Francine Shapiro Library: EMDR Bibliography

 Your Results - you searched for the keyword Cognitive-Behavioral Therapy 10 Results    

1. Butler, A. C., Chapman, J. R., Forman, E. M., & Beck, A. T. (2006, January). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26(1), 17-31. doi:10.1016/j.cpr.2005.07.003.

Language: English

Format: Journal

Abstract:
This review summarizes the current meta-analysis literature on treatment outcomes of CBT for a wide range of psychiatric disorders. A search of the literature resulted in a total of 16 methodologically rigorous meta-analyses. Our review focuses on effect sizes that contrast outcomes for CBT with outcomes for various control groups for each disorder, which provides an overview of the effectiveness of cognitive therapy as quantified by meta-analysis. Large effect sizes were found for CBT for unipolar depression, generalized anxiety disorder, panic disorder with or without agoraphobia, social phobia, PTSD, and childhood depressive and anxiety disorders. Effect sizes for CBT of marital distress, anger, childhood somatic disorders, and chronic pain were in the moderate range. CBT was somewhat superior to antidepressants in the treatment of adult depression. CBT was equally effective as behavior therapy in the treatment of adult depression and obsessive-compulsive disorder. Large uncontrolled effect sizes were found for bulimia nervosa and schizophrenia. The 16 meta-analyses we reviewed support the efficacy of CBT for many disorders. While limitations of the meta-analytic approach need to be considered in interpreting the results of this review, our findings are consistent with other review methodologies that also provide support for the efficacy CBT. [Author Abstract]

Keywords: Cognitive Therapy  Literature Review  Meta Analysis  Posttraumatic Stress Disorder  PTSD  Stressors  Survivors  Treatment Effectiveness  

2. Des Groseilliers, I. B. (2009, June). Évaluation longitudinale de l'efficacité d'une nouvelle intervention dyadique, brève et précoce visant la prévention du TSPT [Longitudinal evaluation of the effectiveness of a new intervention dyadic brief and early for the prevention of PTSD]. Université du Québec à Montréal.

Language: French

Format: Dissertation/Thesis

Abstract:
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 cognitive-comportementale (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, elle 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 condition 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 l'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 rapporte 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 condition 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.

This thesis focuses on the evaluation of the effectiveness in the short and long-term reoperation dyadic brief and early aimed at the prevention of posttraumatic stress disorder (PTSD). Exposure to a traumatic event causes in some individuals, suffering considerable emotional hinders their daily operations be significant. Over the past two decades, effective curative interventions were created either cognitive-behavioral therapy (CBT) and eye movement desensitization (EMDR). We note, however, a dearth of effective interventions in the short and long-term aim of preventing PTSD, despite the efforts of debriefing and brief CBT in this direction. This thesis therefore aims, firstly, to take stock of the state of knowledge at the effectiveness of early interventions, and in a second step, empirically assess the efficacy medium (3 months) especially in the long term (2 years) of a new intervention dyadic brief early to prevent PTSD. The new intervention mentioned 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 to communicate free of negative social support (minimization, hostility, impatience, etc..) And the importance of not avoiding 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. In addition, it outlines 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 intervention or condition in the control condition. The results showed that post-test three months, participants in the condition action had symptoms of PTSD significantly less intense than those of the control condition. In addition, participants reported response provided a significant reduction 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 the previous chapter. Forty-six of the 66 participants agreed to take part in this revival. The results show that two years after the traumatic event, participants who received the intervention were still much less symptomatic than participants who did not receive this intervention. A more than interesting fact that emerges from this study is that no participant intervention condition reported PTSD and five participants from the control condition still suffer from this disorder two years after the traumatic event. Meanwhile, it was observed that participants who received the intervention perceive less social support than the negative control condition. Like what has been reported in post-test three months, the two groups did not show a significant difference in the expression of other psychological ailments. The fourth and final chapter provides a general discussion of the results based on interpretations that can be drawn, different strengths and inherent limitations as well as theoretical and clinical implications that may arise.

