¶ … EMDR combined with TAU will lead to a significantly greater reduction of PTSD symptoms than TAU alone, when comparing PTSD symptoms from baseline to 6-month follow-up. There are also secondary concerns that the research sought to answer, the research examined the effectiveness of EMDR on substance use-related outcomes, depressive symptoms, dissociative symptoms, emotion dysregulation and quality of life.
To investigate the hypothesis, this study will take a rater-blinded 2-arms RCT. Assessments for the participants were scheduled at the pre-treatment (T0), post-treatment (T1), at 3-month (T2) and at 6-month (T3) follow-up. Participants are meant to be randomly assigned to either the EMDR plus TAU group or the TAU group. Data will then e assessed at an inpatient rehabilitation center in Germany (AHG Clinic Dormagen). The research intends to recruit 158 adult patients with SUD and comorbid PTSD attending inpatient rehabilitation treatment from September 2015 to December 2017.
Several inclusion criteria will be used and are as follows;
(1) Age between 18 and 65 years;
(2) DSM-5 diagnosis of a substance use disorder;
(3) DSM-5 diagnosis of PTSD or subsyndromal PTSD (criteria A and B. and at least one of the criteria C. to E)
(4) Capable to comprehend and speak German;
(5) Informed consent to participate in the study.
The exclusion criteria will be;
(1) Severe dissociative symptoms according to the Dissociative Experience Scale
(2) Acute suicidal tendencies;
(3) Acute psychotic symptoms;
(4) Severe cognitive impairments.
The findings will be made known once the participants will be recruited and the treatment administered to them and the follow-up done. At the level, the research article is still at the proposal stage. The new knowledge that the results portray, and the study gaps that shall have been left, will be known once the research findings are made and the data analysis and interpretation effectively done (Schafer I., 2017).
Reference
Schafer I., (2017). Effectiveness of EMDR in patients with substance use disorder and comorbid PTSD: study protocol for a randomized controlled trial. BMC Psychiatry.
Trauma-Related Disorders and Recommended Treatment Clinical Presentation of Trauma-Related Disorders and Recommended Treatments On January 13, 2015, Andrew Brannan, a 66-year-old Vietnam veteran was executed in Georgia for killing police officer Kyle Dinkheller in 1998 (Hoffman, 2015). At the time, Brannan had been living in a bunker on his mother's property without water or electricity and had stopped taking his medications. According to the Veterans Administration (VA), he was 100% disabled due
, 2010). This point is also made by Yehuda, Flory, Pratchett, Buxbaum, Ising and Holsboer (2010), who report that early life stress can also increase the risk of developing PTSD and there may even be a genetic component involved that predisposes some people to developing PTSD. Studies of Vietnam combat veterans have shown that the type of exposure variables that were encountered (i.e., severe personal injury, perceived life threat, longer duration,
Post-Traumatic Stress Disorder (PTSD) is a commonly occurring mental health problem facing military personnel and veterans. The constant problems that plague those with PTSD can cause them to lead a lower quality of life with potential development of depression and anxiety commonly prevalent in those with the mental disorder. This qualitative study aims to research ways to provide positive pathways to care for members of the UK Armed Forces receiving
One important aspect was that research findings suggested that PTSD was more common than was thought to be the case when the DSM-III diagnostic criteria were formulated. (Friedman, 2007, para.3) the DSM-IV diagnosis of PTSD further extends the formalization of criteria as well as the methodological consistency for PTSD and now includes six main criteria. The first of these criteria qualifies the meaning of trauma. A traumatic event is
In civilian life, such individuals will have gained a traditional ethical education whereas in a combat context, such individuals will have been instructed on the use of lethal force. According to Willis, "habit and practice help the willingness and capacity to kill on command. The new recruit or volunteer may, and likely has, the innate reservation against killing anyone. Yet day in and day out, the 'normal' person is
The study also revealed that 9% of those still in active military service developed psychiatric disorders. It concluded that many of them displayed psychotic symptoms other than flashbacks and dissociative symptoms. These symptoms are essential parts of PTSD. Most of the war veterans investigated exhibited psychotic symptoms of either depressive or schizophrenia. O the PTSD patients, 9% also suffered from major depressive disorder with psychotic features, while 11% had psychotic