Trauma-focused treatments for refugee children and adolescents with PTSD: a three-arm randomized controlled trial comparing the efficacy of EMDR and KIDNET versus a waitlist control group (the KIEM study).
Velu ME, de Roos C, van der Aa N, Jongedijk R, Lindauer R, Mooren T. · Child and adolescent psychiatry and mental health · 2026 · Randomized controlled trial report · double blinding not verified
Original publication · Original publication · Original publication · Original publication · Original publication
Recorded summary
Both treatments reduced clinician-rated PTSD more than waiting (EMDR d=1.31; KIDNET d=0.94). EMDR had a modest advantage on clinician-rated severity over KIDNET, without consistent superiority on other outcomes. Parent-reported results differed from child/clinician reports.
Recorded limitations
Younger mixed sample, treatment-versus-wait timing differences, incomplete assessor masking and short follow-up; after re-randomization dropout was 20.8% EMDR and 10.9% KIDNET.
Evidence and provenance
Chapter Trust Factor uses a minimum of three distinct qualifying studies. Publication records retain their own evidence and assessment.
Study design and assessment
- design
- Randomized controlled trial report · double blinding not verified
- assessment
- category
- rct-masking-unclear
- is Randomized Controlled Trial
- true
- peer Reviewed
- true
- basis
- rct
- masking Roles
- participants
- Unblinded
- providers
- Unblinded
- assessors
- Masked to EMDR versus KIDNET, but not reliably to active treatment versus wait-list
- analysts
- Not established
- sources
https://pubmed.ncbi.nlm.nih.gov/42324567/ · https://doi.org/10.1186/s13034-026-01118-0 · https://pmc.ncbi.nlm.nih.gov/articles/PMC13576352/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13576352/fullTextXML · https://api.crossref.org/works/10.1186%2Fs13034-026-01118-0
- review Scope
- selected-methods
- trust Factor
- score
- 2
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- 2
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- Paper
- status
- assessed
- rating Scale
- library-trust-factor/1-3
- randomized Controlled Trial
- true
- peer Reviewed
- true
- blinding
- not-confirmed
- masking Roles
- participants
- Unblinded
- providers
- Unblinded
- assessors
- Masked to EMDR versus KIDNET, but not reliably to active treatment versus wait-list
- analysts
- Not established
- basis
- rct
- sources
https://pubmed.ncbi.nlm.nih.gov/42324567/ · https://doi.org/10.1186/s13034-026-01118-0 · https://pmc.ncbi.nlm.nih.gov/articles/PMC13576352/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13576352/fullTextXML · https://api.crossref.org/works/10.1186%2Fs13034-026-01118-0
- assessed At
- 2026-11-02
- review Scope
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- false
- review Limit
- AI source-based design assessment; human content sign-off is recorded separately.
- jadad
- status
- unassessed
- score
- Not recorded
- evidence
- evidence Type
- Randomized controlled trial report · double blinding not verified
- intervention
- EMDR or KIDNET, approximately eight weekly sessions plus parental guidance, versus wait-list.
- provider
- Not separately established; clinician/teacher/app details, if known, are retained in the intervention description
- comparator
- See design/intervention description; otherwise unknown
- sample
- 96 randomized initially; wait-list participants later re-randomized.
- population
- age
- Refugee children aged 8–18; mean 13.52.
- age Fit
- mixed-overlap
- sample
- 96 randomized initially; wait-list participants later re-randomized.
- setting
- Not separately established; see population/intervention description
- community
refugees · war-trauma
- measurement
- Specific outcomes are reported in the finding and retained appraisal.
- trial Id
- publication-42324567
- trial Registries
- None recorded
- registry Scope
- Identifiers explicitly reported in article abstract; other registrations remain unverified
- relationship Note
- Outreach locations, language support and culturally informed engagement provide a concrete access model; therapy requires its clinical delivery and cannot be equated with an audiovisual experience. Component evidence does not establish efficacy of the combined Universal Mind lab model.
