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J Appl Res Intellect Disabil. 2019 Feb 4. doi: 10.1111/jar.12570. [Epub ahead of print]

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.

Author information

1
School of Health and Social Care, Edinburgh Napier University, Edinburgh, UK.
2
Rivers Centre for Traumatic Stress, NHS Lothian, Edinburgh, UK.
3
School of Nursing and Midwifery, Queens University Belfast, Belfast, UK.
4
Institute of Nursing and Health Research, University of Ulster, Newtownabbey, UK.
5
Learning Disability Service, NHS Borders, Melrose, UK.
6
Learning Disability Service, NHS Lanarkshire, Lanarkshire, UK.
7
Learning Disability Service, NHS Ayrshire & Arran, Kilmarnock, UK.

Abstract

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.

KEYWORDS:

eye movement desensitization and reprocessing; intellectual disability; posttraumatic stress disorder; randomized feasibility study

PMID:
30714684
DOI:
10.1111/jar.12570

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