Keywords: CBT  Cognitive-Behavioral Therapy  Dyadic Intervention  Posttraumatic Stress Disorder  PTSD  

3. DiGiorgio, K. E., Arnkoff, D. B., Glass, C. R., Lyhus, K. E., & Walter, R. C. (2004, September). EMDR and theoretical orientation:  A qualitative study of how therapists integrate eye movement desensitization and reprocessing into their approach to psychotherapy. Journal of Psychotherapy Integration, 14(3), 227-252. doi:10.1037/1053-0479.14.3.227.

Language: English

Format: Journal

Abstract:
This study examined how 3 therapists from differing theoretical orientations (psychodynamic, humanistic, and cognitive–behavioral) integrate eye movement desensitization and reprocessing (EMDR) into their work with clients. The consensual qualitative research method was used to analyze interview responses from each of the therapists. All of the therapists deviated from the standard EMDR protocol to some degree, and their decisions to either add to or leave out various aspects of the protocol were greatly influenced by their theoretical orientation. They reported that the integration of EMDR into their usual therapy styles varied depending on their clients. The present study expands on previous psychotherapy integration research because it provides detailed descriptions as to how therapists actually use a specific method with clients. Findings may be particularly useful for researchers and therapists interested in the practice of EMDR, as well as the process of assimilative integration.

Keywords: Assimilative Integration  Cognitive Behavior Therapy  Cognitive-Behavioral Therapy  Empirical Study  Humanistic Psychotherapy  Integrative Psychotherapy  Humanistic Therapy  Psychodynamic Psychotherapy  Psychodynamic Therapy  Psychotherapeutic Processes  Psychotherapy Integration  Qualitative Study  Treatment Outcomes    

4. Kroger, C., Kliem, S., Sarmadi, N. B., & Kosfelder, J. (2010). Versorgungsrealität bei der behandlung der posttraumatischen belastungsstörung: Eine umfrage unter psychotraumatologisch erfahrenen psychologischen psychotherapeuten [Psychotherapeutic care for posttraumatic stress disorder as it really is: A survey of licensed psychotherapists which are experienced in psychotraumatology]. Zeitschrift für Klinische Psychologie und Psychotherapie, 39(2), 116–127.

Language: German

Format: Journal

Abstract:
Theoretischer Hintergrund: Verschiedene stabilisierende und traumafokussierende Verfahren wurden in Behandlungsleitlinien zur posttraumatischen Belastungsstörung (PTBS) empfohlen. Fragestellung: Welche Verbreitung haben diese Verfahren im klinischen Alltag? Welche prädiktive Bedeutung hat der Einsatz traumafokussierender Interventionen für die von Therapeuten eingeschätzte Verbesserung der Symptomatik? Methode: In der naturalistischen Studie wurden Selbstberichte von Psychologischen Psychotherapeuten (N = 126) und Informationen über einen Fall ausgewertet, der in den letzten 24 Monaten behandelt wurde. In linearen Regressionsanalysen sollte die Verbesserung der posttraumatischen, dissoziativen und allgemeinen Symptomatik zu Therapieende durch Patientenmerkmale und traumafokussierende Interventionen vorhergesagt werden. Ergebnisse: Über ein Drittel der befragten Therapeuten setzten Vorstellungsübungen zur Stabilisierung und Distanzierung ein. Interventionen der dialektisch-behavioralen Therapie (DBT) wurden hingegen kaum angewendet. Eine dosierte Exposition mittels Bildschirm- oder Beobachtertechnik wurde der Exposition in sensu vorgezogen. Als Prädiktor für die durch die Therapeuten eingeschätzte Verbesserung der Symptomatik erwies sich der Einsatz von traumafokussierenden Interventionen der kognitiven Verhaltenstherapie (TF-KVT) und – mit Einschränkung – der Methode des Eye Movement Desensitization and Reprocessing. Interventionen der Psychodynamisch-imaginativen Traumatherapie (PITT) waren indessen negativ mit der Einschätzung von Vermeidung und Dissoziation assoziiert. Schlussfolgerungen: Zukünftig sollte die Wirksamkeit der PITT im Vergleich zur DBT bzw. TF-KVT in randomisiert-kontrollierten Studien untersucht werden.

