A feasibility study of eye-movement desensitization and reprocessing (EMDR) in people with an at-risk mental state (ARMS) for psychosis: study protocol

Research output: Contribution to journalArticle (Academic Journal)

Abstract

Introduction: Trauma can play an important role in the development of psychosis, yet no studies have investigated whether a trauma-focused psychological therapy could prevent the onset of psychosis in people at high risk of developing this condition. This study aims to establish whether it would be feasible to conduct a multi-centre randomised controlled trial (RCT) to investigate the clinical and cost effectiveness of eye movement desensitization and reprocessing therapy (EMDR) to prevent the onset of psychosis in people with an at-risk mental state (ARMS). Methods/analysis: This is a single arm trial with a nested qualitative study where all participants (target n=20) will be offered EMDR. Eligible participants are those who meet criteria for ARMS; have experienced a traumatic event before the onset of ARMS symptomatology; and have at least one symptom of post-traumatic stress disorder (PTSD). Participants will be followed-up at 4, 8 and 12 months after the baseline assessment. The primary outcome measure is transition to psychosis, and secondary outcome measures include severity of psychotic symptoms, PTSD, depression, anxiety, impaired functioning, health status, and resource use. The analysis will aim to establish the rates of recruitment and retention for a large-scale RCT. Interviews with therapists and patients will explore their views of the study and their experiences of delivering or receiving EMDR. Ethics and dissemination: This protocol has been approved by the South West-Cornwall & Plymouth Research Ethics Committee (Reference 18/SW/0037). Findings will be disseminated through journal publications, conference presentations and meetings with service users, their families, mental health professionals and commissioners. Trial registration: ISRCTN31976295
Original languageEnglish
JournalBMJ Open
Publication statusAccepted/In press - 28 Aug 2020

Fingerprint Dive into the research topics of 'A feasibility study of eye-movement desensitization and reprocessing (EMDR) in people with an at-risk mental state (ARMS) for psychosis: study protocol'. Together they form a unique fingerprint.

Cite this