Francine Shapiro Library: EMDR Bibliography

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1. Alatalo, G. L. (1994). Eye-movement desensitization and reprocessing: A new treatment for trauma. Spalding University, Louisville, KY. AAT 9522299.

Language: English

Format: Dissertation/Thesis

Abstract:
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. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(3-B), Sep 1995, pp. 1690

Keywords: Americans  Avoidance  Cognitive Impairment  Empirical Study  Intrusive Thoughts  Longitudinal Study  Self Concept  Stressors  Survivors  Treatment Effectiveness  Treatment Outcome/Clinical Trial  

2. Carlson, B. E. (2005, January). The most important things learned about violence and trauma in the past 20 years. Journal of Interpersonal Violence, 20(1), 119-126. doi:10.1177/0886260504268603.

Language: English

Format: Journal

Abstract:
In the past 2 decades, important insights have been gained regarding violence and trauma. Complications occur in how violence and trauma, their causes, and their effects on victims should be defined. Violence and abuse to women -- physical, sexual, and emotional -- are not rare events and are most often perpetrated by partners or acquaintances rather than strangers and occur in nonmarital as well as marital relationships, including same-sex relationships. A promising methodological innovation in the study of violence and trauma is the use of longitudinal designs. Innovations in treatments for victims such as evidence-based interventions have been slow to emerge; they include eye movement desensitization and reprocessing (EMDR) and the Seeking Safety group intervention for drug-abusing women with trauma histories. Future research should address increased understanding of variation in individual responses to violence and trauma, matching of treatment to different types of male offenders, better understanding of how culture affects violence perpetration and victimization, and evaluation of domestic violence interventions. [Author Abstract]

Keywords: Commentary  Empirical Study  Longitudinal Study  Review  Scientific Research  Spouse Abuse  Survivors  Treatment  

3. Cusack, K. J., & Spates, C. R. (1999, January-April). The cognitive dismantling of eye movement desensitization and reprocessing (EMDR) treatment of posttraumatic stress disorder (PTSD): A case report. Journal of Anxiety Disorders, 13(1-2), 87-99. doi:10.1016/S0887-6185(98)00041-3 .

Language: English

Format: Journal

Abstract:
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 (ScienceDirect).

Keywords: Adults  Americans  Empirical Study  Longitudinal Study  Posttraumatic Stress Disorder  PTSD  Random Clinical Trial  RCT  Stressors  Survivors  Treatment Effectiveness  Treatment Outcome/Clinical Trial  

4. Devilly, G. J., & Spence, S. H. (1999, January-April). The relative efficacy and treatment distress of EMDR and a cognitive-behavior trauma treatment protocol in the amelioration of posttraumatic stress disorder. Journal of Anxiety Disorders, 13(1-2), 131-157. doi:10.1016/S0887-6185(98)00044-9.

Language: English

Format: Journal

Abstract:
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 (ScienceDirect).

Keywords: Adults  Australians  Cognitive Therapy  Empirical Study  Longitudinal Study  Non-Randomized Study  Posttraumatic Stress Disorder  PTSD  Stressors  Survivors  Treatment Effectiveness  Treatment Outcome/Clinical Trial  

5. Devilly, G. J., Spence, S. H., & Rapee, R. M. (1998, Summer). Statistical and reliable change with eye movement desensitisation and reprocessing: Treating trauma within a veteran population. Behavior Therapy, 29(3), 435-455. doi:10.1016/S0005-7894(98)80042-7.

Language: English

Format: Journal

Abstract:
51 war veterans with PTSD symptomatology were randomly allocated to one of three conditions: two sessions of eye movement desensitization and reprocessing (EMDR), an equivalent procedure without EMDR, or a standard psychiatric support control condition. There was an overall significant main effect of time from pre- to posttreatment, with a reduction in symptomatology for all groups. However, no statistically significant differences were found between the groups. Participants in the two treatment conditions were more likely to display reliable improvement in trauma symptomatology than subjects in the control group. By 6-month follow-up, reductions in symptomatology had dissipated and there were no statistical or reliable differences between the two treatment groups. Overall, the results indicated that, with this war veteran population, improvement rates were less than has been reported in the past. Also, where improvements were found, eye movements were not likely to be the mechanism of change. Rather, the results imply that other nonspecific or therapeutic processes may account for any beneficial effects of EMDR. [Author Abstract]

Keywords: Adults  Australians  Empirical Study  Follow-up Study  Longitudinal Study  Males  Posttraumatic Stress Disorder  PTSD  Random Clinical Trial  RCT  Treatment Effectiveness  Veterans  Vietnam War  

6. Edmond, T. E., Rubin, A., & Wambach, K. G. (1999, June). The effectiveness of EMDR with adult female survivors of childhood sexual abuse. Social Work Research, 23(2), 103-116. doi:10.1093/swr/23.2.103.

