Randomized controlled trial investigating web-based, therapist delivered eye movement desensitization and reprocessing for adults with suicidal ideation
IntroductionPromising preliminary evidence suggests that EMDR may reduce suicidal ideation (SI) when used to treat Major Depressive Disorder, Posttraumatic Stress Disorder, and trauma symptoms in the context of acute mental health crises. EMDR has never been tested specifically for treating SI, and...
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Frontiers Media S.A.
2024-02-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1361086/full |
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| author | Lisa Burback Lisa Burback Lisa Burback Sidney Yap Scot E. Purdon Adam Abba-Aji Adam Abba-Aji Katie O’Shea Suzette Brémault-Phillips Suzette Brémault-Phillips Andrew J. Greenshaw Olga Winkler Olga Winkler Olga Winkler |
| author_facet | Lisa Burback Lisa Burback Lisa Burback Sidney Yap Scot E. Purdon Adam Abba-Aji Adam Abba-Aji Katie O’Shea Suzette Brémault-Phillips Suzette Brémault-Phillips Andrew J. Greenshaw Olga Winkler Olga Winkler Olga Winkler |
| author_sort | Lisa Burback |
| collection | DOAJ |
| description | IntroductionPromising preliminary evidence suggests that EMDR may reduce suicidal ideation (SI) when used to treat Major Depressive Disorder, Posttraumatic Stress Disorder, and trauma symptoms in the context of acute mental health crises. EMDR has never been tested specifically for treating SI, and there is a lack of data regarding the safety and effectiveness of web-based, therapist-delivered EMDR in populations with known SI. The primary objective of this study was to investigate the impact of web-based, therapist-delivered EMDR, targeting experiences associated with suicidal thinking. Secondary objectives included examining the effect of EMDR treatment on symptoms of depression, anxiety, posttraumatic stress, emotional dysregulation, and dissociation, as well as safety and attrition.MethodsThis randomized control trial (ClinicalTrials.gov ID number: NCT04181047) assigned adult outpatients reporting SI to either a web-based EMDR intervention or a treatment as usual (TAU) group. TAU included primary and mental health services available within the Canadian public health system. Participants in the EMDR group received up to 12 web-based EMDR desensitization sessions, delivered twice weekly during the COVID-19 pandemic (2021-2023). The Health Research Ethics Board at the University of Alberta approved the protocol prior to initiation of data collection for this study (protocol ID number: Pro00090989).ResultsForty-two adult outpatients received either EMDR (n=20) or TAU (n=22). Participants reported a high prevalence of early onset and chronic SI, and there was a high rate of psychiatric comorbidity. In the EMDR group, median SI, depression, anxiety, and posttraumatic symptom scale scores decreased from baseline to the four month follow-up. In the TAU group, only the median SI and posttraumatic symptom scale scores decreased from baseline to four month follow up. Although sample size precludes direct comparison, there were numerically fewer adverse events and fewer dropouts in the EMDR group relative to the TAU group.ConclusionStudy results provide promising preliminary evidence that web-based EMDR may be a viable delivery approach to address SI. In this complex population, a short treatment course was associated with reductions of SI and other symptoms across multiple diagnostic categories. Further investigation is warranted to verify and extend these results.Clinical Trial Registrationhttps://clinicaltrials.gov/study/NCT04181047?id=NCT04181047&rank=1, identifier NCT04181047 |
| first_indexed | 2024-03-08T00:21:39Z |
| format | Article |
| id | doaj.art-18587614c5714a0fbb9aba2efb4d83cb |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-03-08T00:21:39Z |
| publishDate | 2024-02-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Psychiatry |
| spelling | doaj.art-18587614c5714a0fbb9aba2efb4d83cb2024-02-16T04:37:37ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402024-02-011510.3389/fpsyt.2024.13610861361086Randomized controlled trial investigating web-based, therapist delivered eye movement desensitization and reprocessing for adults with suicidal ideationLisa Burback0Lisa Burback1Lisa Burback2Sidney Yap3Scot E. Purdon4Adam Abba-Aji5Adam Abba-Aji6Katie O’Shea7Suzette Brémault-Phillips8Suzette Brémault-Phillips9Andrew J. Greenshaw10Olga Winkler11Olga Winkler12Olga Winkler13Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, CanadaAlberta Hospital Edmonton, Edmonton, AB, CanadaHeroes in Mind, Advocacy and Research Consortium, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Edmonton, AB, CanadaDepartment of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, CanadaDepartment of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, CanadaDepartment of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, CanadaAlberta Hospital Edmonton, Edmonton, AB, CanadaEye Movement Desensitization and Reprocessing International