Clinical Trial Details
— Status: Recruiting
Administrative data
| NCT number |
NCT05944302 |
| Other study ID # |
MesinU |
| Secondary ID |
|
| Status |
Recruiting |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
July 13, 2023 |
| Est. completion date |
August 30, 2024 |
Study information
| Verified date |
November 2023 |
| Source |
Mersin University |
| Contact |
müjde moran |
| Phone |
+905055774978 |
| Email |
mujdemoran[@]mersin.edu.tr |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
They explained the improvement of pain in patients with EMDR treatment in chronic pain with
Shapiro's adaptive information processing model. According to this model; The nociceptive
sense is related to the emotional response. During the traumatic event, the painful stimulus
is stored both physically and as an image, thought, and affect. Therefore, traumatic memories
contain affective elements as well as conscious awareness and contribute significantly to
stress along with chronic pain. Reprocessing these dysfunctionally stored memories will allow
the problematic memories to integrate, resulting in both symptom relief and increased
personal efficacy. According to the explanations made with the adaptive information
processing model, the perception of the traumatic event is reprocessed with bidirectional
stimulation given its somatic and affective components, and the cortical integration of the
memory is provided. Changing the emotional dimension of pain may lead to changes in pain
pathways, altering the memory and reproduction of pain in the nervous system. When
desensitization is achieved against negative emotions; It has been hypothesized that once the
patient has a more normal response to pain or stress, it will not revert to a limbic
magnified response of pain unless a new trauma has been experienced. Painful conditions can
continue to bother even after the illness or injury has been successfully treated. This may
be the result of improperly stored memories and chronic active pain. In addition to
medication, physical therapy, patient education and psychological support are very important
in relieving rheumatological pain.
Description:
In our study, it was considered to examine the effect of EMDR in reducing pain, one of the
most common complaints of RA patients. Over time, the emotional discomfort caused by the pain
increases with the persistence of the pain, and as a result, a medical condition causes a
psychological problem to develop. Pain is a learned emotional experience. Therefore,
psychological components should not be ignored in the evaluation of pain. At the end of EMDR
sessions, patients are confident that they can effectively live with it, even if they have a
very small amount of pain. He has learned to deal with pain without fear or anxiety. No more
pain for the patient; It has become meaning "just an experience", realizing that living with
pain is like traveling on a long road full of hidden pitfalls.
EMDR applications have been used in many treatment applications in recent years. The reasons
for this are the rapid results after the treatment and the simplicity of the procedure. EMDR
has been accepted as an evidence-based treatment method by the UK Department of Health
(2001), the American Psychiatric Association (2004), the Australian Post Traumatic Mental
Health Center (2007) and the Dutch National Mental Health Guidelines Guidance Committee
(2003). The increasing prevalence of EMDR treatment in psychiatric nursing practice is based
on the increasing number of scientifically based reports.
Studies have reported that EMDR application has positive effects on pain in different sample
groups. In the literature review, it was seen that EMDR was applied to RA patients in only
one study. In the study, 75 RA patients were divided into 2 intervention groups and a control
group to compare the effect of EMDR and directed imagery on pain severity in RA patients.
Between the two methods, it was concluded that EMDR was more effective on pain compared to
the directed imagery and control group. It is assumed that EMDR can achieve beneficial
results in RA patients.
The aim of the nursing approach is to enable the patient to recognize their psychological
state, try to reduce their negative emotions and use coping methods.The nurse has the
responsibility of educating patients about treatments, providing patient counseling, and
supporting the patient to make informed decisions and take responsibility for self-care. He
also needs to research about treatment options and follow up on current treatments and
interventions. Considering all these factors, it is thought that EMDR, which will be applied
to RA patients by specialist psychiatric nurses trained in this subject, can be used as an
independent nursing practice in reducing pain and improving vital signs.
With this study the investigators planned, EMDR will be applied to RA patients, and it will
be ensured that the data on whether this method is effective for pain will be brought to the
literature. With the qualitative dimension, which is the second dimension of this study,
which the investigators will bring to the literature, it will be ensured that the patients
also express their feelings. In addition, this study will lead to the planning of new studies
and publications, will reduce pain in patients with RA in whom EMDR is applied, will offer
alternative options that specialist psychiatric nurses can apply in patients with pain, and
will be a guiding resource for investigating the effect of EMDR on the pain of RA patients.