Language: English

Format: Journal

Abstract:
A randomized experimental evaluation found support for the effectiveness of eye movement desensitization and reprocessing (EMDR) in reducing trauma symptoms among adult female survivors of childhood sexual abuse. 59 women were assigned randomly to one of three groups: (1) individual EMDR treatment (six sessions); (2) routine individual treatment (six sessions); or (3) delayed treatment control group. A MANOVA was statistically significant at both posttest and follow-up. In univariate ANOVAs for each of four standardized outcome measures EMDR group members scored significantly better than controls at posttest. In a three-month follow-up, EMDR participants scored significantly better than routine individual treatment participants on two of the four measures, with large effect sizes suggestive of clinical significance. [Author Abstract]

Keywords: Adults  Americans  Brief Psychotherapy  Child Abuse  Empirical Study  Females  Follow-up Study  Longitudinal Study  Posttraumatic Stress Disorder  PTSD  Random Clinical Trial  Rape  RCT  Self Efficacy  Survivors  Treatment Effectiveness  

7. Forbes, D., Creamer, M., & Rycroft, P. (1994, June). Eye movement desensitization and reprocessing in posttraumatic stress disorder:  A pilot study using assessment measures. Journal of Behavior Therapy and Experimental Psychiatry, 25(2), 113-120.

Language: English

Format: Journal

Abstract:
Spectacular claims have been made regarding the efficacy of eye movement desensitization and reprocessing (EMDR) in the treatment of PTSD, but almost entirely on the basis of patients' reports and without objective criteria. This study reports on the treatment of eight patients with a diagnosis of PTSD who received EMDR treatment over four sessions. Assessment measures included two structured interviews, three self-report inventories, and the electromyogram (EMG). Assessments were conducted pre and posttreatment, and at 3-month follow-up. Despite some residual pathology at posttreatment and follow-up, significant improvements were obtained on all measures and across all PTSD symptom clusters. Compared with other treatments of PTSD, change was achieved in far fewer sessions. [Author Summary]

Keywords: Adults  Australians  Empirical Study  Longitudinal Study  Posttraumatic Stress Disorder  PTSD  Release Date  Stressors  Survivors  Treatment Effectiveness  

8. Grainger, R., Levin, C., Allen-Byrd, L., Doctor, R., & Lee, H. (1997, October). An empirical evaluation of eye movement desensitization and reprocessing (EMDR) with survivors of a natural disaster. Journal of Traumatic Stress, 10(4), 665-671. doi:10.1023/A:1024806105473.

Language: English

Format: Journal

Abstract:
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. [Author Abstract]

Keywords: Adults  Americans  Disaster  Effects  Empirical Study  Hurricane Andrew (1992)  Hurricanes  Longitudinal Study  Non-Randomized Study  Survivors  Treatment Effectiveness  Trauma  

9. Hofmann, A. (1996). EMDR: Eine neue methode zur behandlung posttraumatischer belastungsstoerungen [Eye movement desensitization and reprocessing: A new treatment method for post-traumatic stress disorder]. Psychotherapeut, 41(6), 368-372. doi:10.1007/s002780050045.

Language: German

Format: Journal

Abstract:
8 stationäre Patienten mit chronischen PTSD wurden mit einem Durchschnitt von 4 Sitzungen der Augenbewegung Desensibilisierung und Wiederaufbereitung (EMDR) behandelt, eine neue Behandlungsmethode. Konkordant mit anderen Fallberichten und Studien, 7 der Patienten berichteten eine deutliche Entlastung von 17 schmerzhaften Erinnerungen verarbeitet, das war in der signifikanten Abnahme der Suds (subjektive Einheiten des Unbehagens, einer Skala von 0-10 dargestellt) von durchschnittlich 6,5 bis 0,9 nach der Behandlung mit EMDR (P <0,001). Dies wurde durch einen Rückgang in anderen Symptome und eine Verbesserung der negativen Selbst-bezogene Denken einher. 1 Patient zeigte keine Besserung. In einem Drittel der Erinnerungen verarbeitet werden, einen starken Anstieg der Suds (Rückblende) aufgetreten war und aufbereitet werden. Die positiven therapeutischen Wirkungen waren stabil 3 und 6 Monate nach der Behandlung, in 2 Fällen, berichtet nach einem Jahr zeigten anhaltende positive Ergebnisse. Keine negativen Ergebnisse der Behandlung berichtet wurden. Es wird vorgeschlagen, dass EMDR könnte ein nützliches Instrument bei der Behandlung von Patienten mit chronischer PTBS werden. Das Verfahren passte gut in einer psychodynamisch orientierten stationären Bereich. Diese Kombination schien zu helfen, speziell bei der Behandlung von Trauma-Patienten mit eingeschränkter Ich-Stärke. [Autor Zusammenfassung]