Background: Several stabilizing and trauma-focused treatment methods for post-traumatic stress disorder (PTSD) are currently recommended by expert guidelines. Objective: How widely are these methods used in clinical practice? Do trauma-focused interventions predict symptom improvement as rated by practitioners? Method: This naturalistic survey included self-reports from licensed psychotherapists (N = 126) and data from one case treated within the last 24 months. Using linear regression analyses, improvement regarding PTSD symptoms, dissociation, and general symptoms at post-treatment was predicted by trauma-focused interventions and patient characteristics. Results: More than one-third of the therapists included in this study applied imaginative techniques in order to stabilize patients and allow them to distance themselves from the trauma. Interventions from dialectical-behavioral therapy (DBT) were hardly used. Practitioners preferred dosed exposure via on screen or observer techniques over exposure in sensu. From their point of view, improvement was predicted by trauma-focused interventions based on cognitive-behavioral therapy (TF-CBT) and, with some reservations, eye movement desensitization and reprocessing. However, interventions from psychodynamic imaginative trauma therapy (PITT) were negatively associated with therapists’ improvement ratings on avoidance and dissociation. Conclusion: Future research should examine the efficacy of PITT compared with DBT and TF-CBT in randomized controlled trials. Key words: post-traumatic stress disorder, trauma-focused cognitive-behavioral therapy, eye movement desensitization and reprocessing, psychodynamic imaginative trauma therapy, dialectical behavior therapy

Keywords: DBT  Dialectical Behavior Therapy  Posttraumatic Stress Disorder  Psychodynamic Imaginative Trauma Therapy  PSTD  Survey  Trauma-focused Cognitive-behavioral Therapy  

5. Puliatti, M., Fiacchi, S., & Silipigni, F. (2007, July-September). Aspetti psicologici e psicoterapia delle donne con cistite interstiziale. Terapia cognitivo-comportamentale e EMDR: Un approccio integrate [Psychological aspects and psychotherapy of women affected by interstitial cystitis. Cognitive-behavioral therapy and EMDR: An integrated approach]. Medicina Psicosmatica, 52(3), 101-104.

Language: Italian

Format: Journal

Abstract:
La cistite interstiziale, malattia cronica e rara, si presenta con gli stessi sintomi della cistite “classica”: bruciore, dolori al basso ventre, necessità di urinare di frequente (fino a 60 volte tra giorno e notte), urgenza minzionale spesso associata ad incontinenza, algie vaginali tali da provocare un’impossibilità ad avere rapporti sessuali. Viene quindi coinvolto tutto l’apparato uro-genitale ed il pavimento pelvico, il dolore risponde difficilmente in modo soddisfacente ai più comuni antidolorifici. La cistite interstiziale è una sindrome multifattoriale, in cui convergono eventi stressanti, sintomi psicologici e disordini della funzione urinaria. L’approccio terapeutico dovrebbe quindi essere di tipo integrato urologico, ginecologico, fisico-riabilitativo e psico-sessuologico.In questo lavoro viene presentato un modello di trattamento che integra l’approccio cognitivo comportamentale e l’EMDR (Eye Movement Desensitization and Reprocessing). Questi due approcci se usati in sinergia garantiscono un trattamento ad ampio raggio dei fattori disfunzionali che favoriscono e mantengono tale sintomatologia.

Interstitial cystitis, chronic and rare disease, shows the same symptoms as cystitis "classic" burning, lower abdominal pain, frequent need to urinate (up to 60 times between day and night), urgency often associated with incontinence , vaginal pains which cause an inability to have sex. It then involved the entire apparatus urogenital and pelvic floor, the pain difficult to respond satisfactorily to the most common painkillers. Interstitial cystitis is a multifactorial syndrome, which converge in stressful events, psychological symptoms and disorders of the urinary function. The therapeutic approach should be integrated type of urology, gynecology, physical rehabilitation and psycho-sessuologico.In this paper we present a treatment model that integrates cognitive behavioral el'EMDR (eye movement desensitization and reprocessing). These two approaches when used together provide a wide-ranging treatment of the factors that foster and maintain this dysfunctional symptoms.

Keywords: Interstitial Cystitis  Women  

6. Puliatti, M., Fiacchi, S., & Silipigni, F. (2007). Aspetti psicologici e psicoterapia delle donne con cistite interstiziale. Terapia cognitivo-comportamentale e EMDR: un approccio integrato [Psychological and psychotherapy for women with interstitial cystitis. Cognitive-behavioral therapy and EMDR: An integrated approach]. Medicina Psicosomatica, 52(3), 111-117. .

