المؤلفون: Rosen, Gerald M.^{Aff1, IDs10879023096066_cor1}, van der Does, Willem, Gaudiano, Brandon A., Pankratz, Loren, Spielmans, Glen I., Hollon, Steven, Davison, Gerald C.

المصدر: Journal of Contemporary Psychotherapy: On the Cutting Edge of Modern Developments in Psychotherapy. 54(2):99-102

المؤلفون: Arenas-Pijoan, Laura, Fuentes Casany, Deborah, Bosa López, Laura

المصدر: Psicosomàtica y Psiquiatría; Núm. 20 (2022)
Psicosomàtica y Psiquiatría; Núm. 20 (2022): enero-febrero-marzo

مصطلحات موضوعية: Obsessive-compulsive, Post-traumatic stress, EMDR, Schema therapy., Obsesivo-compulsivo, Estrés postraumático, Terapia de esquemas.

الوصف: RESUMENLos acontecimientos estresantes y traumáticos mantienen una estrecha relación con los síntomas del trastorno obsesivo-compulsivo (TOC), constituyendo una barrera en el tratamiento convencional de dicho trastorno, en especial cuando se trata de experiencias tempranas y recurrentes que han comprometido las necesidades básicas de seguridad y bienestar. Se expone el caso de una paciente con diagnóstico de TOC que presenta sintomatología comórbida de estrés postraumático. En el abordaje terapéutico se consideran relevantes tanto los eventos que actuaron como factores precipitantes como los sucesos relacionados con primeras experiencias en la infancia. La intervención psicológica  contempla un abordaje integrado que incluye técnicas de la terapia de desensibilización y reprocesamiento por movimientos oculares (EMDR) y de la terapia de esquemas de Young. Los resultados muestran una reducción de las conductas problema.
Stressful and traumatic events are closely related to the symptoms of obsessive-compulsive disorder (OCD), constituting a barrier in the conventional treatment of this disorder, especially when it comes to early and recurring experiences that have compromised safety and well-being basic needs. The case of a patient diagnosed with OCD presenting comorbid symptoms of post-traumatic stress is exposed. In the therapeutic approach, both events that acted as precipitating factors and events related to early childhood experiences are considered relevant. The psychological intervention considers an integrated approach that includes eye movement desensitization and reprocessing  therapy (EMDR) and Young’s schema therapy techniques. The results show a reduction in problem behaviours.

وصف الملف: application/pdf

Relation: http://www.raco.cat/index.php/PsicosomPsiquiatr/article/view/398126/492155

URL الوصول: http://www.raco.cat/index.php/PsicosomPsiquiatr/article/view/398126

المؤلفون: Inci Izmir, Sevim Berrin, Çitil Akyol, Canan

المصدر: Clinical Child Psychology & Psychiatry; Jul2024, Vol. 29 Issue 3, p949-965, 17p

مصطلحات موضوعية: PATIENT compliance, QUESTIONNAIRES, LONGITUDINAL method, PSYCHOLOGICAL tests, MENTAL depression, EMDR (Eye-movement desensitization & reprocessing), ADOLESCENCE

