Emergency room intervention to prevent post concussion-like symptoms and post-traumatic stress disorder. A pilot randomized controlled study of a brief eye movement desensitization and reprocessing intervention versus reassurance or usual care

Gil‐Jardine, Cédric; Evrard, Grégoire; Joboory, Samantha Al; Jammes, Juliane Tortes Saint; Masson, F.; Ribéreau-Gayon, Régis; Galinski, Michel; Salmi, Louis‐Rachid; Revel, Philippe; Régis, Cyril Alexandre; Valdenaire, Guillaume; Lagarde, Emmanuel

doi:10.1016/j.jpsychires.2018.05.024

Cited by 35 publications

(23 citation statements)

References 28 publications

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“…Nevertheless, patients illustrated that reassurance by a physician or nurse could help them to surrender to medical care. Moreover, in line with other studies, nurses could help them to cope with feelings of insecurity [30,45].…”

Section: Discussionsupporting

confidence: 76%

Patients’ experiences and wellbeing after injury: A focus group study

et al. 2021

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Background Injury can have physical, psychological and social consequences. It is unclear which factors have an impact on patients’ wellbeing after injury. This study aimed to explore, using focus groups, patients’ experiences and wellbeing after injury and which factors, impede or facilitate patients’ wellbeing. Methods Trauma patients, treated in the shock room of the Elisabeth-TweeSteden Hospital, the Netherlands, participated in focus groups. Purposive sampling was used. Exclusion criteria were younger than 18 years old, severe traumatic brain injury, dementia, and insufficient knowledge of the Dutch language. The interviews were recorded, transcribed verbatim, and analyzed using coding technique open, axial, and selective coding, based on phenomenological approach. Results Six focus groups (3 to 7 participants) were held before data saturation was reached. In total, 134 patients were invited, 28 (21%) agreed to participate (Median age: 59.5; min. 18 –max. 84). Main reasons to decline were fear that the discussion would be too confronting or patients experienced no problems regarding the trauma or treatment. Participants experienced difficulties on physical (no recovery to pre-trauma level), psychological (fear of dying or for permanent limitations, symptoms of posttraumatic stress disorder, cognitive dysfunction), social (impact on relatives and social support) wellbeing. These are impeding factors for recovery. However, good communication, especially clarity about the injury and expectations concerning recovery and future perspectives could help patients in surrendering to care. Patients felt less helpless when they knew what to expect. Conclusions This is the first study that explored patients’ experiences and wellbeing after injury. Patients reported that their injury had an impact on their physical, psychological, and social wellbeing up to 12 months after injury. Professionals with the knowledge of consequences after injury could improve their anticipation on patients’ need.

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Section: Discussionsupporting

confidence: 76%

Patients’ experiences and wellbeing after injury: A focus group study

et al. 2021

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“…We already described the feasibility of short EMDR sessions in the ED during the SOFTER 2 study [ 53 ], which also found a superiority of EMDR versus reassurance versus control. We need to confirm these results in a larger and more diverse population.…”

Section: Discussionmentioning

confidence: 99%

“…We then conducted a new pilot study [ 53 ], intended to examine the feasibility of stress management sessions during the ER stay with candidate interventions as selected by our literature search. To this end, we conducted a randomized open-label, single-center study to assess the feasibility of psychologist-led interventions in the context of the ER and to compare the effect of EMDR with reassurance and usual care.…”

Section: Introductionmentioning

confidence: 99%

Prevention of post-concussion-like symptoms in patients presenting at the emergency room, early single eye movement desensitization, and reprocessing intervention versus usual care: study protocol for a two-center randomized controlled trial

