المؤلفون: Meneses Meneses, Alexandra Yakeline

المساهمون: University/Department: Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut

مرشدي الرسالة: jaquellinne@hotmail.es, Jódar Vicente, Mercè

المصدر: TDX (Tesis Doctorals en Xarxa)

مصطلحات موضوعية: Violència de gènere, Violencia de género, Gender -based violence, EMDR, Neuoropsicologia, Neuropsicología, Neuropsychology, Ciències de la Salut

Time: 159.9

الوصف: Introducció. La violència contra la dona és un problema de salut pública que afecta 1 de cada 3 dones al món, segons dades de l'Organització Mundial de la Salut. L'impacte de la violència en la salut física, mental i sexual és un dels problemes que més preocupa principalment als països en vies de desenvolupament, on el factor sociodemogràfic augmenta la gravetat dels símptomes clínics i la qualitat de vida de les dones supervinents de la violència. Objectiu.Valorar el perfil clínic, neuropsicològic i qualitat de vida a les dones equatorianes exposades a violència de gènere, i l'efectivitat de la teràpia EMDR. Mètode. S'hi van incloure dones entre 18 i 50 anys, amb antecedents de violència basada en el gènere, de tipus física, psicològica i sexual. Mitjançant mostreig probabilístic es va seleccionar la mostra (n= 120) dones participants, les quals van ser incloses, de manera aleatòria a un programa de tractament terapèutic amb EMDR, o bé en un tractament amb teràpia d'exposició narrativa. Es va utilitzar el disseny pre-post, el qual va incloure una bateria de tests clínics i neuropsicològics. Les diferències entre grups es van analitzar mitjançant proves paramètriques i no paramètriques. La relació entre variables clíniques, cognitives i la influència de les variables sociodemogràfiques es van explorar mitjançant regressions lineals/logístiques. Resultats. La majoria de dones exposades a violència van mostrar un perfil clínic afectat. Els símptomes amb més nivell d'intensitat van ser l'ansietat (60%), la depressió (26,7%), la simptomatologia posttraumàtica (40%) i un baix índex de qualitat de vida (51,7%). Així mateix, les dones van mostrar un rendiment a les proves neuropsicològiques per sota de la mitjana general (z<1,5), principalment en les proves que valoren la memòria, (-1,67), velocitat de processament i les funcions executives (- 1,81). Es van observar diferències significatives entre les variables sociodemogràfiques i clíniques. Les dones exposades a violència sexual van reportar majors nivells d'estrès posttraumàtic respecte a les dones exposades a violència física i psicològica (p = 0,003). En canvi, les dones que viuen actualment amb la parella sentimental van reportar majors nivells d'ansietat clínica (p = 0,012). Pel que fa al tractament psicoterapèutic emprat, EMDR, es va mostrar més eficaç comprovant les diferències trobades entre el pre i el posttractament en la disminució de l'ansietat clínica (p = 0,000); depressió clínica (p = 0,001); simptomatologia posttraumàtica (p = 0,002) i un augment en l'índex de qualitat de vida (p= 0,000). També es van observar diferències en la millora de les funcions cognitives relacionada amb factors sociodemogràfics. Conclusions Els nivells d'ansietat, simptomatologia posttraumàtica i baix índex de qualitat de vida van mostrar afectació clínica moderada a la majoria de dones exposades a violència basada en el gènere. Les proves de velocitat de processament i funció executiva van ser el rendiment menor van reportar en les dones exposades a violència que van participar de l'estudi (<1,5). També es va comprovar que únicament la variable anys d'escolaritat va mostrar relació amb el rendiment neuropsicològic reportat, com més anys d'escolaritat millor rendiment neuropsicològic. El tractament amb la teràpia EMDR va mostrar més efectivitat comparat amb la Teràpia d'Exposició Narrativa per reduir la simptomatologia clínica i augmentar l'índex de qualitat de vida de les dones afectades per la violència. A més, el tractament amb EMDR va contribuir a una millora en el rendiment cognitiu, principalment a les funcions d'ordre executives.

