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              <text>María Cristina Pérez &lt;br /&gt;María Elena Estévez &lt;br /&gt;Yael Becker&lt;br /&gt;Amalia Osorio&lt;br /&gt;Ignacio Jarero&lt;br /&gt;Martha Givaudan</text>
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              <text>Pérez, M. C., Estévez, M. E., Becker, Y., Osorio, A., Jarero, I., &amp;amp; Givaudan, M. (2020, October). &lt;a href="https://juniperpublishers.com/pbsij/pdf/PBSIJ.MS.ID.555920.pdf"&gt;Multisite randomized controlled trial on the provision of the EMDR integrative group treatment protocol for ongoing traumatic stress remote to healthcare professionals working in hospitals during the Covid-19 pandemic.&lt;/a&gt; Psychology and Behavioral Science International Journal, 15(4). doi:10.19080/PBSIJ.2020.15.555920</text>
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                <text>Multisite randomized controlled trial on the provision of the EMDR integrative group treatment protocol for ongoing traumatic stress remote to healthcare professionals working in hospitals during the Covid-19 pandemic</text>
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                <text>The aim of this longitudinal multisite randomized controlled trial (RCT), using a waitlist/delayed treatment control group design, was to evaluate the effectiveness of the Eye Movement Desensitization and Reprocessing-Integrative Group Treatment Protocol for Ongoing Traumatic Stress Remote (EMDR-IGTP-OTS-R) in reducing posttraumatic stress disorder (PTSD), depression, and anxiety symptoms in healthcare professionals working in hospitals during the Covid-19 pandemic in Puebla, Mexico. The study was conducted in 2020 in the city of Puebla, Mexico with healthcare professionals (nurses and medical doctors) working in ten hospitals who received Covid-19 patients. A total of 80 healthcare professionals met the inclusion criteria. Participants’ ages ranged from 21 to 51 years old (M =33.24 years). In this study, the early EMDR online group therapy intervention was initiated seven weeks after the first Covid-19 patients died in the hospitals. Intensive EMDR group treatment was provided. Data analysis by repeated measures ANOVA, showed that the EMDR-IGTP-OT-R had a significant effect on the explored variables (PTSD, Anxiety, and Depression) in time, group, and interaction time by group. Comparisons within means of the different pairs of longitudinal measurements were also useful to observe the consistency of the data. Results showed a large effect size (Cohen´s d, from 1.93 to 1.25) between the pretest and the first posttreatment assessment, being able to attribute these effects to the EMDR-IGTP-OTS-R treatment. Results were confirmed with the between-group mean comparisons since the waitlist/delayed treatment act as a control group. In this case, the effect size (Cohen´s d) varied from 3.95 to 1.92 showing a large effect of the difference between groups, attributed to the start time of the treatment. Results also showed an overall subjective global improvement in the study participants. No adverse effects (e.g., symptoms of dissociation, fear, panic, freeze, shut down, collapse, fainting), or events (e.g., suicide ideation, suicide attempts, self-harm, homicidal ideation) were reported by the participants during treatment or at three months post-treatment follow-up while all participants were still working in their hospitals receiving COVID-19 patients. None of the participants showed clinically significant worsening/exacerbation of symptoms on the PCL-5 or HADS after treatment. To the best of our knowledge, this is the first RCT on early intervention with an evidence-based trauma-focus (TF) therapy (e.g., EMDR, TF-CBT) provided online in a group format and intensive treatment modality to healthcare professionals working in hospitals during the COVID-19 pandemic. This randomized controlled trial provides evidence for the effectiveness, efficacy, feasibility, and safety of the EMDR-IGTP-OTS-R in reducing posttraumatic stress, anxiety, and depression symptoms for healthcare professionals working in hospitals during the Covid-19 pandemic, expanding the EMDR therapy frontiers.</text>
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                <text>Psychology and Behavioral Science International Journal, 15(4). doi:10.19080/PBSIJ.2020.15.555920</text>
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                <text>2020, October</text>
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              <text>Pierre-François Rousseau</text>
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              <text>Rousseau, P. F. (2018, June). EMDR therapy improves sleep parameters in veteran's soldiers: A longitudinal study. Poster presented at the 19th EMDR Europe Conference, Strasbourg, France</text>
