Abstract

Multisite Randomized Controlled Trial on the Provision of the EMDR Integrative Group Treatment Protocol for Ongoing Traumatic Stress Remote to Healthcare Professionals Working in Hospitals During the Covid-19 Pandemic

Highlights

  • On December 30, 2019, a cluster of pneumonia cases of unknown etiology was reported in Wuhan, Hubei Province, China

  • Results of the Short posttraumatic stress disorder (PTSD) Rating Interview Scale (SPRINT) showed that for item 1: “How much better do you feel since beginning treatment? The mean response at follow-up for the Immediate treatment group (ITG) was 84.6% (N= 74) and for delayed treatment control group (DTG) it was 83.59% (N=74)

  • None of the participants showed clinically significant worsening/exacerbation of symptoms on the PCL-5 or HADS scores after treatment. The aim of this longitudinal multisite randomized controlled trial (RCT) was to evaluate the effectiveness of the Eye movement desensitization and reprocessing (EMDR)-IGTPOTS-R in reducing posttraumatic stress disorder, depression, and anxiety symptoms in healthcare professionals working in ten hospitals during the Covid-19 pandemic in Puebla, Mexico

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Summary

Introduction

On December 30, 2019, a cluster of pneumonia cases of unknown etiology was reported in Wuhan, Hubei Province, China. In another study conducted with 1,257 healthcare workers from 34 hospitals in China, results showed high rates of psychological stress: 50.4% had symptoms of depression, 44.6% symptoms of anxiety, 34% insomnia, and 71.5% general psychological distress. Regarding these outcomes, nurses, female staff, and staff working directly with patients were more likely to have severe scores [6]. 71.2% had scores of state anxiety (the transitory state of fear and emotional tension as a response to a perceived threatening situation) above the clinical cutoff, 26.8% had clinical levels of depression, 31.3% of anxiety, 34.3% of stress, and 36.7% of posttraumatic stress Predictors of both emotional exhaustion and depersonalization (40.1%) were: 1) female gender, and 2) being a nurse working in the hospital in contact with COVID-19 patients [8]. Because of the increased risk for mental health challenges, to Pearman et al, COVID-19 may function as an occupational hazard for healthcare professionals and encourage efforts to intervene to provide relief and in the future [11]

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