الوصف (مترجم): Introducción. La violencia contra la mujer es un problema de salud pública que afecta a 1 de cada 3 mujeres en el mundo, según datos de la Organización Mundial de la Salud. El impacto de la violencia en la salud física, mental y sexual es uno de los problemas que más preocupa principalmente en los países en vías de desarrollo, en donde el factor sociodemográfico aumenta la gravedad de los síntomas clínicos y la calidad de vida de las mujeres sobrevinientes de la violencia. Objetivo. Valorar el perfil clínico, neuropsicológico y calidad de vida en las mujeres ecuatorianas expuestas a violencia de género, y la efectividad de la terapia EMDR. Método. Se incluyeron mujeres entre 18 a 50 años, con antecedentes de violencia basada en el género, de tipo física, psicológica y sexual. Mediante muestreo probabilístico se seleccionó la muestra (n= 120) mujeres participantes, quienes fueron incluidas, de forma aleatoria a un programa de tratamiento terapéutico con EMDR, o bien en un tratamiento con terapia de exposición narrativa. Se utilizó el diseño pre — post, el cual incluyó una batería de test clínicos y neuropsicológicos. Las diferencias entre grupos se analizaron mediante pruebas paramétricas y no paramétricas. La relación entre variables clínicas, cognitivas y la influencia de las variables sociodemográficas se exploraron mediante regresiones lineales/logísticas. Resultados. La mayoría de mujeres expuestas a violencia mostraron un perfil clínico afectado. Los síntomas con mayor nivel de intensidad fueron la ansiedad (60%), depresión (26,7%), sintomatología postraumática (40%), y un bajo índice de calidad de vida (51,7%). Asimismo, las mujeres mostraron un rendimiento en las pruebas neuropsicológicas por debajo de la media general (z<1,5), principalmente en las pruebas que valoran la memoria, (-1,67), velocidad de procesamiento y las funciones ejecutivas (-1,81). Se observaron diferencias significativas entre las variables sociodemográficas y clínicas. Las mujeres expuestas a violencia sexual, reportaron mayores niveles de estrés postraumático, respecto a las mujeres expuestas a violencia física y psicológica (p = 0,003). En cambio, las mujeres que viven actualmente con su pareja sentimental reportaron mayores niveles de ansiedad clínica (p = 0,012). Respecto al tratamiento psicoterapéutico empleado, EMDR, se mostró más eficaz comprobando las diferencias encontradas entre el pre y postratamiento en la disminución de la ansiedad clínica (p = 0,000); depresión clínica (p = 0,001); sintomatología postraumática (p = 0,002) y un aumento en el índice de calidad de vida (p= 0,000). También, se observaron diferencias en la mejora de las funciones cognitivas relacionada con factores sociodemográficos. Conclusiones. Los niveles de ansiedad, sintomatología postraumática y bajo índice de calidad de vida mostraron afectación clínica moderada en la mayoría de mujeres expuestas a violencia basada en el género. Las pruebas de velocidad de procesamiento y función ejecutiva fueron el menor rendimiento reportaron en las mujeres expuestas a violencia que participaron del estudio (<1,5). También, se comprobó que únicamente la variable años de escolaridad mostró relación con el rendimiento neuropsicológico reportado, a más años de escolaridad mejor rendimiento neuropsicológico. El tratamiento con la terapia EMDR mostró mayor efectividad comparado con la Terapia de Exposición Narrativa, para reducir la sintomatología clínica y aumentar el índice de calidad de vida de las mujeres afectadas por la violencia. Además, el tratamiento con EMDR contribuyó a una mejora en el rendimiento cognitivo, principalmente en las funciones de orden ejecutivas.
Introduction. Violence against women is a public health problem that affects 1 in 3 women in the world, according to data from the World Health Organization. The impact of violence on physical, mental and sexual health is one of the problems of greatest concern, mainly in developing countries, where the sociodemographic factor increases the severity of clinical symptoms and the quality of life of women survivors of violence. Objective. To evaluate the clinical, neuropsychological profile and quality of life in Ecuadorian women exposed to gender violence, and the effectiveness of EMDR therapy. Method. It included women between 18 and 50 years old, with a history of gender-based, physical, psychological and sexual violence. Through probabilistic sampling, the sample (n= 120) participating women was selected, who were randomly included in a therapeutic treatment program with EMDR, or in a treatment with narrative exposure therapy. The pre-post design was used, which included a battery of clinical and neuropsychological tests. Differences between groups were analyzed using parametric and nonparametric tests. The relationship between clinical and cognitive variables and the influence of sociodemographic variables were explored using linear/logistic regressions. Results. The majority of women exposed to violence showed an affected clinical profile. The symptoms with the highest level of intensity were anxiety (60%), depression (26.7%), post-traumatic symptomatology (40%), and a low quality of life index (51.7%). Likewise, the women showed a performance in the neuropsychological tests below the general average (z<1.5), mainly in the tests that access memory (-1.67), processing speed and executive functions (- 1.81). Significant differences were observed between sociodemographic and clinical variables. Women exposed to sexual violence reported higher levels of post-traumatic stress than women exposed to physical and psychological violence (p = 0.003). In contrast, women who currently live with their partner reported higher levels of clinical anxiety (p = 0.012). Regarding the psychotherapeutic treatment used, EMDR, it was shown to be more effective, verifying the differences found between pre- and post-treatment in the reduction of clinical anxiety (p = 0.000); clinical depression (p = 0.001); post-traumatic symptoms (p = 0.002) and an increase in the quality of life index (p = 0.000). Also, differences were observed in the improvement of cognitive functions related to sociodemographic factors. Conclusions. The levels of anxiety, post-traumatic symptomatology and low quality of life index showed moderate clinical affectation in the majority of women exposed to gender-based violence. Processing speed and executive function tests were the lowest performance reported in women exposed to violence who participated in the study (<1.5). Also, it was found that only the variable years of schooling showed a relationship with the reported neuropsychological performance, with more years of schooling, better neuropsychological performance. Treatment with EMDR therapy showed greater effectiveness compared to Narrative Exposure Therapy, to reduce clinical symptoms and increase the quality of life index of women affected by violence. In addition, EMDR treatment contributed to an improvement in cognitive performance, mainly in executive order functions.

