Finally, pleasant and positive thoughts are
installed.
Interventi
Sponsors
Erasmus MC, Universitair Medisch Centrum Rotterdam
Eligibility
Age
2 Years to 17 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: eligible are all consecutive patients who 1) underwent one or more admissions to a hospital between July 2011 and April 2018 (time between the baseline screening for this study and the prior admission is at least 4 weeks up to maximally 5 years ago) and 2) are 4-16 years old during the inclusion period (July 2016 * May 2018), encompassing: 1) previously healthy children (with no underlying chronic illness/handicap) admitted to the hospital for the first time via the emergency department and children who had a one-time hospitalization at the department of child cardiology (trauma type I); and 2) patients with recurrent admissions via the emergency department or at the department of child cardiology or children who had a medical procedure (e.g. surgery) apart from a one-time admission (trauma type II).
Exclusion criteria
Exclusion criteria: Exclusion criteria: Mental retardation, inability to read or write Dutch, previous psychological treatment for PTSD symptoms, epilepsy. For exclusion in the RCT: children with a score below the 60th percentile on the SVLK and/or meeting less than 2 of the 3 SVLK PTSD subscales, and children with a clinical, psychiatric posttraumatic sress disorder (measured by the CAPS-CA/DIPA)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main study parameter/endpoint: - Difference in PTSD symptoms (measured with the SPPC) between EMDR and CAU group on T1 (baseline), T2 (2 weeks after the completion of EMDR therapy or CAU) and T3 (6 months follow-up) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary study parameters/endpoints, assessed at T1, T2, T3: Psychosocial functioning Quality of life Sleep Self-perception Attention (problems): School functioning Medical consumption/adherence: Predictor variables, assessed at T1: demographic factors cognitive coping styles stressful life events, s Somatic complaints, information regarding surgery and painful procedures. | — |
Countries
Netherlands
Outcome results
None listed