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                <text>EMDR therapy improves sleep parameters in veteran's soldiers: A longitudinal study</text>
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                <text>&lt;strong&gt;Introduction:&lt;/strong&gt; &lt;br /&gt;Sleep disorders are a common symptom of PTSD. These disturbances are a clinical factor of severity, and would also contribute to the pathophysiology of the disorder. Numerous studies have measured sleep parameters in PTSD patients. The results are contradictory. Some studies show no difference in the sleep patterns of PTSD and trauma patients. Other studies have found disturbances mainly in REM sleep (rapid eye movement), the duration of which is correlated with the duration of PTSD. Other disturbances concern the increase of the sympathetic activity during sleep, as well as changes in the duration of sleep latencies or different phases of sleep. Studies have shown using questionnaires that the decrease in symptoms is associated with a subjective improvement in patients' sleep. However, EEG parameters changes during before and after EMDR therapy have not been measured. Our objective is therefore to measure the effect of symptom reduction with EMDR therapy on the EEG parameters of sleep, and to test whether sleep parameters in PTSD may be good predictors of the evolution of the therapy. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Methods:&lt;/strong&gt; &lt;br /&gt;We registered 14 military patients with PTSD before and after EMDR therapy at their homes using the Actiwave system. We registered also 20 military patients without PTSD twice, at 4 weeks intervals with the same equipment. Recorded parameters included EEG (Cz, PZ), EOG, ECG and EMG. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Results:&lt;/strong&gt; &lt;br /&gt;After treatment, patients show an increase in the number of sleep cycles (p&amp;lt;0.01), their total overall sleep time, N2, N3 stages and REM (p&amp;lt;0.05) and they show a decrease of their latency to fall in REM stage (p&amp;lt;0,05). &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Conclusion:&lt;/strong&gt; &lt;br /&gt;For the first time, we show that EMDR therapy changes and improves the EEG parameters of sleep, especially REM sleep. Further studies are needed to confirm these results. The next use of sleep recording as a follow-up to the effectiveness of therapy is to be studied.</text>
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                <text>Poster presented at the 19th EMDR Europe Conference, Strasbourg, France</text>
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              <text>Isabeau Bousquet des Groseilliers</text>
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              <text>&lt;a href="http://www.archipel.uqam.ca/2282/1/D1811.pdf"&gt;http://www.archipel.uqam.ca/2282/1/D1811.pdf&lt;/a&gt;</text>
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              <text>Early Intervention, Disease Prevention, Longitudinal Study, Posttraumatic Neurosis</text>
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              <text>Bousquet Des Groseilliers, I. (2009).  &lt;a href="http://www.archipel.uqam.ca/2282/1/D1811.pdf"&gt;[Longitudinal evaluation of the effectiveness of a new dyadic brief and early intervention to prevent PTSD].&lt;/a&gt; (Doctoral dissertation, University of Quebec). Retrieved from &lt;a href="http://www.archipel.uqam.ca/2282/1/D1811.pdf"&gt;http://www.archipel.uqam.ca/2282/1/D1811.pdf&lt;/a&gt;. French</text>
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                <text>Évaluation longitudinale de l'efficacité d'une nouvelle intervention dyadique, brève et précoce visant la prévention du TSPT &lt;br /&gt;&lt;br /&gt;Longitudinal evaluation of the effectiveness of a new dyadic brief and early intervention to prevent PTSD</text>
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                <text>(Doctoral dissertation, University of Quebec). Retrieved from http://www.archipel.uqam.ca/2282/1/D1811.pdf</text>