وصف الملف: application/pdf

URL الوصول: http://hdl.handle.net/10803/687613

المؤلفون: Shen, Xin, Huang, Zheng, Hu, Zhiyi, Song, Qingyang

المصدر: 2024 IEEE 7th Eurasian Conference on Educational Innovation (ECEI) Educational Innovation (ECEI), 2024 IEEE 7th Eurasian Conference on. :109-115 Jan, 2024

Relation: 2024 IEEE 7th Eurasian Conference on Educational Innovation (ECEI)

المؤلفون: Solomon, Roger M., author

الإتاحة: https://doi.org/10.1093/oso/9780198881360.001.0001

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: Novo Navarro, María Patricia

المساهمون: University/Department: Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal

مرشدي الرسالة: Amann, Benedikt L., Pérez Solà, Víctor

المصدر: TDX (Tesis Doctorals en Xarxa)

مصطلحات موضوعية: Trastorn bipolar, Trastorno bipolar, Bipolar disorder, Esdeveniment traumàtic, Evento traumático, Traumatic event, EMDR, Ciències de la Salut

Time: 159.9

الوصف: Existe una gran brecha entre la observación clínica y científica del papel del trastorno por estrés post-traumático (TEPT) y los acontecimientos traumáticos en la vida de paciente con diagnóstico de trastorno bipolar y la casi ausencia de guías de tratamiento para esta comorbilidad. En la práctica clínica del tratamiento del trastorno bipolar hay una ausencia importante de ensayos clínicos en terapias focalizadas en el trauma de pacientes bipolares. Dada la importancia del TEPT, los eventos traumáticos y los eventos vitales en el pronóstico y la evolución en pacientes con trastorno bipolar se deberán investigar y proporcionar las intervenciones basadas en la evidencia del trauma en el trastorno bipolar. El tratamiento psicoterapéutico “Desensibilización y reprocesamiento por movimiento ocular”, más conocido por sus siglas en inglés EMDR (“Eye movement desensitization and reprocessing”) es un tratamiento psicológico desarrollado por Francine Shapiro y actualmente está indicado para el tratamiento del TEPT por distintas organizaciones internacionales (American Psychological Association Presidential Task Force on Evidence-Based Practice, 2006; National Institute for Clinical Excellence, 2005; Ursano y cols., 2004; World Health Organisation, 2013). EMDR se ha mostrado como una herramienta segura, útil y efectiva, siendo avalada por la evidencia científica para el tratamiento del TEPT. El presente trabajo de tesis expone los beneficios en sintomatología afectiva y traumática del primer ensayo clínico, aleatorizado y controlado de EMDR en una muestra de pacientes con diagnóstico de trastorno bipolar con síntomas subsindrómicos que refieren haber sufrido eventos traumáticos. Los resultados positivos de este primer ensayo clínico de EMDR como terapia adyuvante en pacientes bipolares y síntomas subsindrómicos deberían fomentar que clínicos e investigadores se reunieran para la reflexión sobre los planes de atención e intervención más personalizada para las personas con trastorno bipolar y antecedentes traumáticas. Acompañando a este trabajo, se engloba la mejoría clínica y el inesperado hallazgo de la normalización en la red por defecto (default mode network, en inglés) en la resonancia magnética funcional de una paciente con trastorno bipolar, tipo II (en comparación con 30 sujetos sanos). El resultado obtenido abre otro camino de investigación en cuanto al mecanismo de acción de EMDR, la modulación de la red por defecto, que requiere estudios adicionales con muestras más grandes. Ambos estudios son estudios pilotos, por lo que se debe interpretar los resultados con prudencia. Además, aumentando la literatura sobre el mecanismo de acción de EMDR, se incluye un trabajo experimental que encuentra que los movimientos oculares no tienen un efecto directo sobre la memoria de trabajo. Por último, se complementa la tesis con un abordaje global del desarrollo clínico y científico del tratamiento EMDR. Lo que se realiza a través de un artículo de revisión donde se presenta el conocimiento sobre el protocolo estándar de EMDR, las hipótesis más importantes del mecanismo de acción de los movimientos oculares y la eficacia en el TEPT y en otras indicaciones. De todas formas, como en cualquier otra psicoterapia son necesarios más estudios para comprender mejor su eficacia clínica, su mecanismo de acción y las bases neurobiológicas subyacentes a EMDR.