Gil‐Jardine

Joboory²,

Jammes³

et al. 2018

Trials

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BackgroundRecent data suggest that 10–20% of injury patients will suffer for several months after the event from diverse symptoms, generally referred to as post-concussion-like symptoms (PCLS), which will lead to a decline in quality of life. A preliminary randomized control trial suggested that this condition may be induced by the stress experienced during the event or emergency room (ER) stay and can be prevented in up to 75% of patients with a single, early, short eye movement desensitization and reprocessing (EMDR) psychotherapeutic session delivered in the ER.The protocol of the SOFTER 3 study was designed to compare the impact on 3-month PCLS of early EMDR intervention and usual care in patients presenting at the ER. Secondary outcomes included 3-month post-traumatic stress disorder, 12-month PCLS, self-reported stress at the ER, self-assessed recovery expectation at discharge and 3 months, and self-reported chronic pain at discharge and 3 months.MethodsThis is a two-group, open-label, multicenter, comparative, randomized controlled trial with 3- and 12-month phone follow-up for reports of persisting symptoms (PCLS and post-traumatic stress disorder). Those eligible for inclusion were adults (≥18 years old) presenting at the ER departments of the University Hospital of Bordeaux and University Hospital of Lyon, assessed as being at high risk of PCLS using a three-item scoring rule. The intervention groups were a (1) EMDR Recent Traumatic Episode Protocol intervention performed by a trained psychologist during ER stay or (2) usual care. The number of patients to be enrolled in each group was 223 to evidence a 15% decrease in PCLS prevalence in the EMDR group.DiscussionIn 2012, the year of the last national survey in France, 10.6 million people attended the ER, some of whom did so several times since 18 million visits were recorded in the same year. The SOFTER 3 study therefore addresses a major public health challenge.Trial registrationClinical Trials. NCT03400813. Registered 17 January 2018 – retrospectively registered.Electronic supplementary materialThe online version of this article (10.1186/s13063-018-2902-2) contains supplementary material, which is available to authorized users.

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“…Conditions of particular relevance to pPCS include depression (Wood et al, 2018), anxiety (Bandelow et al, 2015), panic disorder (Horst et al, 2017), migraine headaches (Marcus, 2008), functional neurological disorder (Cope et al, 2018), sleep disorder (Raboni et al, 2014), and medically unexplained symptoms and somatoform disorder (Van Rood & De Roos, 2009). One paper demonstrated that short EMDR intervention is feasible and potentially effective in the context of the post-concussion "like" symptoms in the emergency room (Gil-Jardiné et al, 2018). Other than this study, a literature review failed to retrieve any peer-reviewed specific papers written on the application of EMDR for brain injury or pPCS.…”

Section: Making a Case For Emdrmentioning

confidence: 99%

EMDR Treatment for Persistent Post-Concussion Symptoms Following Mild Traumatic Brain Injury: A Case Study

Moore¹

2021

J EMDR Prac Res

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The majority of people who experience mild Traumatic Brain Injury (mTBI) have a healthy recovery, where initial somatic, cognitive, psychological, and behavioral mTBI-related symptoms resolve naturally within hours or days. Unfortunately, a significant minority of people unfortunately develop persistent symptoms referred to as persistent Post Concussion Syndrome (pPCS), often causing severe long-term reduction in wellbeing and daily function. Psychological and neuropsychological treatments are typically limited to antidepressants, psycho-education on mTBI and pPCS, basic neuro-rehabilitative cognitive compensatory strategies, traditional Cognitive Behavioral Therapy, or no treatment at all. This paper discusses a single case study which demonstrates how Eye Movement Desensitization Reprocessing (EMDR) therapy might provide psychological improvement in clients who sustain mTBI who develop pPCS. The case example describes a 57-year-old man who sustained a mTBI from a serious road traffic collision as a pedestrian, and who developed pPCS. Treatment included nine, 1.5-hour EMDR sessions across a 5-month period (1st being an assessment). Measures of psychological symptom change and client feedback were taken at pretreatment, midtreatment, posttreatment, and aftertreatment had ceased to gauge long-term status. Measures were taken at 18-month follow-up and 4-year review (which followed litigation settlement). The novel viability for the application of EMDR for this client group is discussed.

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Emergency room intervention to prevent post concussion-like symptoms and post-traumatic stress disorder. A pilot randomized controlled study of a brief eye movement desensitization and reprocessing intervention versus reassurance or usual care

Cited by 35 publications

References 28 publications

Patients’ experiences and wellbeing after injury: A focus group study

Patients’ experiences and wellbeing after injury: A focus group study

Prevention of post-concussion-like symptoms in patients presenting at the emergency room, early single eye movement desensitization, and reprocessing intervention versus usual care: study protocol for a two-center randomized controlled trial

EMDR Treatment for Persistent Post-Concussion Symptoms Following Mild Traumatic Brain Injury: A Case Study

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