Intervention Through EMDR and CBT With Women Victim of Childhood Sexual Abuse. A Randomized Controlled Trial.

  • STATUS
    Recruiting
  • End date
    Dec 16, 2022
  • participants needed
    50
  • sponsor
    Universidad Internacional de Valencia
Updated on 31 July 2021
anxiety
behavior therapy
sexual abuse

Summary

This study evaluates the effectiveness of two types of therapy for the treatment of sexual abuse psychological impact on a sample of Spanish women. The participants will receive first Trauma-Focused Cognitive Behavioral Therapy and Eye Movement Desensitization and Reprocessing treatments in order to observe the impact on symptoms of Posttraumatic Stress Disorder, somatization, obsessive-compulsive symptoms, anxiety, aggressiveness and dissociate symptoms.

Description

The experience of sexual abuse in childhood is one of the forms of interpersonal victimization most associated with the development of psychological problems since it involves a serious violation of the rights and sexual and affective freedom of children and adolescents. The different types of child abuse and neglect are, in turn, associated with moderately severe psychological sequelae in adulthood. Its effects in adult life can affect physical, psychological, and social functioning and generate psychopathological alterations, being the most frequent consequences. Women who were abused in childhood, in their adult life more frequently presented sexual dysfunction and less perceived sexual satisfaction, less trust, and more difficulties in communicating with the partner.

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidence-based treatment model designed to help patients (children, adolescents, youth) and their families overcome the symptoms resulting from exposure to a traumatic experience. Numerous investigations that support it, today it is considered a well-established intervention for the treatment of post-traumatic stress and associated symptoms.

Desensitization and reprocessing psychotherapy using eye movements. It is one of the transdiagnostic psychotherapeutic models of choice in international guidelines for dealing with the sequelae of traumatic life experiences. Trauma-focused treatment carried out with the EMDR therapeutic approach is feasible and safe for patients with PTSD derived from childhood sexual abuse.

A Randomized Clinical Trial is proposed, without a control group, and assignment to two types of treatment 1) TF -CBT, 2) EMDR.

After the initial evaluation, the participants will be randomly assigned to one of the two treatments. Subsequently, and after allowing the same time period that the intervention protocols will last, they will be evaluated again to measure changes without having received treatment. After this second evaluation, they will receive the treatment protocol to which they have been assigned after randomization. After receiving the first treatment, they will be evaluated again. After this evaluation, they will receive the other protocol of the intervention. Finally, after finishing the second intervention, they will be evaluated again. Thus, for example, participants who first received TF-CBT will subsequently receive the EMDR intervention, and participants who first received the EMDR intervention will subsequently receive the TF-CBT intervention. In this way, it will be possible to evaluate both the effectiveness of each of the protocols separately (intragroup comparison of each treatment condition), as well as the level of effectiveness obtained by comparing both treatment groups (intergroup comparison, after the application of each type of intervention ).

The subjective measures will include the following Psychometrics:

Satisfaction with life scale Rosenberg Self-Esteem Scale Symptom Checklist-90-Revised Post-Traumatic Stress Disorder Symptom Severity Scale according to DSM-5 (EGS-R) DSM-5 Personality Inventory - Short Version (PID-5-BF) Adults Scale of emotional regulation difficulties Dissociative Symptom Scale Satisfaction scale with received treatment Satisfaction scale with received treatment

Details
Condition Depression (Major/Severe), Depression, Generalized Anxiety Disorder (GAD), Post-Traumatic Stress Disorder, Anxiety Symptoms, anxiety disorder, Depression (Treatment-Resistant), PTSD, Hostility, anxious, obsessive compulsive disorder, ANXIETY NEUROSIS, miserable, Anxiety, Anxiety Disorders, depressive disorders, Obsessive-Compulsive Disorder, Depression (Pediatric), depressed mood, depressive disorder, Depression (Adult and Geriatric), Endogenous depression, Generalized Anxiety Disorder (GAD - Pediatric), Anxiety Disorders (Pediatric), Depression (Adolescent), Post-Traumatic Stress Disorders, Dissociative Fugue, Somatoform and Dissociative Disorders, Somatization, Depressed
Treatment TRAUMA CENTERED EMDR-BASED TREATMENT and TRAUMA-FOCUSED CBT-BASED TREATMENT
Clinical Study IdentifierNCT04813224
SponsorUniversidad Internacional de Valencia
Last Modified on31 July 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

present symptoms related to the post-traumatic sequelae of having had an experience of sexual abuse in childhood
The traumatic experience is accessible to explicit memory
The participant has shared her experience at least in a context of containment and is able to talk about it

Exclusion Criteria

Enfermedad mental grave
Extreme scores on both the personality questionnaire and the Psychopathology questionnaire in the indicator of global severity, paranoid ideation, and psychoticism
Any problem of addiction to alcohol or other substances at the time of the evaluation, etc. that may interfere with adherence to treatment and group dynamics
Being currently in treatment to treat the traumatic experience
Present severe dissociative symptoms, beyond those typical of the PTSD diagnosis
Extreme scores on the dissociation scale in the pathological ideation items
Clear my responses

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