Posttraumatische stress en psychologische comorbiditeit ten gevolge van het zorgen voor een ernstig ziek kind. nvt
Conditions
Interventions
The therapists that provide the EMDR therapy are licensed master*s degree
(clinical) psychologists and advanced EMDR practitioners, working at the
Amsterdam UMC or de Bascule.
Intake session:
A st
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - Reporting at least an increased score (moderately or higher) on one symptom in each cluster (B, C, D or E) or met 3 of the 4 PTSD criteria (1 B symptom, 1 C symptom, 2 D symptoms and 2 E symptoms) measured by the PTSD Check List for DSM-5 (PCL-5) or having at least an increased score (>24) on the PCL-5. - Being motivated for a short, intensive EMDR treatment programme. - Parenting a child with MPS III under treatment by a metabolic paediatrician in the Emma Children*s Hospital/Amsterdam UMC. - Having sufficient knowledge of the Dutch language to complete the assessments. - Willingness to give a written informed consent in advance.
Exclusion criteria
Exclusion criteria: - Major interfering acute medical and/or psychiatric condition, such as psychosis, substance dependence or high risk for suicide. - Insufficient fluency of the Dutch language. - Receiving psychological (trauma) treatment by another therapist at the same time.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Post-traumatic stress (symptoms) will be measured by the PTSD Check List for DSM-5 (PCL-5). The PCL-5 is a self-reported questionnaire which assesses PTSD symptoms and is one of the most frequently used self-reported questionnaires for PTSD. The PCL-5 measures the 20 DSM-5 PTSD symptoms (divided in the clusters intrusions (B), avoidance (C), alterations in arousal and reactivity (D), negative alterations in cognitions and mood (E)) over the last week and is answered on a five-point Liker scale, ranging from 0 *not at all* to 4 *extremely*. A provisional PTSD diagnosis can be made by counting each item rated 2 (moderately) or higher and then applying the DSM 5 rules (one B symptom, one C symptom, two D symptoms and two E symptoms). The PCL-5 test scores demonstrated good internal consistency (* = .96), test*retest reliability (r = .84), and convergent and discriminant validity. | — |
Secondary
| Measure | Time frame |
|---|---|
| Psychological comorbidity will be measured by: - Brief Symptom Inventory (BSI). BSI is a self-reported questionnaire (53 items) that measures psychopathology in general and consist of nine clinical scales: somatization, obsessive compulsiveness, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation and psychoticism measured on a five-point Likert scale (0 = *none* to 4 = *a lot*). - Opvoedingsbelasting Vragenlijst (OBVL): The OBVL is a self-reported questionnaire (34 items) that assess parental stress that parents may experience in five dimensions: parent-child relation relationship, parental incompetence, depressed mood, health complaints and role restriction measured on a four-point Likert scale (1 = *incorrect* to 4 = *totally correct*). - Distress Thermometer for Parents (DT-P): The DT-P is a self-reported questionnaire that assess parenting distress in parents of a chronically ill child. The DT-P consists of a thermometer score where parents are asked to rate their overall distress (0 = *no distress* to 10 = *extreme distress*). Distress is indicated as clinically relevant from a score *4. The thermometer is accompanied by a problem list (parents indicated whether they divided over six problem domains: practical, family/social, emotional, physical, cognitive, and parenting. | — |
Countries
Netherlands
Outcome results
None listed