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                <text>La présente thèse s'intéresse à l'évaluation de l'efficacité à court et à long terme d'une nouvelle intervention dyadique, brève et précoce ayant pour but la prévention du trouble de stress post-traumatique (TSPT). L'exposition à un événement traumatique provoque, chez certains individus, une souffrance émotionnelle considérable qui entrave leur fonctionnement quotidien de manière parfois importante. Au cours des deux dernières décennies, des interventions curatives efficaces ont été créées, soit la thérapie cognitivecomportementale (TCC) et la désensibilisation par mouvement oculaire (EMDR). On remarque cependant un manque criant d'interventions efficaces à court et à long terme qui ont pour but la prévention du TSPT, malgré les efforts du débriefing et de la TCC brève en ce sens. Cette thèse vise donc, dans un premier temps, à faire le point sur l'état des connaissances au niveau de l'efficacité des interventions précoces et, dans un deuxième temps, évaluer de manière empirique l'efficacité à moyen (3 mois) et surtout à long terme (2 ans) d'une nouvelle intervention dyadique, brève et précoce pour prévenir le TSPT. La nouvelle intervention dont il est question dans le présent ouvrage se déroule en deux séances et est offerte à la victime et une personne-soutien de son choix par une travailleuse sociale ou une infirmière. Elle met l'accent sur la psychoéducation, l'apprentissage à la communication exempte de soutien social négatif (minimisation, hostilité, impatience, etc.) et sur l'importance de ne pas éviter les stimuli associés à l'événement traumatique. La thèse comporte quatre chapitres. Le premier propose une recension de la littérature qui met à jour les principales conclusions quant à l'efficacité du débriefing et de la TCC brève pour prévenir le TSPT. Cette recension met en évidence les principales failles méthodologiques et les difficultés d'application de ces interventions. De plus, eUe expose le rationnel derrière l'utilisation du soutien social comme ingrédient actif d'une intervention de prévention de ce trouble. Le second chapitre présente une étude d'efficacité randomisée et contrôlée de l'efficacité de la nouvelle intervention. Soixante-six participants ont été randomisés soit dans la condition intervention ou dans la condition de contrôle. Les résultats ont démontré qu'au post-test de trois mois, les participants de la cond ition intervention manifestaient des symptômes de TSPT significativement moins intenses que ceux de la condition contrôle. De plus, les participants de la condition intervention rapportent une diminution significative du soutien social perçu, contrairement aux participants de la condition de contrôle qui n'observent pas cette différence. Il est intéressant de souligner que le taux d'abandons en cours de traitement fut équivalent et très bas au sein des deux groupes. Ceci suggère que les participants tolèrent bien cette nouvelle intervention. Aucune différence n'a été observée entre les deux groupes en ce qui a trait à l'occurrence de psychopathologies comorbides. Le troisième chapitre se veut une relance à 2 ans post-trauma de l'étude présentée au chapitre précédent. Quarante-six des 66 participants ont accepté de prendre part à cette relance. Les résultats révèlent que, deux ans après l'événement traumatique, les participants ayant reçu j'intervention étaient encore beaucoup moins symptomatiques que les participants n'ayant pas reçu cette intervention. Un fait plus qu'intéressant qui ressort de cette étude est qu'aucun participant de la condition intervention ne rappolie un TSPT et cinq participants de la condition contrôle souffrent encore de ce trouble deux ans après l'événement traumatique. Parallèlement, il a été observé que les participants ayant reçu l'intervention perçoivent encore moins de soutien social négatif que ceux de la cond ition contrôle. À l'instar de ce qui a été rapporté au post-test de trois mois, les deux groupes ne révèlent pas de différence significative par rapport à la manifestation d'autres affections psychologiques. Le quatrième et dernier chapitre propose une discussion générale des résultats en fonction des interprétations qui peuvent en être tirées, des différentes forces et limites intrinsèques ainsi que des implications théoriques et cliniques qui peuvent en découler. &lt;br /&gt;&lt;br /&gt;This thesis focuses on the evaluation of the effectiveness in the short and long term a new dyadic intervention and brief early aimed at the prevention of disorder, post - traumatic stress disorder ( PTSD) . Exposure to a traumatic event causes in some individuals , a considerable emotional pain that hinders daily functioning so important sometimes . Over the past two decades , effective treatment interventions have been created, or the cognitivecomportementale therapy ( CBT) and eye movement desensitization ( EMDR) . However, we noticed a dearth of effective interventions in the short and long-term aim for the prevention of PTSD , despite the efforts of debriefing and brief CBT in this direction. This thesis is therefore , at first , to take stock of the state of knowledge at the effectiveness of early intervention and , secondly , to assess empirically effective medium (3 months) and especially long-term (2 years) a new dyadic intervention and brief early to prevent PTSD. The new procedure referred to in this book takes place in two sessions and is offered to the victim and a support person of their choice by a social worker or nurse. It focuses on psychoeducation, learning -free communication negative social support (minimization , hostility, impatience, etc. . ) And the importance of not avoid stimuli associated with the traumatic event. The thesis consists of four chapters. The first provides a literature review that updates the main conclusions about the effectiveness of debriefing and brief CBT to prevent PTSD. This review highlights the main methodological flaws and difficulties in implementing these interventions. Moreover, had exposed the rationale behind the use of social support as an active ingredient of an intervention to prevent this disorder. The second chapter presents an efficacy study randomized controlled effectiveness of the new intervention . Sixty -six participants were randomized to either the condition or action in the control condition . The results showed that post-test three months , participants in the cond ition response showed symptoms of PTSD significantly less intense than those of the control condition . In addition , participants of the action report provided a significant decrease in perceived social support , unlike the members of the control condition who do not observe this difference. It is interesting to note that the dropout rate during treatment was low and similar in both groups. This suggests that participants tolerate this new intervention. No difference was observed between the two groups in regard to the occurrence of comorbid psychopathology . The third chapter is a raise to 2 years post -trauma of the study presented in previous chapter . Forty -six of the 66 participants agreed to take part in this recovery. The results show that two years after the traumatic event, participants I have received response was much less symptomatic than participants who did not receive this intervention. A very interesting fact that emerges from this study is no participant provided intervention rappolie PTSD and five participants the control condition also suffer from this disorder two years after the traumatic event . Meanwhile, it was observed that participants who received the intervention still perceive less negative than the cond ition control social support. Like what has been reported in post-test three months, the two groups did not show significant difference in the manifestation of other psychological disorders. The fourth and final chapter provides a general discussion of the results based on the interpretations that can be drawn , different strengths and intrinsic</text>
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                <text>Objective: To explore the possibility of using eye movement desensitisation and reprocessing (EMDR) to treat women who have experienced post-traumatic stress after childbirth. Design: The pilot study consisted of a "before and after" treatment design combined with follow-up measurements 1-3 years after EMDR treatment. Quantitative data from questionnaires (Traumatic Event Scale [TES]) were collected. In addition, qualitative data from individual interviews with the participants were collected as well as data from the psychotherapist's treatment notes of the EMDR treatment sessions. Setting: The north of Sweden. Participants: 4 women with PTSD after childbirth (1 pregnant and 3 non-pregnant). Findings: All participants reported reduction of post-traumatic stress after treatment. After 1-3 years, the beneficial effects of EMDR treatment remained for 3 of the 4 women. Symptoms of intrusive thoughts and avoidance seemed most sensitive for treatment. Implications for Practice: EMDR might be a useful tool in the treatment of non-pregnant women severely traumatised by childbirth; however, further research is required.</text>
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                <text>Eye-movement desensitization and reprocessing (EMDR) has been hailed as a new experimental treatment for survivors of trauma that can provide rapid relief from the debilitating symptoms associated with PTSD. EMDR's efficacy reportedly stems from the use of eye-movements that are postulated to stimulate physiological changes in brain activity to produce cognitive restructuring and desensitization of emotional discomfort. This novel procedure has become more prominent with reported benefits for an increasing range of clinical applications. Since there is minimal controlled research, especially in a civilian population, on psychological methods to treat the ill effects of