Evidence map›Paper›PMID 39354623›Full record

ArticleTrials2024

Secondary traumatization in refugee care-EMDR intervention for interpreters (STEIN): a study protocol for a quasi-randomized controlled trial.

Irja Rzepka, David Kindermann, Hans-Christoph Friederich, Christoph Nikendei

Abstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Irja RzepkaDepartment for General Internal and Psychosomatic Medicine, University Hospital Heidelberg, Heidelberg, Germany. irja.rzepka@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0002-2357-6964
David KindermannDepartment for General Internal and Psychosomatic Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Hans-Christoph FriederichDepartment for General Internal and Psychosomatic Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Christoph NikendeiDepartment for General Internal and Psychosomatic Medicine, University Hospital Heidelberg, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBy the end of 2022, more than 100 million people worldwide fled their homes. Before, during and after their flight, refugees have high risk of experiencing traumatic events. Accordingly, around every third refugee is affected by posttraumatic stress disorder. For adequate mental health care, the service of interpreters is often urgently needed to overcome existing language barriers. However, repeated exposure with details of traumatic narratives, as experienced by interpreters, can be burdensome and can lead to trauma sequela symptoms in terms of secondary traumatic stress. Only few studies have examined the treatment of secondary traumatic stress to date. Based on the recommendations for the treatment of posttraumatic stress disorder with confrontational methods, this study was designed to evaluate the effectiveness of an eye movement desensitization and reprocessing (EMDR) intervention in a sample of interpreters working in refugee care suffering from secondary traumatic stress symptoms.

methodsTo evaluate the effectiveness of an EMDR intervention for the treatment of secondary traumatic stress symptoms, a quasi-randomized controlled trial using a waiting group design will be performed. Participants will be treated with a maximum of 6 sessions based on EMDR standard protocol. Primary outcome is the symptom load of secondary traumatic stress, assessed with the Questionnaire for Secondary Traumatization, while secondary outcomes comprise further symptom complexes such as PTSD due to self-experienced traumatic events, depression, anxiety, and somatization as well as quality of life, quality of professional life, and psychological wellbeing that will be assessed with the PDS, PHQ-9, GAD-7, SSD-12, SF-12, PROQOL-5, and WHO-5, respectively. DISCUSSION: Our primary interest is to determine the efficacy of an EMDR intervention in interpreters affected by secondary traumatic stress, especially how many sessions are needed for significant symptom reduction. Change of associated symptom complexes and quality of life will be investigated. Reprocessing one's own stressful experiences may also contribute to this, which is not the focus of the treatment but relevant to the EMDR protocol. This study aims to assess if EMDR could be an acceptable, effective, and time-efficient method for reducing work-related secondary traumatization.

trial registrationGerman Clinical Trials Register, DRKS00032092, registered 16 June 2023.

Indexed as

Eye Movement Desensitization ReprocessingRefugeesStress Disorders, Post-TraumaticCommunication BarriersHumansMental HealthQuality of LifeRandomized Controlled Trials as TopicTranslatingTreatment OutcomeEMDRInterpretersRefugee careSecondary traumatic stress

Identifiers

PMID39354623
PMCPMC11443801

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.