Post-traumatic stress disorder Trauma-related anxiety
Conditions
Interventions
MVC and FT: These optional steps are applicable for all situations which are
still avoided or endured with anxiety after standard EMDR treatment. It starts
with assessment of such situation(s). The
Sponsors
Universiteit van Tilburg
Eligibility
Age
2 Years to 17 Years
Inclusion criteria
Inclusion criteria: 1. Aged 8-17 years. 2. Able to read/write and communicate in the Dutch language. 3. Indication for EMDR linked to a traumatic event or life-event causing symptoms of anxiety or PTSD, resulting in clinically significant distress or impairment. 4. Experiencing >1 symptoms of avoidance or safety behavior (either avoiding or making efforts to avoid distressing memories, thoughts or feelings and/or avoiding or making efforts to avoid external reminders). 5. Supporting family system
Exclusion criteria
Exclusion criteria: 1. Complex Trauma (cumulative poly-victimization that is typically interpersonal in nature and involves direct harm, exploitation or neglect/abandonment by caregivers. 2. The presence of symptoms in more urgent need of treatment (e.g. suicidal intent/acts, acute psychosis). 3. Starting (new) psychotropic medication three months prior to the start of the trial, OR during the EMDR treatment. 4. An IQ
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main study points are the changes in anxiety symptoms, post-traumatic stress symptoms, and avoidance behaviour after intervention. Effectivity is defined as decreased anxiety, less relapse of posttraumatic stress symptoms and longer-lasting extinction of avoidance behaviors. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary study parameters are changes in depressive symptoms, quality of life and parental distress. Moreover, treatment satisfaction and treatment characteristics will be assessed as secondary study parameters, including the following: Number of face-to-face sessions needed; number of VR-based sessions needed; duration per VR-based session; early termination yes/no; intensity settings of VR-based EMDR; description of the FT; all VoC (validity of cognition) scoring of the FT. Furthermore, emotions and emotion regulation will be measured using the experience sampling method (ESM). | — |
Countries
Netherlands
Outcome results
None listed