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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
20
EMDR is an effective treatment in PTSD but has never been tested in bipolar traumatized patients.
FIDMAG
Barcelona, Barcelona, Spain
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.
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.
Time frame: 3 months and 6 months
The EMDR group improves statistically significant in trauma load when compared to TAU.
Secondary outcome measure includes changes in trauma scales (IES, CAPS)from baseline to 3 months and 6 months.
Time frame: 3 months and 6 months
The EMDR group improves statistically significant in cognitive tests when compared to TAU.
Subjects underwent a neuropsychologcial battery to test various cognitive domains.
Time frame: 3 months and 6 months
The EMDR group improves statistically significant in functioning when compared to TAU.
All subjects were evaluated with respect to their functioning using the FAST, a validated scale of functioning in bipolar disorder.
Time frame: 3 months and 6 months
The EMDR group improves statistically significant in quality of life when compared to TAU.
Possible changes of Quality of life were tested in all subjects as well, using the SF-36.
Time frame: 3 months and 6 months
Plasma levels of BDNF was statistically higher in the EMDR group after intervention when compared to TAU.
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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.
Time frame: 3 months and 6 months