EMDR Pre-treatment Yoga for Complex Trauma

Study Overview
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Brief Summary
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Yoga practice has shown benefits in treating multiple physical or mental disorders (Barnes, Bloom, & Nahin, 2008; Khalsa, 2004; Ross, Friedmann, Bevans, & Thomas, 2013) and has recently been evaluated for PTSD. We identified six randomized controlled studies measuring the effect of yoga in women (mostly) who experienced childhood violence (see table). With the exception of one pilot study (Dick, Niles, Street, Dimartino, & Mitchell, 2014; Mitchell et al., 2014), all studies show a significant reduction in PTSD symptoms compared to the pre-treatment period and compared to the control group (waiting list group). In particular, it was shown that this reduction in symptomatology was comparable to that of other commonly practiced psychotherapies, such as the exposure techniques of Behavioural and Cognitive Therapies or EMDR, and comparable to pharmacological treatments (Van Der Kolk et al., 2014). Prolonged yoga therapy would also significantly improve dissociative symptoms (Price et al., 2017). However, all these studies tested the effect of yoga therapy in isolation, without associating it with conventional and recommended treatments for trauma. However, given the fields of action of the yoga listed above, we think that it could be the ideal tool to prepare (in the pre-treatment phase) the work on traumatic memory. We believe that the combination of yoga therapy and EMDR would work in synergy to reduce complex PTSD and achieve a higher success rate than these individual approaches. In this work, we will use a yoga technique adapted to the treatment of psycho-trauma called trauma sensitive yoga (Emerson, 2015).

Official Title
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EMDR Pre-treatment Yoga for Complex Trauma Randomized Controlled Comparative Study

Conditions
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Trauma, Psychological

Intervention / Treatment
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* Other: 10 Sessions of yogatherapy associate with EMDR
* Other: The second group will have EMDR without yogatherapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: . Women Meets diagnostic criteria for Complex Post-traumatic Stress Disorder according to ICD-11 criteria, related to childhood sexual abuse PCL-5 must be at least 45 Age between 18 and 70. Free, informed and signed consent. Exclusion Criteria: Neurological disorders Pregnant women Severe and/or unstable somatic diseases Diseases resulting in serious motor disorders (e.g. people paralyzed) Patient not affiliated with social security, State Medical Aid (AME) Patient hospitalized under stress in psychiatric care at the decision of the state representative or in psychiatric care at the request of a third party, Patient under guardianship, curatorship and protection of justice Patient participating in parallel biomedical research French language not mastered Persons unable to give consent

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: the first group is about EMDR treatment. The second group is about YOGATHERAPY
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: yogatherapy-EMDR<br>one of the two groups will have yogatherapy treatment and Eye movement desensibilization reprocessing (EMDR) | Other: 10 Sessions of yogatherapy associate with EMDR<br>* The first group will have Yogatherapy plus EMDR treatment<br>* Other names: The second group will have EMDR without yogatherapy;|
| Active Comparator: waiting list and EMDR<br>The other group will have Eye movement desensibilization reprocessing | Other: The second group will have EMDR without yogatherapy<br>* the second one will have EMDR treatment<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| PCL-5 | Scale of post-traumatic stress disorder | FIRST WEEK | 
| PCL-5 | Scale of post-traumatic stress disorder | AT TWENTY WEEK | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| CAPS-5 | PTSD Scale Administered by Clinician | FIRST WEEK | 
| CAPS-5 | PTSD Scale Administered by Clinician | AT TEN WEEK | 
| CAPS-5 | PTSD Scale Administered by Clinician | AT TWENTY WEEK | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Yogatherapy-EMDR-psychiatry