- measured Genes
- None recorded
- pathways
- None recorded
- quality
- tier
- priority
- qualification
- Qualified for the stated design-specific use in a rapid methods-based review, not necessarily low risk of bias or high certainty.
- formal Risk Of Bias Tool Applied
- false
- jadad Score
- Not recorded
- masking Roles
- participants
- Unblinded
- providers
- Unblinded
- assessors
- Masked to EMDR versus KIDNET, but not reliably to active treatment versus wait-list
- analysts
- Not established
- harms And Attrition
- Not systematically extracted beyond findings/limitations; absence of reporting is not evidence of no harm
- source Access
- scope
- selected-methods
- full Text Cached
- true
- methods Inspected
- true
- full Text Appraisal Claim
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- level
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https://pubmed.ncbi.nlm.nih.gov/42324567/ · https://doi.org/10.1186/s13034-026-01118-0 · https://pmc.ncbi.nlm.nih.gov/articles/PMC13576352/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13576352/fullTextXML · https://api.crossref.org/works/10.1186%2Fs13034-026-01118-0
- retrieved At
- 2026-11-02
Topics and recorded topic scores
- key
- vision:iii
- title
- EMDR for PTSD in refugees and asylum seekers
- collection
- vision
- trust Score
- 2
- key
- vision:children
- title
- EMDR for children and adolescents
- collection
- vision
- trust Score
- 2
- key
- vision:universal-mind-mobile-lab
- title
- Universal Mind Mobile Lab · Direct response and inspired by
- collection
- vision
- trust Score
- 2
- key
- vision:emdr-youth
- title
- EMDR for youth
- collection
- vision
- trust Score
- 2
- key
- vision:youth-access-connection
- title
- Youth access, digital support and connection
- collection
- vision
- trust Score
- Not recorded
Citation snapshot and identifiers
- id
- pmid-42324567
- doi
- 10.1186/s13034-026-01118-0
- pmid
- 42324567
- citation Snapshot
- count
- 0
- source
- Europe PMC
- retrieved At
- 2026-10-23
- citations By Collection
- vision
- 0
Complete approved library record
- lab Relevance
- relationship
- direct-response
- implication
- Outreach locations, language support and culturally informed engagement provide a concrete access model; therapy requires its clinical delivery and cannot be equated with an audiovisual experience.
- transfer Limit
- Component evidence does not establish efficacy of the combined Universal Mind lab model.
- institutions
- None recorded
- institution Evidence
- None recorded
- research Topics
EMDR · Youth needs / digital / access
- publication Status
- pmid
- 42324567
- checked At
- 2026-11-02T01:32:46.788336+00:00
- pub Types
research-article · Journal Article
- indexed Notices
- None recorded
- crossref Updates
- None recorded
- notice Records
- None recorded
- scope
- Europe PMC indexed publication types/linked notices, publisher JATS related articles and Crossref update-to metadata; absence is not a guarantee of no notice.
- notice Summary
- Indexed related notices are retained below; no retraction identified in this bounded metadata check. This is not an exhaustive guarantee.
- randomized Study Unit Id
- publication-42324567
- publication Approval
- status
- approved-for-publication
- approved By
- Ben Korbel
- approved At
- 2026-11-02
- assessment
- AI assessed; human approved for publication
- scope
- Approved research summaries for Informatics staging. No clinical peer review, treatment recommendation, partner endorsement or production release is claimed.
- source Revision
- r1-11c5dcc6b172
- source Content Hash
- 11c5dcc6b172d9b78cd2938c1754a7bd145ff53356b84da682c83a929024f498
- source Access
- scope
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- full Text Cached
- true
- methods Inspected
- true
- full Text Appraisal Claim
- false
- level
- selected-methods
- source URLs
https://pubmed.ncbi.nlm.nih.gov/42324567/ · https://doi.org/10.1186/s13034-026-01118-0 · https://pmc.ncbi.nlm.nih.gov/articles/PMC13576352/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13576352/fullTextXML · https://api.crossref.org/works/10.1186%2Fs13034-026-01118-0
- retrieved At
- 2026-11-02
- study Family Id
- publication-42324567
- approaches
EMDR · Youth needs / digital / access
- id
- pmid-42324567
- aliases
youth-pmid-42324567
- title
- Trauma-focused treatments for refugee children and adolescents with PTSD: a three-arm randomized controlled trial comparing the efficacy of EMDR and KIDNET versus a waitlist control group (the KIEM study).