trauma and because EMDR has limited empirical support, further controlled investigation was warranted to supplement this limited body of scientific knowledge.Consequently, the specific goals of this controlled study were to evaluate (1) the efficacy of EMDR in the treatment of civilian trauma survivors, (2) whether or not eye-movements are instrumental to the therapeutic process, and (3) the treatment impact on intrusive and avoidant symptoms. It was hypothesized that (1) an EMDR treatment group would demonstrate greater efficacy when compared to an Alternative group which followed the same treatment protocol except for the substitution of deep breathing for the eye-movements, (2) both the EMDR and Alternative treatments would show significant improvement over a Control group, and (3) there would be similar changes in intrusive and avoidant symptoms. Findings at two month follow-up indicated the EMDR group had significant reductions in intrusive/avoidant symptoms (using the Impact of Event Scale), decreased emotional discomfort related to traumatic memories (rated by Subjective Units of Distress), and improvements in positive self-evaluations (measured by the Validity of Cognition Scale). There were similar results in the Alternative group with the exception of no significant improvement in self-evaluation. This latter finding provides some support for the hypothesis that eye-movements facilitate a cognitive restructuring. Comparisons between the EMDR and Alternative treatments, however, found no significant differences on any of the dependent measures. That is, both treatments appeared to produce comparable positive results which implied eye-movements were no more effective than deep breathing. In addition, both treatments were found to be more effective in easing intrusive symptoms. Other similarities included observable relaxation reactions in both treatments. These overall findings imply a similar change mechanism. Therefore, the efficacy of EMDR may stem more from reciprocal inhibition rather than a cognitive restructuring induced by the eye-movements. If this is valid, then EMDR may be a variant of systematic desensitization.</text>
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                <text>In einer prospektiven Studie wurden 8 Patienten mit chronischer posttraumatischer Belastungsstörung (ICD 10: F 43.1) im Rahmen eines Aufenthalts auf einer Psychotherapiestation mit EMDR, einem neuen Therapieverfahren, behandelt. In durchschnittlich 4 EMDR-Sitzungen wurde bei 7 der Patienten eine signifikante Abnahme der subjektiven Schmerzhaftigkeit (SUD = Subjektive Units of Discomfort, eine 0–10 Skala) erreicht. Die SUD-Werte von 17 traumatischen Erinnerungen fielen dabei von durchschnittlich 6,5 auf 0,9 ab (1/ der durchgearbeiteten Erinnerungen kam es in der EMDR-Sitzung zu einem intensiven Nacherleben (Flashback) der traumatischen Erinnerung. Dies konnte in der Sitzung beschleunigt durchgearbeitet werden und klang so zügig ab. Negative Effekte der Behandlung wurden nicht berichtet. Der Behandlungseffekt war in den Nachkontrollen nach 3 und 6 Monaten stabil. Die Untersuchung zeigt EMDR als eine effektive Behandlungsmethode bei chronischer posttraumatischer Belastungsstörung. Von der Einbettung der EMDR-Sitzungen in ein Behandlungssetting mit psychodynamisch orientierten Einzelgesprächen profitierten besonders die weniger „Ich-starken“ Patienten.&lt;br /&gt;&lt;br /&gt;&lt;span title="In einer prospektiven Studie wurden 8 Patienten mit chronischer posttraumatischer Belastungsstörung (ICD 10: F 43.1) im Rahmen eines Aufenthalts auf einer Psychotherapiestation mit EMDR, einem neuen Therapieverfahren, behandelt."&gt;In a prospective study, 8 patients with chronic posttraumatic stress disorder (ICD 10: F 43.1) on a psychotherapy station with EMDR, a new therapy method, treated as part of a stay. &lt;/span&gt;&lt;span title="In durchschnittlich 4 EMDR-Sitzungen wurde bei 7 der Patienten eine signifikante Abnahme der subjektiven Schmerzhaftigkeit (SUD = Subjektive Units of Discomfort, eine 0–10 Skala) erreicht."