Effects of EMDR Therapy in Patients With Severe Obesity
1 other identifier
interventional
60
1 country
1
Brief Summary
The aims of the study are to perform psychological intervention using EMDR Therapy (Eye Movement Desensitization and Reprocessing Therapy) in the preoperative period, evaluate the personality of each patient through the PFB test (Personality Factor Battery Test) at different times, compare the results obtained in the PFB test at different times of application and verify the existence of changes in the five major Personality Factors: Neuroticism, Extroversion, Socialization, Realization and Openness.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable obesity
Started Feb 2018
Typical duration for not_applicable obesity
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2018
CompletedFirst Submitted
Initial submission to the registry
May 9, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 2, 2018
CompletedFirst Posted
Study publicly available on registry
June 13, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
June 2, 2020
CompletedOctober 10, 2019
October 1, 2019
4 months
May 9, 2018
October 9, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
change in emotional balance
This will be evaluated by the Factorial Personality Battery before and after surgery
Postoperative (3 months, 12 months and 36 months after bariatric surgery)
Secondary Outcomes (1)
Total Weight loss
Postoperative (3 months, 12 months and 36 months after bariatric surgery)
Study Arms (2)
Controlled Group
ACTIVE COMPARATOR30 morbid obese patients, 30 to 55 years old, submitted to Personality Factor Battery Test (PFB Test) during the study with the same frequency and criteria of the group of EMDR .
EMDR Group
ACTIVE COMPARATOR30 morbid obese patients, 30 to 55 years old, submitted to Eye Movement Desensitization and Reprocessing Therapy (EMDR) during the study with the frequency of Twelve sessions, including: * Three evaluation and preparation sessions, * Eight EMDR sessions weekly with variable length of 60 minutes and * One closing session. The total intervention time will be about 3 (three) months. After the end of the 12 sessions of EMDR therapy, the patient will be evaluated again individually to verify the existence of change in PFB test results about the 5 big factors. The instrument will also be reapplied three months, twelve months and thirty-six months after bariatric surgery.
Interventions
Psychological instrument built for personality evaluation from the model of the Five Great Factors (FGF), that includes the following dimensions: Neuroticism, Extroversion, Socialization, Effort / Commitment), focusing on the component of the aspects of Neuroticism.
It is a psychotherapeutic approach effective on treatment for trauma and post-traumatic stress disorder. It is an intervention that allows the desensitization of negative emotions from traumatic experiences.This therapy modifies memories that have been processed non-adaptively and become painful and dysfunctional memories. During the procedure, the patient is encouraged to move the eyes from side to side, associating these movements with a "target" situation, previously defined at the beginning of the session. The ocular movements can be replaced by tactile or sonorous stimuli. The series of stimuli must continue until the memory of the traumatic event can be reprocessed adaptively, that is, without the emotional, negative or painful process associated with that memory.
Eligibility Criteria
You may qualify if:
- both sexes
- BMI between 40 Kg/m2 and 50 Kg/m2
- ages between 30 and 55 years,
- minimum level of Elementary School, previously evaluated psychologically by the Psychology Service - University of São Paulo Medical School
You may not qualify if:
- history of severe personality disorders: psychotic symptoms or schizophrenia; bipolar disorder or dementia - groups A and B (DSM - IV);
- patients who present severe dissociative disorders (score above 25%), evaluated through the Dissociative Experiences Scale (DES);
- patients with heart problems and current pregnancy, with information obtained through the participants' reports.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hospital das Clinicas da Faculdade de Medicina da USP
São Paulo, 05403900, Brazil
Related Publications (5)
Alvarez J, Pavao J, Baumrind N, Kimerling R. The relationship between child abuse and adult obesity among california women. Am J Prev Med. 2007 Jul;33(1):28-33. doi: 10.1016/j.amepre.2007.02.036.
PMID: 17572308BACKGROUNDCordas TA, Lopes Filho AP, Segal A. [Eating disorder and bariatric surgery: a case report]. Arq Bras Endocrinol Metabol. 2004 Aug;48(4):564-71. doi: 10.1590/s0004-27302004000400019. Epub 2005 Mar 7. Portuguese.
PMID: 15761522BACKGROUNDFelitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, Koss MP, Marks JS. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. Am J Prev Med. 1998 May;14(4):245-58. doi: 10.1016/s0749-3797(98)00017-8.
PMID: 9635069BACKGROUNDPerkonigg A, Owashi T, Stein MB, Kirschbaum C, Wittchen H-U. Posttraumatic stress disorder and obesity: evidence for a risk association. Am J Prev Med. 2009 Jan;36(1):1-8. doi: 10.1016/j.amepre.2008.09.026. Epub 2008 Oct 31.
PMID: 18976880BACKGROUNDShapiro, F. Dessensibilização e Reprocessamento Através de Movimentos Oculares: Princípios Básicos, Protocolos e Procedimentos. (2a. ed.) - Brasília: Nova Temática, 2007
BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Roberto De Cleva
Hospital das Clinicas da Faculdade de Medicina da USP
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
May 9, 2018
First Posted
June 13, 2018
Study Start
February 1, 2018
Primary Completion
June 2, 2018
Study Completion
June 2, 2020
Last Updated
October 10, 2019
Record last verified: 2019-10
Data Sharing
- IPD Sharing
- Will not share
The plan is to publish the complete data after the end of the study