Language: Italian

Format: Journal

Abstract:
La cistite interstiziale, malattia cronica e rara, si presenta con gli stessi sintomi della cistite “classica”: bruciore, dolori al basso ventre, necessità di urinare di frequente (fino a 60 volte tra giorno e notte), urgenza minzionale spesso associata ad incontinenza, algie vaginali tali da provocare un’impossibilità ad avere rapporti sessuali. Viene quindi coinvolto tutto l’apparato uro-genitale ed il pavimento pelvico, il dolore risponde difficilmente in modo soddisfacente ai più comuni antidolorifici. La cistite interstiziale è una sindrome multifattoriale, in cui convergono eventi stressanti, sintomi psicologici e disordini della funzione urinaria. L’approccio terapeutico dovrebbe quindi essere di tipo integrato urologico, ginecologico, fisico-riabilitativo e psico-sessuologico.In questo lavoro viene presentato un modello di trattamento che integra l’approccio cognitivo comportamentale e l’EMDR (Eye Movement Desensitization and Reprocessing). Questi due approcci se usati in sinergia garantiscono un trattamento ad ampio raggio dei fattori disfunzionali che favoriscono e mantengono tale sintomatologia.

Interstitial cystitis, chronic and rare disease, shows the same symptoms as cystitis "classic" burning, lower abdominal pain, frequent need to urinate (up to 60 times between day and night), urgency often associated with incontinence , vaginal pains which cause an inability to have sex. It then involved the entire apparatus urogenital and pelvic floor, the pain difficult to respond satisfactorily to the most common painkillers. Interstitial cystitis is a multifactorial syndrome, which converge in stressful events, psychological symptoms and disorders of the urinary function. The therapeutic approach should be integrated type of urology, gynecology, physical rehabilitation and psycho-sessuologico.In this paper we present a treatment model that integrates cognitive behavioral EMDR (eye movement desensitization and reprocessing). These two approaches when used together provide a wide-ranging treatment of the factors that foster and maintain this dysfunctional symptoms.

Keywords: Interstitial Cystitis  Women  

7. Seidler, G. H., & Wagner, F. E. (2006, November). Comparing the efficacy of EMDR and trauma-focused cognitive-behavioral therapy in the treatment of PTSD: A meta-analytic study. Psychological Medicine, 36(11), 1515-1522. doi:10.1017/S0033291706007963.

Language: English

Format: Journal

Abstract:
Background: Eye movement desensitization and reprocessing (EMDR) and trauma-focused cognitive-behavioral therapy (CBT) are both widely used in the treatment of PTSD. There has, however, been debate regarding the advantages of one approach over the other. This study sought to determine whether there was any evidence that one treatment was superior to the other. Method: We performed a systematic review of the literature dating from 1989 to 2005 and identified 8 publications describing treatment outcomes of EMDR and CBT in active-active comparisons. 7 of these studies were investigated meta-analytically. Results: The superiority of one treatment over the other could not be demonstrated. Trauma-focused CBT and EMDR tend to be equally efficacious. Differences between the two forms of treatment are probably not of clinical significance. While the data indicate that moderator variables influence treatment efficacy, we argue that because of the small number of original studies, little benefit is to be gained from a closer examination of these variables. Further research is needed within the framework of randomized controlled trials. Conclusions: Our results suggest that in the treatment of PTSD, both therapy methods tend to be equally efficacious. We suggest that future research should not restrict its focus to the efficacy, effectiveness, and efficiency of these therapy methods but should also attempt to establish which trauma patients are more likely to benefit from one method or the other. What remains unclear is the contribution of the eye movement component in EMDR to treatment outcome. [Author Abstract]

Keywords: Adults  Cognitive Therapy  Meta Analysis  Posttraumatic Stress Disorder  PTSD  Treatment Effectiveness  

8. Shapiro, F. (1995). Cognitive-behavioral therapy with adults. Presentation at the 3rd Evolution of Psychotherapy Conference, Las Vegas, NV.