&gt;In an average of 4 EMDR sessions a significant decrease in subjective pain (SUD = Subjective Units of Discomfort, a 0-10 scale) was achieved in 7 patients. &lt;/span&gt;&lt;span title="Die SUD-Werte von 17 traumatischen Erinnerungen fielen dabei von durchschnittlich 6,5 auf 0,9 ab (1/ der durchgearbeiteten Erinnerungen kam es in der EMDR-Sitzung zu einem intensiven Nacherleben (Flashback) der traumatischen Erinnerung. Dies konnte in der Sitzung beschleunigt"&gt;The SUD-values ​​of 17 traumatic memories were doing an average of 6.5 to 0.9 from (1 / of the fulfilled memories occurred in the EMDR session into an intense reliving (Flashback) the traumatic memory. This could accelerate in the session &lt;/span&gt;&lt;span title="durchgearbeitet werden und klang so zügig ab. Negative Effekte der Behandlung wurden nicht berichtet. Der Behandlungseffekt war in den Nachkontrollen nach 3 und 6 Monaten stabil. Die Untersuchung zeigt EMDR als eine effektive Behandlungsmethode bei chronischer posttraumatischer Belastungsstörung. Von der Einbettung der EMDR-Sitzungen in"&gt;be worked through and sounded off quickly. Negative effects of the treatment were not reported. The treatment effect was stable during the follow-up checks after 3 and 6 months. The study shows EMDR as an effective treatment for chronic post-traumatic stress disorder. From the integration of EMDR sessions in &lt;/span&gt;&lt;span title="ein Behandlungssetting mit psychodynamisch orientierten Einzelgesprächen profitierten besonders die weniger „Ich-starken“ Patienten."&gt;a treatment setting with psychodynamic oriented individual discussions benefited especially the less' I-strong "patients.&lt;/span&gt;</text>
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              <text>Kevin Vaughan&lt;br /&gt;Michael Armstrong&lt;br /&gt;Ruth Gold&lt;br /&gt;Nicholas O'Connor&lt;br /&gt;William Jenneke&lt;br /&gt;Nicholas Tarrier</text>
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                <text>This study evaluated the therapeutic efficacy of a 3-day peer support workshop for 60 railroad employees who had experienced fatal grade crossing accidents. Participants received training on trauma and coping strategies, peer support strategies, and peer debriefing. Half the group also receive Eye Movement Desensitization and Reprocessing (EMDR). The Impact of Event Scale was administered at the workshop, a post-treatment followed 2 months later, and finally a 10-month follow-up. There was a significant decrease in scores at post-treatment and follow-up was conducted. The addition of EMDR led to significantly lower scores than having only the workshop. The workshop appeared successful in decreasing the effects of long-term trauma.</text>
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              <text>Grainger, R., Levin, C., Allen-Byrd, L., Doctor, R., &amp;amp; Hyer, L. (1997, October). &lt;a href="http://dx.doi.org/10.1023/A:1024806105473"&gt;An empirical evaluation of eye movement desensitization and reprocessing (EMDR) with survivors of a natural disaster. &lt;/a&gt;Journal of Traumatic Stress, 10(4), 665-671. doi:10.1023/A:1024806105473</text>
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                <text>An empirical evaluation of eye movement desensitization and reprocessing (EMDR) with survivors of a natural disaster</text>
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              <elementText elementTextId="325152">
                <text>Journal of Traumatic Stress, 10(4), 665-671. doi:10.1023/A:1024806105473</text>
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                <text>Controlled studies of treatments effective with victims of natural disasters are almost nonexistent. This is a small study conducted under difficult conditions to test the effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) in treating trauma related reactions following Hurricane Andrew. The results were positive in that EMDR produced significant improvement over wait list controls in perceived posttraumatic avoidance behaviors and thoughts as measured by changes in the Impact of Event Scale and significant improvement in subjective aversive reactions to representative experiences of the hurricane. These results suggest and support other studies that EMDR can be an effective therapeutic intervention for trauma reactions.</text>
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              <text>Wilson, S., Becker, L., &amp;amp; Tinker, R. (1995, December). &lt;a href="http://dx.doi.org/10.1037/0022-006X.63.6.928"&gt;Eye movement desensitization and reprocessing (EMDR) treatment for psychologically traumatized individuals.&lt;/a&gt; Journal of Consulting &amp;amp; Clinical Psychology, 63(6), 928-937. doi:10.1037/0022-006X.63.6.928</text>
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                <text>The effects of 3 90-minute eye movement desensitization and reprocessing (EMDR) treatment sessions on traumatic memories of 80 participants were studied. Participants were randomly assigned to treatment or delayed-treatment conditions and to 1 of 5 licensed therapists trained in EMDR. Participants receiving EMDR showed decreases in presenting complaints and in anxiety and increases in positive cognition. Participants in the delayed-treatment condition showed no improvement on any of these measures across the 30 days before treatment, but after treatment participants in the delayed-treatment condition showed similar effects on all measures. The effects were maintained at 90-day follow-up.</text>