- journal
- Child and adolescent psychiatry and mental health
- neurotransmitters
- None recorded
- year
- 2026
- authors
- Velu ME, de Roos C, van der Aa N, Jongedijk R, Lindauer R, Mooren T.
- design
- Randomized controlled trial report · double blinding not verified
- kind
- Journal article
- identity Conflict
- Not recorded
- doi
- 10.1186/s13034-026-01118-0
- pmid
- 42324567
- urls
https://doi.org/10.1186/s13034-026-01118-0 · https://pubmed.ncbi.nlm.nih.gov/42324567/ · https://pmc.ncbi.nlm.nih.gov/articles/PMC13576352/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13576352/fullTextXML · https://api.crossref.org/works/10.1186%2Fs13034-026-01118-0
- collections
vision
- categories
Clinical & self-report
- targets
- None recorded
- priority
- 1
- quotes
- None recorded
- summary
- Both treatments reduced clinician-rated PTSD more than waiting (EMDR d=1.31; KIDNET d=0.94). EMDR had a modest advantage on clinician-rated severity over KIDNET, without consistent superiority on other outcomes. Parent-reported results differed from child/clinician reports.
- limitation
- Younger mixed sample, treatment-versus-wait timing differences, incomplete assessor masking and short follow-up; after re-randomization dropout was 20.8% EMDR and 10.9% KIDNET.
- citation Count
- 0
- citation Snapshot
- count
- 0
- source
- Europe PMC
- retrieved At
- 2026-10-23
- study Design Assessment
- category
- rct-masking-unclear
- is Randomized Controlled Trial
- true
- peer Reviewed
- true
- basis
- rct
- masking Roles
- participants
- Unblinded
- providers
- Unblinded
- assessors
- Masked to EMDR versus KIDNET, but not reliably to active treatment versus wait-list
- analysts
- Not established
- sources
https://pubmed.ncbi.nlm.nih.gov/42324567/ · https://doi.org/10.1186/s13034-026-01118-0 · https://pmc.ncbi.nlm.nih.gov/articles/PMC13576352/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13576352/fullTextXML · https://api.crossref.org/works/10.1186%2Fs13034-026-01118-0
- review Scope
- selected-methods
- paper Trust Assessment
- score
- 2
- display Crosses
- 2
- scope
- Paper
- status
- assessed
- rating Scale
- library-trust-factor/1-3
- randomized Controlled Trial
- true
- peer Reviewed
- true
- blinding
- not-confirmed
- masking Roles
- participants
- Unblinded
- providers
- Unblinded
- assessors
- Masked to EMDR versus KIDNET, but not reliably to active treatment versus wait-list
- analysts
- Not established
- basis
- rct
- sources
https://pubmed.ncbi.nlm.nih.gov/42324567/ · https://doi.org/10.1186/s13034-026-01118-0 · https://pmc.ncbi.nlm.nih.gov/articles/PMC13576352/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13576352/fullTextXML · https://api.crossref.org/works/10.1186%2Fs13034-026-01118-0
- assessed At
- 2026-11-02
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- false
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- 0
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- EMDR for PTSD in refugees and asylum seekers
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- trust Score
- 2
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- vision:children
- title
- EMDR for children and adolescents
- collection
- vision
- trust Score
- 2
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- vision:universal-mind-mobile-lab
- title
- Universal Mind Mobile Lab · Direct response and inspired by
- collection
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- trust Score
- 2
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- title
- EMDR for youth
- collection
- vision
- trust Score
- 2
- key
- vision:youth-access-connection
- title
- Youth access, digital support and connection
- collection
- vision
- trust Score
- Not recorded
- journal Key
- childandadolescentpsychiatryandmentalhealth
- journal Label
- Child and adolescent psychiatry and mental health
- chapter Entries
- title
- Trauma-focused treatments for refugee children and adolescents with PTSD: a three-arm randomized controlled trial comparing the efficacy of EMDR and KIDNET versus a waitlist control group (the KIEM study).
