Posttraumatische stress en psychologische comorbiditeit ten gevolge van het zorgen voor een kind met een medische aandoening. nvt
Conditions
Interventions
The intervention that will be used in this Randomized Controlled Trial is EMDR
therapy. The EMDR therapy will be provided by licensed master*s degree
(clinical) psychologists and advanced EMDR pract
Sponsors
Amsterdam UMC
Eligibility
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria (protocol 4.2 Inclusion criteria): - One of the three conditions on the PTSD Check List for DSM-5 (PCL-5): 1) A score of 2-4 (moderate or higher) on one symptom in each cluster (B, C, D or E); 2) Three of the four PTSD criteria (one B symptom, one C symptom, two D symptoms and two E symptoms); 3) A (sub) clinical total score (>24). . - Being motivated for brief EMDR treatment. - Parenting a child under treatment of a healthcare provider at the Emma Children*s Hospital, Amsterdam UMC. - Having sufficient knowledge of the Dutch language to complete the assessments.
Exclusion criteria
Exclusion criteria: Exclusion criteria (protocol 4.3 Exclusion criteria): - Major interfering acute medical 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 |
|---|---|
| To assess the effectiveness (decrease in posttraumatic stress symptoms on the PCL-5) of brief EMDRip and EMDRr for parents of children with a severe chronic or acute medical condition, an intention-to-treat analysis will be performed including all participants originally enrolled in the study, the data will be assessed using linear mixed model analysis (LMM). The long-term treatment effect will be investigated using the Mixed Model Repeated Measures (MMRM) variant of Linear Mixed Model analysis. The PCL-5 is one of the most widely used self-report measures of post-traumatic stress disorder (PTSD) in research and clinical contexts across various trauma types and populations (Bovin et al., 2016, Blevins et al., 2015). The 20-item PCL-5 measures PTSD symptoms of the DSM-5 on a five-point Likert scale, ranging from 0 *not at all* to 4 *extremely*. The 20-items are divided across the DSM-5 clusters intrusions (B), avoidance (C), alterations in arousal and reactivity (D), and negative alterations in cognitions and mood (E) (American Psychiatric Association, 2013). To calculate the score on the PCL-5 each item rated 2 (moderately) or higher is selected, on these items the DSM-5 rule is applied (one B symptom, one C symptom, two D symptoms, and two E symptoms). Parents will be included in this study if they meet one of the three conditions below on the PCL-5: 1) a 'moderate or higher' (2-4) score for at least one symptom in each cluster (B, C, D or E); or 2) three of the four PTSD criteria (one B-symptom, one C-symptom, two D-symptoms and two E-symptoms), or 3) (sub)clinical total score (>24). The PCL-5 has been thoroughly researched and shows excellent psychometric properties in numerous studies (Van Praag et al., 2020, Bovin et al., 2016, Blevins et al., 2015). Blevins et al. (2015) found strong internal consistency (a = .94), test-retest reliability (r = .82), and convergent (rs = .74 to .85) and discriminant (rs = .31 to .60) validity. Van Pra | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess the effectiveness of (1) decrease in psychopathology on the BSI Somatization/Promis Anxiety/Promis Depression, 2) decrease in parental stress on the DT-P, 3) decrease in everyday parenting problems on the OBVL, 4) increase in partner relationship quality on GVL subscale Partner Relationship, 5) increase in relationship quality with chronically ill child on OBVL subscale Parent-child relationship problems, 6) decrease in posttraumatic stress symptoms child on CATS) of the brief EMDRip and EMDRr for parents of children with a severe chronic or acute medical condition, an intention-to-treat analysis will be performed including all participants originally enrolled in the study. The long-term treatment effect will be investigated using the Mixed Model Repeated Measures (MMRM) variant of Linear Mixed Model analysis. To exploratory assess the moderating effect of social support and relationship quality on the effectiveness of EMDRip and EMDRr (on the PCL-5) an intention-to-treat analysis will be performed including all participants originally enrolled in the study and the data will be assessed using linear mixed model analysis (LMM) including social support and relationship quality (GVL subscale Social Support, GVL subscale Partner Relationship) as moderators among potential other variables. Measurement instruments used: Psychopathology: Brief Symptom Inventory-18 subscale Somatic Symptoms (SOM, BSI-18) (de Beurs, 2011): Providing insight into the extent to which the respondent has experienced physical symptoms during the past week. The score on the subscale can be calculated with a maximum score of 24. A higher score represents more physical complaints. The Somatic symptoms subscale has proven to be reliable, a = .74[42]. PROMIS item banks: The PROMIS questionnaires are administered via Computer Adaptive Tesst (CAT) in which a follow-up question is selected based on previously given answers, this way a reliable outcome can be obtained | — |
Countries
Netherlands
Outcome results
None listed