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

被引:35
作者
Karatzias, Thanos [1 ,2 ]
Brown, Michael [3 ]
Taggart, Laurence [4 ]
Truesdale, Maria [1 ]
Sirisena, Chammy [5 ]
Walley, Robert [1 ,6 ]
Mason-Roberts, Susan [1 ]
Bradley, Aoife [1 ]
Paterson, Douglas [7 ]
机构
[1] Edinburgh Napier Univ, Sch Hlth & Social Care, Edinburgh, Midlothian, Scotland
[2] NHS Lothian, Rivers Ctr Traumat Stress, Edinburgh, Midlothian, Scotland
[3] Queens Univ Belfast, Sch Nursing & Midwifery, Belfast, Antrim, North Ireland
[4] Univ Ulster, Inst Nursing & Hlth Res, Newtownabbey, North Ireland
[5] NHS Borders, Learning Disabil Serv, Melrose, Scotland
[6] NHS Lanarkshire, Learning Disabil Serv, Bothwell, Lanark, Scotland
[7] NHS Ayrshire & Arran, Learning Disabil Serv, Kilmarnock, Scotland
关键词
eye movement desensitization and reprocessing; intellectual disability; posttraumatic stress disorder; randomized feasibility study; PSYCHOMETRIC PROPERTIES; PSYCHOLOGICAL TREATMENTS; LIFE EVENTS; TRAUMA; EXPOSURE; CHILDREN; PEOPLE; METAANALYSIS; SCALE; MILD;
D O I
10.1111/jar.12570
中图分类号
G44 [教育心理学];
学科分类号
0402 ; 040202 ;
摘要
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.
引用
收藏
页码:806 / 818
页数:13
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