A Eye Movement Desensitization Reprocessing (EMDR) Study in Bipolar Traumatized Patients - Full Text View

Purpose

The purpose of this pilot study is whether Eye Movement Desensitization Reprocessing (EMDR), an approved psychotherapy in posttraumatic stress disorder, improves mood, functioning, quality of life, cognition and BDNF levels in subsyndromal bipolar patients with trauma.

Condition	Intervention
Bipolar Disorder PTSD	Other: Eye Movement Desensitization Reprocessing (EMDR)

Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment
Official Title:	A Controlled, Single-blind Pilot Study of EMDR in Bipolar, Subsyndromal Patients With Trauma

Resource links provided by NLM:

MedlinePlus related topics: Bipolar Disorder Compulsive Gambling Injuries Wounds

U.S. FDA Resources

Further study details as provided by FIDMAG Germanes Hospitalàries:

Primary Outcome Measures:

The primary outcome of this study is a statistically significant reduction in the YMRS and/or HDRS in the EMDR group compared with the TAU group. [ Time Frame: 3 months and 6 months ] [ Designated as safety issue: No ]
Patients with subsydromal symptoms, objectified by the YMRS and HDRS, are included in the study. After randomization to EMDR or TAU, group differences in changes in the YMRS and HRDS are measured at visit after intervention (3 months) and at follow-up (6 months). The hypothesize is that the EMDR group will statistically improve in both affective scales when compared to the TAU group.

Secondary Outcome Measures:

The EMDR group improves statistically significant in trauma load when compared to TAU. [ Time Frame: 3 months and 6 months ] [ Designated as safety issue: No ]
Secondary outcome measure includes changes in trauma scales (IES, CAPS)from baseline to 3 months and 6 months.
The EMDR group improves statistically significant in cognitive tests when compared to TAU. [ Time Frame: 3 months and 6 months ] [ Designated as safety issue: No ]
Subjects underwent a neuropsychologcial battery to test various cognitive domains.
The EMDR group improves statistically significant in functioning when compared to TAU. [ Time Frame: 3 months and 6 months ] [ Designated as safety issue: No ]
All subjects were evaluated with respect to their functioning using the FAST, a validated scale of functioning in bipolar disorder.
The EMDR group improves statistically significant in quality of life when compared to TAU. [ Time Frame: 3 months and 6 months ] [ Designated as safety issue: No ]
Possible changes of Quality of life were tested in all subjects as well, using the SF-36.
Plasma levels of BDNF was statistically higher in the EMDR group after intervention when compared to TAU. [ Time Frame: 3 months and 6 months ] [ Designated as safety issue: No ]
Levels of BDNF are lower in bipolar patients, and even lower when traumatized, when compared to the general population. We aimed to find higher levels of BDNF in the EMDR group.

Enrollment:	20
Study Start Date:	November 2010
Study Completion Date:	June 2012
Primary Completion Date:	June 2012 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: EMDR	Other: Eye Movement Desensitization Reprocessing (EMDR) EMDR is an effective treatment in PTSD but has never been tested in bipolar traumatized patients.
No Intervention: TAU Treatment as usual (TAU)

Eligibility

Ages Eligible for Study:	18 Years to 65 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Bipolar I or II disorder following DSM-IV criteria
Instable, subsyndromal course defined as at evaluation baseline (HAMD > 8 < 15 and/or YMRS > 7 < 14)
Good adherence to pharmacological treatment
Major or minor traumatic life-events
EMDR therapists > 3 years experience
Able to sign informed consent

Exclusion Criteria:

Major affective episode in last 3 months
Active drug abuse/dependency
Neurological disease
Suicidal thoughts/ideation
Prior treatment EMDR
DES > 25

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT01620866

Locations

Spain
FIDMAG
Barcelona, Spain, 08035

Sponsors and Collaborators

FIDMAG Germanes Hospitalàries

Investigators

Principal Investigator:

Benedikt L Amann, MD

FIDMAG Germanes Hospitalàries

More Information

Publications:

Kauer-Sant'Anna M, Tramontina J, Andreazza AC, Cereser K, da Costa S, Santin A, Yatham LN, Kapczinski F. Traumatic life events in bipolar disorder: impact on BDNF levels and psychopathology. Bipolar Disord. 2007 Jun;9 Suppl 1:128-35.

Bisson J, Andrew M. Psychological treatment of post-traumatic stress disorder (PTSD). Cochrane Database Syst Rev. 2007 Jul 18;(3):CD003388. Review.

Responsible Party:	Benedikt Amann, Senior researcher, FIDMAG Germanes Hospitalàries
ClinicalTrials.gov Identifier:	NCT01620866 History of Changes
Other Study ID Numbers:	BET-study
Study First Received:	June 11, 2012
Last Updated:	June 18, 2012
Health Authority:	Spain: Ethics Committee

Keywords provided by FIDMAG Germanes Hospitalàries:

EMDR
bipolar disorder
trauma
subsyndromal symptoms
PTSD

Additional relevant MeSH terms:

Bipolar Disorder
Stress Disorders, Post-Traumatic
Affective Disorders, Psychotic
Mood Disorders

Mental Disorders
Stress Disorders, Traumatic
Anxiety Disorders

ClinicalTrials.gov processed this record on May 19, 2013

A Eye Movement Desensitization Reprocessing (EMDR) Study in Bipolar Traumatized Patients (BET)