Intervention Through EMDR and CBT With Women Victim of Childhood Sexual Abuse. A Randomized Controlled Trial.
Posttraumatic Stress Disorder, Somatization, Obsessive-Compulsive Disorder
About this trial
This is an interventional treatment trial for Posttraumatic Stress Disorder
Eligibility Criteria
Inclusion Criteria:
- present symptoms related to the post-traumatic sequelae of having had an experience of sexual abuse in childhood.
- The traumatic experience is accessible to explicit memory.
- The participant has shared her experience at least in a context of containment and is able to talk about it.
Exclusion Criteria:
- Enfermedad mental grave.
- Extreme scores on both the personality questionnaire and the Psychopathology questionnaire in the indicator of global severity, paranoid ideation, and psychoticism.
- Any problem of addiction to alcohol or other substances at the time of the evaluation, etc. that may interfere with adherence to treatment and group dynamics.
- Being currently in treatment to treat the traumatic experience.
- Present severe dissociative symptoms, beyond those typical of the PTSD diagnosis.
- Extreme scores on the dissociation scale in the pathological ideation items.
Sites / Locations
- Asociación Contra los Abusos Sexuales en la Infancia (ACASI)Recruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
TRAUMA CENTERED EMDR-BASED TREATMENT
TRAUMA-FOCUSED CBT-BASED TREATMENT
Phase 1) Client history before session 1 Phase 2) Preparation for the treatment of the traumatic event, with psycho education and regulation strategies. Phases 3 to 6) Gives the sense of Safety (safe place, past resource, desired future-PC, timeline) control structure, order, differentiation of past & present (move concretely between past danger to present safety) EMD strategy gives containment boundaries to current T-Episode. Phase 7) Session closure A group debriefing of the experience will take place, and some of the stabilization exercises Phase 8) Re-Evaluation This phase will take place immediately after the group intervention. It assesses which participants may need individual attention and which may need further evaluation to identify the nature and extent of their symptoms.
TF-CBT is an evidence-based therapeutic approach to improve symptoms of PTSD as well as affective or cognitive and behavioral problems. The treatment will consist of three phases that will include: Psychoeducation, Relaxation-Mindfulness, Emotional regulation skills, Cognitive coping skills, Narration and processing of trauma, Exposure / Desensitization of memories of the trauma, Self-esteem and future goals. The treatment is composed by 3 phases: 1) Phase 1: TF-CBT Coping Skills for Complex Traumas. Phase 2: Narration of trauma and processing of complicated trauma. Phase 3: Consolidation and closure of the treatment. Each case is delivered to the participants in a maximum of 3 sessions per phase.