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              <text>&lt;a href="http://dx.doi.org/10.1192/bjp.164.4.533"&gt;http://dx.doi.org/10.1192/bjp.164.4.533&lt;/a&gt;</text>
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              <text>Vaughan, K., Wiese, M., Gold, R., &amp;amp; Tarrier, N. (1994, April). &lt;a href="http://dx.doi.org/10.1192/bjp.164.4.533"&gt;Eye-movement desensitisation: Symptom change in post-traumatic stress disorder.&lt;/a&gt; British Journal of Psychiatry, 164(4), 533-541. doi:10.1192/bjp.164.4.533</text>
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                <text>A novel approach is described for the treatment of PTSD. Eye-movement desensitisation (EMD) requires the patient to generate images of the trauma in the mind and define physiological and emotional arousal states. While concentrating on these states, lateral multisaccardic eye movements are induced. Ten consecutive cases are reported who presented with symptoms originating from a range of traumas. The effectiveness of EMD in reducing symptoms outlined by DSM-III-R is described. An independent rater indicated that eight of the ten cases showed considerable improvement in the PTSD symptoms following EMD, which was maintained at follow-up. Particular reference is given to the 'specificity' of EMD in treating symptoms and the changing pattern of effect at follow-up.</text>
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                <text>The use of eye movement desensitization (EMD) was investigated in a multiple baseline across two images. The subject was diagnosed as suffering from PTSD and had suffered from two distinct traumas which continued to generate intrusive disturbing images. Dependent variables included self-report information (Subjective Units of Distress, behavioral symptoms reports) and physiological data (heart rate and systolic blood pressure). Subjective and physiological data both demonstrated significant changes during the course of treatment which were maintained at a 2-month follow-up. This study represents the first investigation of EMD with multiple images within a single subject experimental design. Findings suggest that generalization across the images under investigation was not demonstrated. EMD treatment gains were clinically significant. However, the immediate and profound effects often cited in the literature were not demonstrated.</text>
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                <text>Eye movement desensitization and reprocessing (EMD/R) was investigated with 25 Vietnam combat veterans with PTSD, randomly assigned to EMD/R or a control condition. First, PTSD was assessed and subjects were assisted in developing a PTSD-related treatment goal. Subjective anxiety and a belief in a positive cognition related to war trauma were also assessed. Second, EMD/R subjects were then seen for one history-taking session and two treatment sessions. Approximately 17 days after the initial assessment, repeat assessments of PTSD symptomatology, goal attainment, subjective anxiety, and belief in desired positive cognitions were conducted. Overall, EMD/R showed little effectiveness in this study. Although effective in reducing in-session subjective anxiety, EMD/R was not effective in improving other PTSD symptoms, in contributing to goal attainment, or in increasing subjects' beliefs in their desired positive cognition. The results imply that EMD/R may not be successful in treating Vietnam combat veterans with PTSD.</text>
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                <text>This study sought to investigate the efficacy of prolonged exposure, eye movement desensitization and reprocessing (EMDR), and relaxation training on trait anger and guilt and on trauma-related anger and guilt within the context of PTSD treatment. 15 PTSD patients completed each treatment and were assessed at posttreatment and at 3-month follow-up. All three treatments were associated with significant reductions in all measures of anger and guilt, with gains maintained at follow-up. There were no significant treatment differences in efficacy or in the proportion of patients who worsened on anger or guilt measures over the course of treatment. Between-treatment effect sizes were generally very small. Results suggest that all three treatments are associated with reductions in anger and guilt, even for patients who initially have high levels of these emotions. However, these PTSD therapies may not be sufficient for treating anger and guilt; additional interventions may be required.</text>
