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A Eye Movement Desensitization Reprocessing (EMDR) Study in Bipolar Traumatized Patients

Not Applicable
Completed
Conditions
Bipolar Disorder
PTSD
Interventions
Other: Eye Movement Desensitization Reprocessing (EMDR)
Registration Number
NCT01620866
Lead Sponsor
FIDMAG Germanes Hospitalàries
Brief Summary

The purpose of this pilot study is whether Eye Movement Desensitization Reprocessing (EMDR), an approved psychotherapy in posttraumatic stress disorder, improves mood, functioning, quality of life, cognition and BDNF levels in subsyndromal bipolar patients with trauma.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Bipolar I or II disorder following DSM-IV criteria
  • Instable, subsyndromal course defined as at evaluation baseline (HAMD > 8 < 15 and/or YMRS > 7 < 14)
  • Good adherence to pharmacological treatment
  • Major or minor traumatic life-events
  • EMDR therapists > 3 years experience
  • Able to sign informed consent
Exclusion Criteria
  • Major affective episode in last 3 months
  • Active drug abuse/dependency
  • Neurological disease
  • Suicidal thoughts/ideation
  • Prior treatment EMDR
  • DES > 25

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
EMDREye Movement Desensitization Reprocessing (EMDR)-
Primary Outcome Measures
NameTimeMethod
The primary outcome of this study is a statistically significant reduction in the YMRS and/or HDRS in the EMDR group compared with the TAU group.3 months and 6 months

Patients with subsydromal symptoms, objectified by the YMRS and HDRS, are included in the study. After randomization to EMDR or TAU, group differences in changes in the YMRS and HRDS are measured at visit after intervention (3 months) and at follow-up (6 months). The hypothesize is that the EMDR group will statistically improve in both affective scales when compared to the TAU group.

Secondary Outcome Measures
NameTimeMethod
The EMDR group improves statistically significant in trauma load when compared to TAU.3 months and 6 months

Secondary outcome measure includes changes in trauma scales (IES, CAPS)from baseline to 3 months and 6 months.

The EMDR group improves statistically significant in cognitive tests when compared to TAU.3 months and 6 months

Subjects underwent a neuropsychologcial battery to test various cognitive domains.

The EMDR group improves statistically significant in functioning when compared to TAU.3 months and 6 months

All subjects were evaluated with respect to their functioning using the FAST, a validated scale of functioning in bipolar disorder.

The EMDR group improves statistically significant in quality of life when compared to TAU.3 months and 6 months

Possible changes of Quality of life were tested in all subjects as well, using the SF-36.

Plasma levels of BDNF was statistically higher in the EMDR group after intervention when compared to TAU.3 months and 6 months

Levels of BDNF are lower in bipolar patients, and even lower when traumatized, when compared to the general population. We aimed to find higher levels of BDNF in the EMDR group.

Trial Locations

Locations (1)

FIDMAG

🇪🇸

Barcelona, Spain

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