empower parents: effectiveness of emdr treatment for parental ptsd related to their child's medical condition.

Conditions: All Acute Pediatric Conditions; All Chronic Pediatric Conditions

Summary: the goal of this clinical trial is to learn if short emdr treatment offered in two modalities (face to face and remote) is effective in reducing ptsd symptoms and comorbid symptoms for parents of children with diverse chronic and acute medical conditions. the main question is: • is short emdr treatment effective in reducing ptsd symptoms in parents of children with chronic or acute medical conditions? researchers will compare in person and remote emdr treatment to a waiting list group to see if the treatment is effective. participants in the intervention conditions will participate in four in person or remote emdr sessions, each lasting 1.5 hours, spread across two half-days. participants in the waiting list condition will receive this treatment after a period of 3 months.

objective: the primary objective is to assess the effectiveness of a brief (two half-day) in person (emdrip) and remote (emdrr) emdr therapy compared to control group in reducing posttraumatic stress symptoms in parents of children with a chronic or acute medical condition. the secondary objectives are to assess the effectiveness of brief emdrip and emdrr for parents of children with a severe chronic or acute medical condition 1) in reducing psychological comorbidity in parents (psychopathology in general: depression, anxiety, and somatization, and parenting stress), 2) in reducing posttraumatic stress symptoms of their child with a chronic or acute medical condition, and 3) in improving relationship quality between the parent and spouse and between the parent and the child with a severe chronic or acute medical condition. 4) to evaluate the feasibility of emdrip versus emdrr.5) to describe the traumatic experiences and future worries (targets) the parents of children with a severe chronic or acute medical condition struggle with. study design: this study will be a randomized controlled trial with three study arms: in person emdr (emdrip), remote emdr (emdrr), waiting list (control). intervention: the emdr intervention in this study consists of four in person or remote emdr sessions, each lasting 1.5 hours, spread across two half-days, approximately one week will elapse between the two treatment days. emdr treatment will be offered by licensed therapists at amsterdam umc.

Eligibility criteria:
inclusion criteria: * one of the three conditions below on the ptsd check list for dsm-5 (pcl-5): a 'moderately or higher' (2-4) score for at least one symptom in each cluster (b, c, d or e), or three of the four ptsd criteria (one b symptom, one c symptom, two d symptoms and two e symptoms), or a (sub) clinical total score (\>24). * being motivated for brief emdr treatment. * parenting a child under treatment of a healthcare provider at the emma children's hospital, amsterdam umc. * having sufficient knowledge of the dutch language to complete the questionnaires. exclusion criteria: * major interfering acute medical or psychiatric condition, such as psychosis, substance dependence or high risk for suicide. * insufficient fluency of the dutch language. * receiving psychological trauma treatment by another therapist at the same time.

Keywords: emdr pediatrics posttraumatic stress parental ptsd parents trauma therapy e-health