Association, Austin, TX, United StatesHeroes in Mind, Advocacy and Research Consortium, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Edmonton, AB, CanadaDepartment of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, CanadaDepartment of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, CanadaDepartment of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, CanadaAlberta Hospital Edmonton, Edmonton, AB, CanadaHeroes in Mind, Advocacy and Research Consortium, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Edmonton, AB, CanadaIntroductionPromising preliminary evidence suggests that EMDR may reduce suicidal ideation (SI) when used to treat Major Depressive Disorder, Posttraumatic Stress Disorder, and trauma symptoms in the context of acute mental health crises. EMDR has never been tested specifically for treating SI, and there is a lack of data regarding the safety and effectiveness of web-based, therapist-delivered EMDR in populations with known SI. The primary objective of this study was to investigate the impact of web-based, therapist-delivered EMDR, targeting experiences associated with suicidal thinking. Secondary objectives included examining the effect of EMDR treatment on symptoms of depression, anxiety, posttraumatic stress, emotional dysregulation, and dissociation, as well as safety and attrition.MethodsThis randomized control trial (ClinicalTrials.gov ID number: NCT04181047) assigned adult outpatients reporting SI to either a web-based EMDR intervention or a treatment as usual (TAU) group. TAU included primary and mental health services available within the Canadian public health system. Participants in the EMDR group received up to 12 web-based EMDR desensitization sessions, delivered twice weekly during the COVID-19 pandemic (2021-2023). The Health Research Ethics Board at the University of Alberta approved the protocol prior to initiation of data collection for this study (protocol ID number: Pro00090989).ResultsForty-two adult outpatients received either EMDR (n=20) or TAU (n=22). Participants reported a high prevalence of early onset and chronic SI, and there was a high rate of psychiatric comorbidity. In the EMDR group, median SI, depression, anxiety, and posttraumatic symptom scale scores decreased from baseline to the four month follow-up. In the TAU group, only the median SI and posttraumatic symptom scale scores decreased from baseline to four month follow up. Although sample size precludes direct comparison, there were numerically fewer adverse events and fewer dropouts in the EMDR group relative to the TAU group.ConclusionStudy results provide promising preliminary evidence that web-based EMDR may be a viable delivery approach to address SI. In this complex population, a short treatment course was associated with reductions of SI and other symptoms across multiple diagnostic categories. Further investigation is warranted to verify and extend these results.Clinical Trial Registrationhttps://clinicaltrials.gov/study/NCT04181047?id=NCT04181047&rank=1, identifier NCT04181047https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1361086/fulleye movement desensitization and reprocessingsuicidal ideationtelepsychiatrytransdiagnostic treatmentpsychotherapyweb-based EMDR |
| spellingShingle | Lisa Burback Lisa Burback Lisa Burback Sidney Yap Scot E. Purdon Adam Abba-Aji Adam Abba-Aji Katie O’Shea Suzette Brémault-Phillips Suzette Brémault-Phillips Andrew J. Greenshaw Olga Winkler Olga Winkler Olga Winkler Randomized controlled trial investigating web-based, therapist delivered eye movement desensitization and reprocessing for adults with suicidal ideation Frontiers in Psychiatry eye movement desensitization and reprocessing suicidal ideation telepsychiatry transdiagnostic treatment psychotherapy web-based EMDR |
| title | Randomized controlled trial investigating web-based, therapist delivered eye movement desensitization and reprocessing for adults with suicidal ideation |
| title_full | Randomized controlled trial investigating web-based, therapist delivered eye movement desensitization and reprocessing for adults with suicidal ideation |
| title_fullStr | Randomized controlled trial investigating web-based, therapist delivered eye movement desensitization and reprocessing for adults with suicidal ideation |
| title_full_unstemmed | Randomized controlled trial investigating web-based, therapist delivered eye movement desensitization and reprocessing for adults with suicidal ideation |
| title_short | Randomized controlled trial investigating web-based, therapist delivered eye movement desensitization and reprocessing for adults with suicidal ideation |
| title_sort | randomized controlled trial investigating web based therapist delivered eye movement desensitization and reprocessing for adults with suicidal ideation |
| topic | eye movement desensitization and reprocessing suicidal ideation telepsychiatry transdiagnostic treatment psychotherapy web-based EMDR |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1361086/full |
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