مستخلص: This study aims to investigate the specific effects of the EMDR Flash Technique on adolescents with depression. This follow-up study consists of 32 adolescents, 12–17 years of age (M = 14.34, SD = 1.56), including 7 males and 25 females. They were evaluated with Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children Present, the Beck Depression Inventory (BDI), and Children Revised Impact of Event Scale-8 (Crıes-8). These were administered at baseline, at the end of the 4th and 12th weeks of treatment. The EMDR Flash Technique which can be utilized in the preparation phase of Eye Movement Desensitization and Reprocessing (EMDR) to reduce the intensity of highly distressing memories rapidly and relatively painlessly was applied for 12 weeks, one session per week as a free-standing intervention. Also, the EMDR Flash Technique can be effective in decreasing the rate of noncompliance and drop-outs of adolescents. The baseline means of total BDI scores decreased from 48.19 to 2.16 at the end of the 12th week of treatment. Also, the CRIES scores decreased from 31.78 to 0.44 at the end of the 12th week of treatment. In addition, the baseline means of SUD scores decreased from 9.53 to zero at the end of the 12th week of treatment. Overall, our results underscore the effectiveness of the EMDR-Flash Technique in adolescents with depression. Plain language summary: Depression is a significant mental health concern for adolescents due to its early onset and chronic nature. Depression can be observed in conjunction with PTSD, and sometimes, depressive symptoms may transform into traumatic experiences. EMDR is an 8-stage protocol that includes history taking, preparation, assessment, desensitization, installation, body scan, closure, and reevaluation, used to alleviate the effects of traumatic experiences. It is hypothesized that unpleasant and traumatic events are stored in a dysfunctional way, and it promotes an adaptive processing and resolution of the traumatic experience. The goal of EMDR is to achieve an adequate processing of negative experiences and to create new adaptive information. The EMDR Flash Technique (FT) is utilized in the preparation phase of EMDR to reduce the intensity of highly distressing memories rapidly and relatively painlessly. Although a few studies have shown that the FT is effective in adults, there is only one study to investigate the effectiveness of the FT in children and adolescents. This research, in determining the efficacy of the EMDR FT on adolescents with depression, particularly focused on depression symptoms and assessed the observed changes in these symptoms. It aims to evaluate the specific effects of EMDR-FT on adolescents with depression, providing a unique perspective compared to previous research that has mainly focused on broader mental health disorder indicators. It is hypothesized that EMDR-FT is an effective therapy for treating adolescents with Depression. In the present study, adolescents with depression showed significant improvements in symptom severity and their traumatic events impact levels decreased. As a result of our study, a 12-week EMDR-FT treatment was observed to be effective for adolescents with depression and in reducing and improving traumatic stress levels and depression. Our results underscore the effectiveness of the EMDR-FT in adolescents with depression. [ABSTRACT FROM AUTHOR]

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المؤلفون: Inci Izmir, Sevim Berrin, Korkmazlar, Ümran, Ercan, Eyüp Sabri

المصدر: Clinical Child Psychology & Psychiatry; Jul2024, Vol. 29 Issue 3, p966-981, 16p

مصطلحات موضوعية: PANIC disorder treatment, QUESTIONNAIRES, TREATMENT effectiveness, TREATMENT duration, DESCRIPTIVE statistics, PSYCHOLOGICAL tests, EMDR (Eye-movement desensitization & reprocessing), PATIENT aftercare, EVALUATION, ADOLESCENCE

مستخلص: The aim of this study is to investigate the effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) treatment in adolescents with panic disorder (PD). This follow-up study consists of 30 adolescents with PD without agoraphobia, aged 14–17 (15.53 ±.97). They were evaluated with Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children Present, also the Panic and Agoraphobia Scale (PAS) and Beck Anxiety Inventory (BAI) were administered at baseline, at the end of the 4th and 12th weeks of treatment. EMDR therapy which is an eight-phase treatment approach composed of standardized protocols and procedures was applied for 12 weeks, one session per week. The baseline mean of the total PAS score decreased from 40.06 to 13.13 at fourth week and 1.2 at the end of 12th week of treatment. In addition, BAI score decreased significantly from 33.67 to 13.83 at 4 weeks and 5.31 at the end of 12^th week of treatment. Overall, our results underscore the effectiveness of EMDR in adolescents with PD. Moreover, the current study suggests that EMDR may represent an effective intervention technique for PD in adolescents to protect against relapses and to overcome a fear of future attacks. [ABSTRACT FROM AUTHOR]

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المؤلفون: Horesh, Danny, Lahav, Yael

المصدر: Journal of Clinical Psychology; Jul2024, Vol. 80 Issue 7, p1689-1697, 9p

مصطلحات موضوعية: DIALECTICAL behavior therapy, EMDR (Eye-movement desensitization & reprocessing), MENTAL health personnel, POST-traumatic stress disorder, INTERPERSONAL relations, PSYCHOTHERAPY

