Digitally recording HRV during EMDR with or without eye movements

  • Research type

    Research Study

  • Full title

    Digitally recording heart rate variability via the patient's finger: Is there a difference between eye movements and no eye movements during EMDR treatment for PTSD?

  • IRAS ID

    173479

  • Contact name

    Karim Baxter

  • Contact email

    karim.baxter@nhs.net

  • Clinicaltrials.gov Identifier

    NCT02565563

  • Duration of Study in the UK

    0 years, 6 months, days

  • Research summary

    The purpose of the study is to gain greater insight into Eye Movement Desensitisation Reprocessing (EMDR). EMDR is an NHS recommended treatment, which can significantly reduce trauma symptoms. There is some debate regarding how it actually works, however there is evidence to suggest that the eye movements component helps reduce anxiety and increase relaxation levels. To measure these arousal levels during EMDR previous research has used electrocardiography (ECG) to measure heart rate, which offers insight into the effectiveness of eye movements (EM). All studies to date have used ECG to measure arousal levels which requires technical knowledge to administer and interpret. Furthermore, applying electrodes to a patient experiencing PTSD may heighten anxiety. The present study will use new technology which is a small device that would be gently attached to the end of the patient’s index finger. This device is very similar to one that measures oxygen levels in the blood and therefore is a very simple piece of equipment and should cause no discomfort to the patient. The study also requires patient’s faces to be video recorded throughout and it will only be their face that is recorded. This is to match the stages of treatment (i.e. when EM starts and stops) to their corresponding arousal level outcome. The new technology will digitally measure the patient’s anxious and relaxed arousal levels during EM and no EM treatment sessions. 10 NHS patients would be recruited to receive two treatment sessions; one with EM and one without and then continue with treatment as usual without any of the recording devices. EM and no EM phases occur at least three times within a treatment session and therefore several measurements can be taken and analysed.

  • REC name

    East of Scotland Research Ethics Service REC 2

  • REC reference

    15/ES/0141

  • Date of REC Opinion

    24 Sep 2015

  • REC opinion

    Further Information Favourable Opinion