Volume 9, Issue 2, March 2020, Page: 42-51
Multicenter Randomized Controlled Trial on the Provision of the EMDR-PRECI to Female Minors Victims of Sexual and/or Physical Violence and Related PTSD Diagnosis
Gabriela Jiménez, Department of Research, Ágape Desarrollo Humano Integral, Puebla City, Mexico
Yael Becker, Department of Research, Mexican Association for Mental Health Support in Crisis, Mexico City, Mexico
Claudia Varela, Department of Research, Mexican Association for Mental Health Support in Crisis, Mexico City, Mexico
Paola García, Department of Research, Ágape Desarrollo Humano Integral, Puebla City, Mexico
María Amparo Nuño, Department of Research, Ágape Desarrollo Humano Integral, Puebla City, Mexico
María Cristina Pérez, Department of Research, Ágape Desarrollo Humano Integral, Puebla City, Mexico
Amalia Osorio, Department of Research, Ágape Desarrollo Humano Integral, Puebla City, Mexico
Ignacio Jarero, Department of Research, Mexican Association for Mental Health Support in Crisis, Mexico City, Mexico
Martha Givaudan, Department of Research, Mexican Association for Mental Health Support in Crisis, Mexico City, Mexico
Received: Mar. 25, 2020;       Accepted: Apr. 8, 2020;       Published: Apr. 23, 2020
DOI: 10.11648/j.ajap.20200902.12      View  183      Downloads  302
Abstract
This longitudinal multicenter randomized controlled trial has three objectives 1) to evaluate the EMDR-PRECI in the remission of the PTSD Diagnosis on female minors who were victims of sexual and/or physical violence compared to treatment as usual (TAU), 2) to evaluate the effectiveness of the EMDR-PRECI in the reduction of the PTSD, anxiety, and depression symptoms of the participants compared with TAU, and 3) to expand the knowledge on the existing correlation between the PCL-5 core criteria for PTSD provisional diagnosis and the CAPS-5 PTSD clinical diagnosis on this population. The study was conducted in 2019 in the cities of Puebla, Mexico, and Mexico City, in three sites of a non-profit organization who provide services to women in vulnerable situations. A total of 32 minors met the inclusion criteria. Participants’ ages ranged from 12 to 17 years old (M =15.35 years old). Participation was voluntary with the participant’s and their legal guardian's consent. It is relevant to mention that 31 of the 32 participants were pregnant during treatment with an average of 24.63 weeks (6.15 months) of pregnancy. All patients in the EMDR treatment group did not meet PTSD diagnostic criteria after treatment and at 90-days-follow-up assessments, while all patients in the TAU group maintained their PTSD baseline clinical diagnosis after treatment and at 90-days-follow-up assessments. Analyses of variance (ANOVA) for repeated measurements were used for PTSD, Anxiety and Depression; t test and Cohen´s d effect size were calculated using within and between designs for the different measurements. ANOVA revealed a significant effect for time (F (2, 52) = 149.53 p <.001, ηP2 =.852), for group (F (1, 26 = 140.71, p<.001, ηP2 =.844) and Anxiety scores showed a significant effect for time (F (1, 26) = 32.89, p <.001, ηP2 =.559) and a significant interaction effect between time and group (F (1, 26) = 17.37, p <.001, ηP2=.401) showed the decrease for the treatment group. For the depression scores significant effects were found for time (F (1, 26) = 21.77, p <. 001, ηP2 =.456. Results also showed significant interaction effects between time and group. (F (1, 26) = 6.17, p <.05, ηP2 =.192). No significant effects for TAU group were founded. The study results indicate that the administration of the EMDR-PRECI could be a feasible, cost-effective, and time-efficient therapy to address PTSD diagnosis, and PTSD, anxiety and depression symptoms in this population.
Keywords
Eye Movement Desensitization and Reprocessing (EMDR), EMDR-PRECI, Posttraumatic Stress Disorder (PTSD), Female Minors, Sexual Violence, Physical Violence, Anxiety, Depression
To cite this article
Gabriela Jiménez, Yael Becker, Claudia Varela, Paola García, María Amparo Nuño, María Cristina Pérez, Amalia Osorio, Ignacio Jarero, Martha Givaudan, Multicenter Randomized Controlled Trial on the Provision of the EMDR-PRECI to Female Minors Victims of Sexual and/or Physical Violence and Related PTSD Diagnosis, American Journal of Applied Psychology. Vol. 9, No. 2, 2020, pp. 42-51. doi: 10.11648/j.ajap.20200902.12
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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