مستخلص: Complex posttraumatic stress disorder (CPTSD) is a term representing the psychopathological implications of exposure to chronic, inter‐personal trauma. These include the main symptoms of PTSD, as well as changes in identity, emotion regulation, and inter‐personal relationships. Self‐harm and dissociation (i.e., disintegration of mental processes) are also quite common in CPTSD. Considering this complex and often severe clinical picture, mental health professionals often find it difficult to effectively treat CPTSD. In this paper, we present an integrative approach to the treatment of CPTSD based on a combination of techniques from several psychotherapy approaches. The case described here illustrates the need for therapeutic flexibility and eclecticism when treating individuals exposed to chronic trauma. We show the advantages of flexible therapeutic attunement, which enables the therapist to respond to the changing need of the patient, as well as her fluid clinical picture and symptom manifestation. The case also illustrates how interventions taken from psychodynamic therapy, Dialectical behavior therapy, and Eye Movement Desensitization and Reprocessing may be applicable in various stages of treatment, alleviating the patient's distress in several psychological and physical domains. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Pape, Valeska, Sammer, Gebhard, Hanewald, Bernd, Schäflein, Eva, Rauschenbach, Fritz, Stingl, Markus

المصدر: Frontiers in Psychology; 2024, p1-15, 15p

مصطلحات موضوعية: EMDR (Eye-movement desensitization & reprocessing), GALVANIC skin response, POST-traumatic stress disorder, PSYCHOLOGICAL distress, STARTLE reaction, EMOTION recognition

مستخلص: Objectives: Bilateral stimulation is a core element of Eye Movement Desensitization and Reprocessing Therapy, a psychotherapeutic intervention for the treatment of Posttraumatic Stress Disorder (PTSD). Promising previous findings showed measurable physiological effects of bilateral stimulation in healthy individuals, but studies that replicated these findings in PTSD patients are sparse. Methods: 23 patients with PTSD and 30 healthy controls were confronted with affective standard scripts (pleasant, neutral, unpleasant) while bilateral tactile stimulation was applied. Monolateral and no stimulation served as control conditions. Noise-induced startle reflex response (valence measure) and galvanic skin response (arousal measure) were used for physiological responses and the valence and arousal scale of the Self-Assessment-Manikin for subjective responses. Results: Both groups showed a subjective distress reduction for unpleasant scripts and a subjective attention increase for positive scripts under bilateral stimulation. In healthy individuals, this was also for physiological measures, and a general startle-reducing effect of bilateral stimulation in the absence of affective stimuli was found. In PTSD patients, however, the effects were restricted on the subjective level, and no concomitant physiological effects were observed. Conclusions and significance: The findings indicate, that generalizing the effects of BLS in healthy individuals to PTSD patients may be problematic. The hereinreported group differences can be explained by PTSD-specific peculiarities in emotion processing and cognitive processing style. [ABSTRACT FROM AUTHOR]

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المؤلفون: Xie, Yu, Zhu, Xiang, Wang, Lijun, Wan, Zhendong, Yang, Jiyu, Su, Chen, Duan, Shuyu, Xu, Chenxi, Kan, Binbin

المصدر: BMC Psychiatry; 6/25/2024, Vol. 24 Issue 1, p1-16, 16p

مصطلحات موضوعية: PSYCHOTHERAPY, POST-traumatic stress disorder, EMDR (Eye-movement desensitization & reprocessing), COGNITIVE therapy, NATURAL disasters, EXPOSURE therapy