- journal
- Child and adolescent psychiatry and mental health
- year
- 2026
- authors
- Velu ME, de Roos C, van der Aa N, Jongedijk R, Lindauer R, Mooren T.
- design
- Randomized controlled trial report · double blinding not verified
- urls
https://doi.org/10.1186/s13034-026-01118-0 · https://pubmed.ncbi.nlm.nih.gov/42324567/ · https://pmc.ncbi.nlm.nih.gov/articles/PMC13576352/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13576352/fullTextXML · https://api.crossref.org/works/10.1186%2Fs13034-026-01118-0
- doi
- 10.1186/s13034-026-01118-0
- pmid
- 42324567
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- categories
Clinical & self-report
- citation Count
- 0
- citation Snapshot
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- 0
- source
- Europe PMC
- retrieved At
- 2026-10-23
- study Design Assessment
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- rct-masking-unclear
- is Randomized Controlled Trial
- true
- peer Reviewed
- true
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- rct
- masking Roles
- participants
- Unblinded
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- Unblinded
- assessors
- Masked to EMDR versus KIDNET, but not reliably to active treatment versus wait-list
- analysts
- Not established
- sources
https://pubmed.ncbi.nlm.nih.gov/42324567/ · https://doi.org/10.1186/s13034-026-01118-0 · https://pmc.ncbi.nlm.nih.gov/articles/PMC13576352/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13576352/fullTextXML · https://api.crossref.org/works/10.1186%2Fs13034-026-01118-0
- review Scope
- selected-methods
- evidence
- evidence Type
- Randomized controlled trial report · double blinding not verified
- intervention
- EMDR or KIDNET, approximately eight weekly sessions plus parental guidance, versus wait-list.
- provider
- Not separately established; clinician/teacher/app details, if known, are retained in the intervention description
- comparator
- See design/intervention description; otherwise unknown
- sample
- 96 randomized initially; wait-list participants later re-randomized.
- population
- age
- Refugee children aged 8–18; mean 13.52.
- age Fit
- mixed-overlap
- sample
- 96 randomized initially; wait-list participants later re-randomized.
- setting
- Not separately established; see population/intervention description
- community
refugees · war-trauma
- measurement
- Specific outcomes are reported in the finding and retained appraisal.
- trial Id
- publication-42324567
- trial Registries
- None recorded
- registry Scope
- Identifiers explicitly reported in article abstract; other registrations remain unverified
- relationship Note
- Outreach locations, language support and culturally informed engagement provide a concrete access model; therapy requires its clinical delivery and cannot be equated with an audiovisual experience. Component evidence does not establish efficacy of the combined Universal Mind lab model.
- measured Genes
- None recorded
- pathways
- None recorded
- quality
- tier
- priority
- qualification
- Qualified for the stated design-specific use in a rapid methods-based review, not necessarily low risk of bias or high certainty.