الوصف (مترجم): There is a large gap between clinical and scientific observation of the role of post-traumatic stress disorder (PTSD) and traumatic events in the life of a patient diagnosed with bipolar disorder and the almost absence of treatment guidelines for this comorbidity. In clinical practice, classically, trauma has not been considered as a risk factor for bipolar patients with a significant lack of clinical trials of therapies focused on adverse events. Given the importance of PTSD, traumatic events, and vital events in prognosis and outcome in patients with bipolar disorder, evidence-based interventions for trauma in bipolar disorder should be investigated and provided. The psychotherapeutic treatment "Eye movement desensitization and reprocessing" (EMDR) is a psychological treatment developed by Francine Shapiro and is currently indicated for the treatment of PTSD by different international organizations (American Psychological Association Presidential Task Force on Evidence-Based Practice, 2006, National Institute for Clinical Excellence, 2005, Ursano et al., 2004, World Health Organization, 2013). EMDR has been shown to be a safe, useful and effective tool, supported by scientific evidence for the treatment of PTSD. The present thesis presents the benefits in affective and traumatic symptomatology of the first randomized, controlled trial of EMDR in a sample of bipolar I and II patients with subsyndromal symptoms and a history of traumatic events. This first positive sign results should encourage clinicians and researchers to conduct studies with larger samples in bipolar patients with a history of trauma to finally include a trauma focused therapy in a personalized care and intervention plan. In a functional neuroimaging study (fMRI) we presented the clinical improvement and the unexpected positive modulation of the Default Mode Network (DMN) after EMDR therapy of a patient with bipolar II disorder. The results of this case study possibly open an alternative way to study via fMRI the mechanism of action of EMDR, the modulation of the DMN in a larger sample. Both studies are pilot studies, whereas results are preliminary and should be interpreted with caution. In addition, we published another experimental work with respect to the mechanism of action of EMDR, which revealed that eye movements do not have a direct effect on working memory. Finally, the thesis is complemented by a global review about the clinical and scientific development of EMDR treatment. This article informs about the standard protocol of EMDR, the most important hypothesis of its mechanism of action and a systematic review on the efficacy in PTSD and other indications. One of the conclusions is that as in any other psychotherapy, further studies are needed to better understand its clinical efficacy, its mechanism of action and the underlying neurobiological basis for EMDR.

وصف الملف: application/pdf

URL الوصول: http://hdl.handle.net/10803/402264

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]

: Copyright of Clinical Child Psychology & Psychiatry is the property of Sage Publications, Ltd. 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: 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]

: Copyright of Clinical Child Psychology & Psychiatry is the property of Sage Publications, Ltd. 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: 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: 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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