مستخلص: Introduction: Children and adolescents, after natural and man-made disasters, often exhibit various psychological, emotional, and behavioral issues, showing a range of clinical symptoms related to post-traumatic stress disorder (PTSD) and depression. This review used a network meta-analysis (NMA) approach to compare and rank psychological interventions for PTSD and depression in children and adolescents after exposure to natural and man-made disasters. Methods: Randomized studies of psychosocial interventions for PTSD and depression in children and adolescents exposed to natural and man-made disasters were identified. PTSD and depression symptoms at postintervention and 1–12 month follow-up are the outcomes. The standardized mean differences (SMDs) between pairs of interventions at postintervention and follow-up were pooled. Mean effect sizes with 95% credible intervals (CI) were calculated, and the ranking probabilities for all interventions were estimated using the surface under the cumulative ranking curve. Study quality was assessed with version 2 of the Cochrane risk-of-bias tool for randomized trials (RoB 2). Results: In total, 26 studies with 4331 participants were included in this NMA. Eye movement desensitization and reprocessing therapy (EMDR) (SMD = − 0.67; 95% CI − 1.17 to − 0.17), exposure therapy (ET) (SMD = − 0.66; 95% CI − 1.11 to − 0.22), and cognitive behavioral therapy (CBT) (SMD = − 0.62; 95% CI − 0.90 to − 0.34) were significantly more effective for PTSD at postintervention than inactive intervention. EMDR (SMD = − 0.72; 95% CI − 1.11 to − 0.33) and ET (SMD = − 0.62; 95% CI − 0.97 to − 0.27) were associated with a higher reduction in PTSD symptoms at follow-up than inactive intervention. EMDR (SMD = − 0.40; 95% CI − 0.78 to − 0.03) and play therapy (PT) (SMD = − 0.37; 95% CI − 0.62 to − 0.12) were significantly more effective for depression at postintervention than inactive intervention. For all psychological interventions in reducing depression symptoms at follow-up compared with inactive intervention, the differences were not significant. Conclusion: EMDR appears to be most effective in reducing PTSD and depression in children and adolescents exposed to natural and man-made disasters. In addition, ET and CBT are potentially effective in reducing PTSD symptoms at postintervention, while PT is beneficial in managing depression symptoms at the treatment endpoint. [ABSTRACT FROM AUTHOR]

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المؤلفون: Vaage-Kowalzik, Veronica, Engeset, Jeanette, Jakobsen, Marianne, Andreassen, Wenche, Evensen, Julie Horgen

المصدر: Frontiers in Psychology; 2024, p1-13, 13p

مصطلحات موضوعية: TREATMENT programs, EMDR (Eye-movement desensitization & reprocessing), PATIENT experience, POST-traumatic stress disorder

مستخلص: Background: Intensive inpatient treatment programs have shown robust results in the treatment of post-traumatic stress disorder (PTSD). How patients experience this treatment program and what changes they experience as a result of the treatment have, however, only scarcely been explored through qualitative studies. Objective: This study aimed to explore the lived experience of participants in an intensive inpatient trauma treatment program. Our research questions were as follows: how do patients experience intensive trauma-focused treatment? How do they experience possible changes related to participating in the treatment program? Methods: Six patients diagnosed with PTSD with significant comorbidities, who recently participated in an intensive 2-week (4 + 4 days) inpatient trauma treatment program with prolonged exposure (PE), eye movement desensitization and reprocessing (EMDR), and therapist rotation (TR), were interviewed with a semi-structured qualitative interview. Transcripts were analyzed using a thematic analysis approach. Results: Our analysis resulted in five main themes: (1) the need to feel safe; (2) the benefits of many and different therapeutic encounters; (3) variable experience with elements of treatment; (4) intensity; and (5) experienced change. Our results suggest that feeling safe within the framework of the treatment program facilitated the treatment process. Many and different therapeutic encounters, both through TR and with ward staff, contributed to experienced change. All participants described the intensity as facilitative to trauma processing. However, most participants also describe often feeling too overwhelmed to benefit from all elements of the treatment program. Conclusions: Our findings suggest that participants experience the overall treatment program as beneficial and contributing to experienced change. Participants described the intensity of the program as exhausting, but necessary. Most did, however, report at times of being too overwhelmed to benefit from elements of the program. Consequently, our results prompt us to question the optimal level of intensity. [ABSTRACT FROM AUTHOR]

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المؤلفون: Molero-Zafra, Milagros, Fernández-García, Olga, Teresa Mitjans-Lafont, María, Pérez-Marín, Marián, Jesús Hernández-Jiménez, María

المصدر: Frontiers in Psychiatry; 2024, p1-18, 18p

مصطلحات موضوعية: EMDR (Eye-movement desensitization & reprocessing), COGNITIVE therapy, PSYCHOTHERAPY, CHILD sexual abuse, SEXUAL abuse victims, BRIEF psychotherapy