- formal Risk Of Bias Tool Applied
- false
- jadad Score
- Not recorded
- masking Roles
- participants
- Unblinded
- providers
- Unblinded
- assessors
- Masked to EMDR versus KIDNET, but not reliably to active treatment versus wait-list
- analysts
- Not established
- harms And Attrition
- Not systematically extracted beyond findings/limitations; absence of reporting is not evidence of no harm
- source Access
- scope
- selected-methods
- full Text Cached
- true
- methods Inspected
- true
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- level
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- source URLs
https://pubmed.ncbi.nlm.nih.gov/42324567/ · https://doi.org/10.1186/s13034-026-01118-0 · https://pmc.ncbi.nlm.nih.gov/articles/PMC13576352/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13576352/fullTextXML · https://api.crossref.org/works/10.1186%2Fs13034-026-01118-0
- retrieved At
- 2026-11-02
- record Id
- pmid-42324567
- quotes
- None recorded
- source Pages
- None recorded
- summary
- Both treatments reduced clinician-rated PTSD more than waiting (EMDR d=1.31; KIDNET d=0.94). EMDR had a modest advantage on clinician-rated severity over KIDNET, without consistent superiority on other outcomes. Parent-reported results differed from child/clinician reports.
- limitation
- Younger mixed sample, treatment-versus-wait timing differences, incomplete assessor masking and short follow-up; after re-randomization dropout was 20.8% EMDR and 10.9% KIDNET.
- id
- vision-iii-pmid-42324567
- paper Trust Assessment
- score
- 2
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- 2
- scope
- Paper
- status
- assessed
- rating Scale
- library-trust-factor/1-3
- randomized Controlled Trial
- true
- peer Reviewed
- true
- blinding
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- masking Roles
- participants
- Unblinded
- providers
- Unblinded
- assessors
- Masked to EMDR versus KIDNET, but not reliably to active treatment versus wait-list
- analysts
- Not established
- basis
- rct
- sources
https://pubmed.ncbi.nlm.nih.gov/42324567/ · https://doi.org/10.1186/s13034-026-01118-0 · https://pmc.ncbi.nlm.nih.gov/articles/PMC13576352/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13576352/fullTextXML · https://api.crossref.org/works/10.1186%2Fs13034-026-01118-0
- assessed At
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- review Scope
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- false
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- collections
vision
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- priority
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- kind
- Journal article
- jadad
- status
- unassessed
- score
- Not recorded
- finding
- Both treatments reduced clinician-rated PTSD more than waiting (EMDR d=1.31; KIDNET d=0.94). EMDR had a modest advantage on clinician-rated severity over KIDNET, without consistent superiority on other outcomes. Parent-reported results differed from child/clinician reports.
- legacy Article Stars
- Not recorded
- legacy Rating Basis
- Not recorded
- stars
- 2
- rating Basis
- Independent assessors were blinded to EMDR versus KIDNET, but knew active-treatment versus waitlist status. The single-blind designation applies to the active-treatment comparison; masking was incomplete across all three arms.
- aliases
youth-pmid-42324567
- archive Entries
- None recorded
- neurotransmitters
- None recorded
- conditions
ptsd · trauma
- condition Evidence
- id
- ptsd
- evidence
- field
- title
- text
- Trauma-focused treatments for refugee children and adolescents with PTSD: a three-arm randomized controlled trial comparing the efficacy of EMDR and KIDNET versus a waitlist control group (the KIEM study).
- matched Text
- PTSD
- field
- findings
- text
- Both treatments reduced clinician-rated PTSD more than waiting (EMDR d=1.31; KIDNET d=0.94). EMDR had a modest advantage on clinician-rated severity over KIDNET, without consistent superiority on other outcomes. Parent-reported results differed from child/clinician reports.
- matched Text
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- scope
- Studied topic or reported outcome, including null findings; no diagnosis, benefit or subgroup membership is inferred.
- id
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- title
- text
- Trauma-focused treatments for refugee children and adolescents with PTSD: a three-arm randomized controlled trial comparing the efficacy of EMDR and KIDNET versus a waitlist control group (the KIEM study).
- matched Text
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- scope
- Studied topic or reported outcome, including null findings; no diagnosis, benefit or subgroup membership is inferred.
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children · adolescents · youth
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- reported Ages
- Refugee children aged 8–18; mean 13.52.
- youth Scope
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- The existing youth filter includes adolescents and source-defined young people. It does not establish a separate 16–24 estimate.