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                <text>18 subjects distressed by memories of a specific traumatic event were randomly assigned to a single session of 1 of 3 conditions: Eye Movement Desensitization and Reprocessing (EMDR), a Time Interval Condition (TIC), or Tapping Alternate Phalanges (TAP). All subjects treated in the EMDR group showed desensitization as monitored by SUDs, which correlated with the physiological data and cessation of pronounced symptomatology. Only 1 subject in a control group showed desensitization. Compared to TIC and TAP, autonomic measures showed distinct changes during EMDR: (1) respiration synchronized with the rhythm of the eye movements in a shallow, regular pattern; (2) heart rate slowed significantly overall; (3) systolic blood pressure increased during early sets, invariable declined during abreactions, and decreased overall; (4) finger tip skin temperature consistently increased; and (5) the galvanic skin response consistently decreased in a clear "relaxation response." This relaxing effect of the eye movements suggests that at least one of the mechanisms operating during EMDR is desensitization by reciprocal inhibition, by pairing emotional distress with an unlearned or "compelled" relaxation response.</text>
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                <text>Twenty-seven subjects were exposed to standard Eye Movement Desensitization and Reprocessing (EMDR) treatment or a similar treatment without the explicit cognitive elements found in EMDR. Standardized psychometric assessments were administered (Structured Interview for Post Traumatic Stress Disorder, Impact of Event Scale, Revised Symptom Checklist-90) by independent assessors at pretest, posttest and two separate follow-up periods. Potential subjects met specific inclusion/exclusion criteria. Subjective measures including Subjective Units of Disturbance and Validity of Cognition assessments were also conducted. A two-factor repeated measures analysis of variance revealed that both treatments produced significant symptom reductions and were comparable on all dependent measures across assessment phases. The present findings are discussed in light of previous dismantling research that converges to suggest that several elements in the EMDR protocol may be superfluous in terms of the contribution to treatment outcome. These same elements have nevertheless entered unparsimoniously into consideration as possible explanatory variables.</text>
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                <text>The growing body of research into treatment efficacy with Posttraumatic Stress Disorder (PTSD) has, by-and-large, been limited to evaluating treatment components or comparing a specific treatment against wait-list controls. (PubMed) This has led to two forms of treatment, Eye Movement Desensitization and Reprocessing (EMDR) and Cognitive-Behavior Therapy (CBT), vying for supremacy without a controlled study actually comparing them. The present research compared EMDR and a CBT variant (Trauma Treatment Protocol; TTP) in the treatment of PTSD, via a controlled clinical study using therapists trained in both procedures. It was found that TTP was both statistically and clinically more effective in reducing pathology related to PTSD and that this superiority was maintained and, in fact, became more evident by 3-month follow-up. These results are discussed in terms of past research. Directions for future research are suggested.</text>
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                <text>This study examined emotional processing and outcome in 27 Vietnam veterans with chronic PTSD who underwent eye movement desensitization and reprocessing (EMDR) therapy, with and without the eye movement component, in a crossover design. Results supported the occurrence of partial emotional processing, but there were no differences in its extent in the eye-movement versus eyes-fixed conditions. Therapy produced a modest to moderate overall improvement, mostly on the Impact of Event Scale. There was slightly more improvement in the eyes-fixed than eye-movement condition. There was little association between the extent of emotional processing and therapeutic outcome. In our hands, EMDR was at least as efficacious for combat-related PTSD as imaginal flooding proved to be in a previous study, and was better tolerated by subjects. However, results suggest that eye movements do not play a significant role in processing of traumatic information in EMDR and that factors other than eye movements are responsible for EMDR's therapeutic effect.</text>
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