مستخلص: Introduction: Childhood sexual abuse persists as a painful societal reality, necessitating responses from institutions and healthcare professionals to prevent and address its severe long-term consequences in victims. This study implements an intervention comprising two psychotherapeutic approaches recommended by the WHO and international clinical guidelines for addressing short-, medium-, and long-term posttraumatic symptomatology: TraumaFocused Cognitive Behavioral Therapy (TF-CBT) and Eye Movement Desensitization and Reprocessing (EMDR). Both approaches are adapted from group formats for implementation in small online groups via Zoom. Methods: The impact of both therapeutic approaches on trauma improvement was assessed in a sample of 19 women who were victims of childhood sexual abuse through a Randomized Clinical Trial comparing EMDR Psychotherapy and Trauma-Focused Cognitive Behavioral Therapy after a baseline period. Intra and inter comparison were made using statistics appropriate to the sample. Results: Both therapeutic approaches significantly reduced symptomatology across various evaluated variables, suggesting their efficacy in improving the quality of life for these individuals. Following CBT-FT treatment, patients exhibited enhanced emotional regulation, reduced reexperiencing, and avoidance. The EMDR group, utilizing the G-TEP group protocol, significantly improved dissociation, along with other crucial clinical variables and the perception of quality of life. Discussion: Although the limitations of this study must be taken into account due to the size of the sample and the lack of long-term follow-up, the results align with existing scientific literature, underscoring the benefits of trauma-focused psychological treatments. The online group format appears promising for enhancing the accessibility of psychological treatment for these women. Furthermore, the differential outcomes of each treatment support recent research advocating for the inclusion of both approaches for individuals with trauma-related symptomatology. Ethics and dissemination: The study has been approved by the Ethics Committee of the Valencian International University (VIU) (Valencia, Spain) (Ref. CEID2021_07). The results will be submitted for publication in peer-reviewed journals and disseminated to the scientific community. [ABSTRACT FROM AUTHOR]

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المؤلفون: Çiftçi, Zeynep, Delibaş, Dursun Hakan, Kaya, Taciser, Külcü, Duygu Geler, Sarı, Aylin, Nazlıkul, Hüseyin, Topsakal, İlkem Coşkun, Aydın, Yunus Emre, Kavakçı, Önder, Savran, Canan, Konuk, Emre

المصدر: Frontiers in Psychiatry; 2024, p1-12, 12p

مصطلحات موضوعية: EMDR (Eye-movement desensitization & reprocessing), FIBROMYALGIA, RANDOMIZED controlled trials, SLEEP quality, BECK Depression Inventory

مستخلص: Background: In addition to pharmacological treatment, psychotherapeutic approaches are recommended for the treatment of fibromyalgia. There is a suggestion that eye movement desensitization and reprocessing (EMDR) therapy may be effective. This study aimed to investigate the impact of EMDR therapy on fibromyalgia symptoms, depression, sleep quality, and traumatic stress in fibromyalgia patients through a randomized controlled study (RCT). Materials and methods: The sample for this study comprised 79 individuals diagnosed with fibromyalgia. Participants were randomly assigned to two groups: the "Treatment as Usual" (TAU) group and the TAU + EMDR group. Prior to the study and at six different time points (before starting the study, at the end of the 5th, 10th, and 15th sessions, 1 month later, and 3 months later), participants completed assessments, including the Fibromyalgia Impact Questionnaire (FIQ), Visual Analog Scale (VAS), Fibromyalgia ACR 2010 Diagnostic Criteria [Widespread Pain Index (WPI) and Symptom Severity Scale (SSS)], Beck Depression Inventory (BDI), Pittsburgh Sleep Quality Index (PSQI), and Trauma Symptom Checklist-40 (TSC-40). Results: There were no differences in the sociodemographic variables between the study and experimental groups. Analysis of variance revealed a statistically significant group effect on VAS (p = 0.019), WPI (p = 0.018), BDI (p = 0.019), and TSC-40 (p = 0.21). After applying Bonferroni correction, EMDR was found to be effective for VAS, WPI, SSS, BDI, PSQI, and TSC-40 (p <0.05). Conclusion: The results of the current study suggest that EMDR therapy is a viable alternative treatment for fibromyalgia. We believe these findings offer robust evidence supporting the efficacy of EMDR therapy in treating fibromyalgia, particularly in the context of a randomized controlled trial (RCT). The application of EMDR therapy for the treatment of patients with fibromyalgia is likely to be beneficial. [ABSTRACT FROM AUTHOR]

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