Language: English

Format: Conference

Keywords: Adults  CBT  Cogntiive Behavioral Therapy  

9. Siracusano, A., & Niolu, C. (2006, Settembre-Dicembre). Trattamento farmacologico del - Disturbo post-traumatico da stress [Drug treatment of - post-traumatic stress disorder]. NÓOς, 12(3), 243-276.

Language: Italian

Format: Journal

Abstract:
Complesso caratteristiche sintomatologiche del disturbo. Qui troviamo, mescolati tra loro, i sintomi di ansia, panico, depressione, dissociazione, evasione, deterioramento della memoria. La Società per traumatica Stress Studies (ISTSS) le linee guida suggeriscono alcuni passi: da un debriefing psicologico top e la terapia cognitivo-comportamentale (CBT), seguita dal trattamento farmacologico e di alcuni altri approcci: tecniche psico-sociale e riabilitativo, il movimento degli occhi desensibilizzazione e rielaborazione (EMDR), ipnosi, psicoterapia di coppia e di gruppo, psychothery psicoanalitico. Nel ultimi anni, molti dati dalla ricerca fornire consulenza per l'avvio forte CBT e farmacologiche trattamento subito dopo il trauma (entro 72 ore) solo per gestire dissociazione peritraumatico, ad alto rischio fattore per lo sviluppo di PTSD. Inoltre, quando si avvicina al trattamento del PTSD, è importante prendere in considerazione altre comorbidità con asse I e II e con disturbi abuso di sostanze.

Complex symptomatological features of the disorder. Here we find, mixed up together, symptoms of anxiety, panic, depression, dissociation, avoidance, memory impairment. The Society for Traumatic Stress Studies (ISTSS) guidelines suggest some steps: on the top psychological debriefing and cognitive-behavioral therapy (CBT), followed by pharmacological treatment and some other approaches: psychosocial and rehabilitative tecniques, eye movement desensitization and reprocessing (EMDR), hypnosis, couple and group psychotherapies, psychoanalitic psychothery. In the last years, many data from the research give strong advice for starting CBT and pharmacological treatment soon after trauma (within 72 hours) just to manage peritraumatic dissociation, high risk factor for the development of PTSD. Moreover, when approaching to the treatment of PTSD, it’s important to consider comorbidity with other axis I and II disorders and with substance abuse.

Keywords: Acute Stress Disorder  ASD  Cognitive-Behavioral Therapy  Comorbidity  Hypnosis  Peritraumatic Dissociation  Psychological Debriefing  Trauma    

10. Wagner, F. E., & Seidler, G. H. (2005). Die wirksamkeit von EMDR im direkten vergleich zur kognitiv-behavioralen therapie in der behandlung von PTSD:  Eine metaanalytische betrachtung [The efficacy of EMDR in the treatment of PTSD compared to cognitive-behavioral therapy:  A meta analytical examination]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 3(2), 61-72.

Language: German

Format: Journal

Abstract:
In dieser metaanalytischen Betrachtung werden EMDR und kognitiv-behaviorale Therapie direkt miteinander verglichen. Mittlerweile liegen hierzu sieben Originalarbeiten vor. Unsere Ergebnisse legen nahe, dass beide Therapieformen eine ähnlich hohe Wirksamkeit besitzen. Die Überlegenheit einer Behandlungsmethode ist mit der momentanen Datenlage jedoch nicht nachweisbar. Dennoch scheint es Moderatorvariablen zu geben, welche die Therapieeffektivität beeinflussen. Die geringe Anzahl der Originalstudien lässt jedoch eine nähere Untersuchung dieser Faktoren gegenwärtig nicht sinnvoll erscheinen.

In this meta-analytical examination we directly compared EMDR to cognitive-behavioral therapy. At present there are seven original studies concerning the subject. Our results suggest that both treatments tend to be equally effective. The superiority of one treatment over the other cannot be proved with our data. Nonetheless there seem to be moderator variables that influence the treatment efficacy. But the small number of original studies makes a closer examination of these variables rather pointless. [Author Summary]

Keywords: Cognitive Therapy  Exposition  Meta Analysis  Posttraumatic Stress Disorder  PTSD  Treatment Effectiveness