- age Fit
- mixed-overlap
- source URL
- https://pubmed.ncbi.nlm.nih.gov/42324567/
- basis Type
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- publication Approval
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- Ben Korbel
- approved At
- 2026-11-02
- assessment
- AI assessed; human approved for publication
- scope
- Approved research summaries for Informatics staging. No clinical peer review, treatment recommendation, partner endorsement or production release is claimed.
- source Revision
- r1-11c5dcc6b172
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- 11c5dcc6b172d9b78cd2938c1754a7bd145ff53356b84da682c83a929024f498
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- true
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- true
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- level
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https://pubmed.ncbi.nlm.nih.gov/42324567/ · https://doi.org/10.1186/s13034-026-01118-0 · https://pmc.ncbi.nlm.nih.gov/articles/PMC13576352/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13576352/fullTextXML · https://api.crossref.org/works/10.1186%2Fs13034-026-01118-0
- retrieved At
- 2026-11-02
- study Family Id
- publication-42324567
- randomized Study Unit Id
- publication-42324567
- institutions
- None recorded
- institution Evidence
- None recorded
- research Topics
EMDR · Youth needs / digital / access
- lab Relevance
- relationship
- direct-response
- implication
- Outreach locations, language support and culturally informed engagement provide a concrete access model; therapy requires its clinical delivery and cannot be equated with an audiovisual experience.
- transfer Limit
- Component evidence does not establish efficacy of the combined Universal Mind lab model.
- publication Status
- pmid
- 42324567
- checked At
- 2026-11-02T01:32:46.788336+00:00
- pub Types
research-article · Journal Article
- indexed Notices
- None recorded
- crossref Updates
- None recorded
- notice Records
- None recorded
- scope
- Europe PMC indexed publication types/linked notices, publisher JATS related articles and Crossref update-to metadata; absence is not a guarantee of no notice.
- notice Summary
- Indexed related notices are retained below; no retraction identified in this bounded metadata check. This is not an exhaustive guarantee.
- approaches
EMDR · Youth needs / digital / access
- assessment Record
- id
- youth-pmid-42324567
- title
- Trauma-focused treatments for refugee children and adolescents with PTSD: a three-arm randomized controlled trial comparing the efficacy of EMDR and KIDNET versus a waitlist control group (the KIEM study).
- authors
- Velu ME, de Roos C, van der Aa N, Jongedijk R, Lindauer R, Mooren T.
- year
- 2026
- journal
- Child and adolescent psychiatry and mental health
- doi
- 10.1186/s13034-026-01118-0
- pmid
- 42324567
- pmcid
- PMC13576352
- trial Registries
- None recorded
- registry Scope
- Identifiers explicitly reported in article abstract; other registrations remain unverified
- collection
- youth-20261102
- topics
EMDR · Youth needs / digital / access
- institutions
- None recorded
- institution Evidence
- None recorded
- publication Type
research-article · Journal Article
- study Family Id
- publication-42324567
- randomized Study Unit Id
- publication-42324567
- existing Repository Matches
- id
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PMID · DOI · normalized exact title
- collections
vision
- population
- age
- Refugee children aged 8–18; mean 13.52.
- age Fit
- mixed-overlap
- sample
- 96 randomized initially; wait-list participants later re-randomized.
- setting
- Not separately established; see population/intervention description
- community
refugees · war-trauma
- intervention
- description And Dose
- EMDR or KIDNET, approximately eight weekly sessions plus parental guidance, versus wait-list.
- provider
- Not separately established; clinician/teacher/app details, if known, are retained in the intervention description
- comparator
- See design/intervention description; otherwise unknown
- design
- description
- rct
- category
- randomized-report
- randomization Methods Inspected
- true
- masking
- participants
- Unblinded
- providers
- Unblinded
- assessors
- Masked to EMDR versus KIDNET, but not reliably to active treatment versus wait-list
- analysts
- Not established
- double Blinding Verified
- false
- proposed Crosses
- 2
- approved Crosses
- Not recorded
- findings
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© The Author(s) 2026 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ .
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