A mixed‐methods, randomized controlled feasibility trial of Eye Movement Desensitization and Reprocessing (EMDR) plus Standard Care (SC) versus SC alone for DSM‐5 Posttraumatic Stress Disorder (PTSD) in adults with intellectual disabilities

Abstract

Objective:To report the results of the first randomized feasibility trial of Eye Movement Desensitization and Reprocessing (EMDR) plus Standard Care (SC) versus SC alone for DSM-5 posttraumatic stress disorder (PTSD) in adults with intellectual disabilities. Method:A total of 29 participants were randomized to either to EMDR + SC (n = 15) or SC (n = 14). Participants completed measures on traumatic stress (PCL-C) and comorbid distress at baseline, 1 week post-treatment and 3-month follow-up. Results:In the EMDR + SC group, 9 (60%) participants at post-treatment and 7 (47%) participants at 3-month follow-up were diagnosis free. In SC, 4 (27%) at post-treatment and follow-up were diagnosis free. At post-treatment, three participants (20%) dropped out from the EMDR + SC group, and 1 (7%) dropped out from the SC group.Conclusions: It is feasible, acceptable and potentially effective to deliver EMDR in this population group.

Efetividade da EMDR no tratamento do transtorno de estresse pós-traumático: Uma revisão integrativa / Effectiveness of EMDR in the treatment of post-traumatic stress disorder: An integrative review

“…A EMDR é utilizada como uma alternativa não-farmacológica no tratamento do TEPT, tendo apresentado resultados positivos ao longo do tempo (CHEN et al, 2015;CHEN et al, 2014 (KARATZIAS et al, 2019;DE BONT et al, 2016;SCHUBERT et al, 2016;TANG et al, 2015;VAN DEN BERG et al, 2015).…”

“…Para uma revisão acerca dos aspectos neurais e comportamentais associados aos processos de consolidação, reconsolidação, extinção e esquecimento da memória no TEPT, sugerimos as revisõesde Nader (2003), Haubrich e Nader (2016) eSachser et al (2017).De Roos et al (2017) concluiu que TCC e EMDR foram igualmente eficazes para a redução dos sintomas de TEPT, ansiedade, depressão e problemas comportamentais, e mantiveram taxas de remissão clinicamente significativas no follow-up (de 3 e 12 meses), sendo que na EMDR esses ganhos foram alcançados com menos horas de sessões em relação à TCC(DE ROOS et al, 2017). De modo geral, a EMDR apresentou benefícios imediatos equivalentes às terapias consideradas usuais, mas seu benefício a longo prazo aparenta ser mais duradouro(KARATZIAS et al, 2019;ACARTURK et al, 2016).…”

Acceptability of tDCS in treating stress-related mental health disorders: a mixed methods study among military patients and caregivers

“…Neither patients nor caregivers believed that a technique like tDCS can completely replace psychotherapy or 'talking'. In fact, 'talking', personal contact and the role of the caregiver are regarded as the most important aspects of psychotherapy [43] that positively contribute to willingness to participate in research (especially among traumatized patients [54]), treatment acceptability [52,55], therapeutic effectivity, and self-efficacy in managing symptoms [42,52,[55][56][57][58]. Accordingly, treatments for PTSD and anxiety without these interpersonal aspects (such as medication)…”

“…The technique also induced some initial feelings of unsafety among patients. As also pointed out by the caregivers, patients with stress-related disorder are prone to anxious feelings prior to starting a novel treatment [42,52,55,57] and may prefer treatments they are familiar with [45]. To improve the affective attitude towards tDCS as a professional treatment tool, attention should be paid to the appearance and comfort of the equipment and treatment setting, and to patients' understanding of the treatment and its safety profile.…”

Feasibility and potential effectiveness of an intensive trauma-focused treatment programme for families with PTSD and mild intellectual disability

“…For example, the DSM-5-based clinical interview DITS-ID (Diagnostic Interview Trauma and Stressors – Intellectual Disability; Mevissen et al, 2018 ; Mevissen, Didden, De Jongh, & Korzilius, 2020 ; Mevissen et al, 2016b ) was developed to establish a PTSD diagnosis in children and adults with MID-BIF. Moreover, Eye Movement Desensitisation and Reprocessing (EMDR) therapy has been shown to be an applicable, safe, and potentially effective intervention for PTSD in children and adults with MID-BIF (Karatzias et al, 2019 ; Mevissen, Didden, Korzilius, & De Jongh, 2017 ).…”