8 inpatients with chronic PTSD were treated with an average of 4 sessions of eye movement desensitization and reprocessing (EMDR), a new treatment method. Concordant with other case reports and studies, 7 of the patients reported a significant relief of 17 processed painful memories; this was shown in the significant decrease of SUDs (subjective units of discomfort, a 0-10 scale) from an average of 6.5 to 0.9 after treatment with EMDR (P < 0.001). This was paralleled by a decrease in other symptoms and an improvement in negative self-related thinking. 1 patient showed no improvement. In one third of the memories processed, a strong increase in SUDs (flashback) occurred and was reprocessed. The positive therapeutic effects were stable 3 and 6 months after treatment, In 2 cases, reports after a year showed persistent positive results. No negative results of the treatment were reported. It is suggested that EMDR could be a useful instrument in the treatment of patients with chronic PTSD. The procedure fitted well in a psychodynamically oriented inpatient setting. This combination seemed to help specifically in the treatment of trauma patients with impaired ego strength. [Author Summary]

Keywords: Adults  Empirical Study  Longitudinal Study  Psychiatric Inpatients  PTSD  Stressors  Survivors  Treatment Effectiveness  

10. Hogberg, G., Pagani, M., Sundin, Ö., Soares, J., Aberg-Wistedt, A., Tarnell, B., & Hallström, T. (2008, May). Treatment of post-traumatic stress disorder with eye movement desensitization and reprocessing: Outcome is stable in 35-month follow-up. Psychiatry Research, 159(1-2), 101-108. doi:10.1016/j.psychres.2007.10.019.

Language: English

Format: Journal

Abstract:
PTSD is an anxiety disorder that may follow major psychological trauma. The disorder is longstanding, even chronic, and there is a need for effective treatment. The most effective short-term treatments are cognitive behavioural therapy and eye movement desensitization and reprocessing (EMDR). 20 subjects with chronic PTSD following occupational health hazards from "person under train" accidents or assault at work were treated with five sessions of EMDR. They were assessed with psychometric scales and diagnostic interviews before treatment, directly after treatment, at 8 months, and at 35 months after the end of Therapy. The primary outcome variable was full diagnosis of PTSD according to the DSM-IV diagnostic criteria. Results from interview-based and self-evaluation psychometric scales were used as secondary outcome variables. Immediately following treatment, the patients were divided up into two groups, initial remitters (12 of 20) and non-remitters (8 of 20). There were no drop-outs during therapy, but 3 patients withdrew during follow-up. The initial result was maintained at the 35-month follow-up. The secondary outcome variables also showed a significant immediate change towards normality that was stable during the long-term follow-up. After 3 years of follow-up, 83% of the initial remitters had full working capacity. [Author Abstract]

Keywords: Accidents  Adults  Assault  Conditioning  Follow-up Study  Longitudinal Study  Occupational Health  Posttraumatic Stress Disorder  Psychotherapy  PTSD  Railroad Accidents  Swedes  Transport Workers  Treatment Effectiveness  

11. Jensen, J. A. (1994, Spring). An investigation of eye movement desensitization and reprocessing (EMD/R) as a treatment for posttraumatic stress disorder (PTSD) symptoms of Vietnam combat veterans. Behavior Therapy, 25(2), 311-325. doi:10.1016/S0005-7894(05)80290-4.

Language: English

Format: Journal

Abstract:
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. [Author Abstract]

Keywords: Americans  Empirical Study  Longitudinal Study  Males  Middle Aged  PTSD  Random Clinical Trial  RCT  Treatment Effectiveness  Veterans  Vietnam War  

12. Lamprecht, F., Kohnke, C., Lempa, W., Sack, M., Matzke, M., & Munte, T. F. (2004, June). Event-related potentials and EMDR treatment of post-traumatic stress disorder. Neuroscience Research, 49(2), 267-272. doi:10.1016/j.neures.2004.02.013.

Language: English

Format: Journal

Abstract:
10 patients suffering from PTSD following a severe traumatic event, were assessed with event-related brain potentials (ERPs) in a modified oddball paradigm containing auditory standard, target, and novel tones. ERPs were assessed before and after a treatment session using the eye movement desensitization and reprocessing method. Compared to a control group that underwent sham treatment, ERPs of the patients showed a reduction of the P3a component in the post-treatment recording, suggesting a reduced orienting to novel stimuli and reduced arousal level after the treatment. Moreover, psychometric assessment revealed a marked improvement of the PTSD symptoms after treatment. [Author Abstract]

Keywords: Brain Imaging Adults  Cognitive Processes  Empirical Study  Germans  Longitudinal Study  Posttraumatic Stress Disorder  Psychophysiology  PTSD  Quantitative Study  Stressors  Survivors  Treatment Effectiveness  

13. Lilienfeld. S. O. (1996, January/February). EMDR treatment: Less than meets the eye. Skeptical Inquirer, 20(1), 25-31.

Language: English

Format: Magazine

Abstract:
Examines EMDR and the experimental evidence surrounding it, which does not indicate that it is any more effective than other treatments for PTSD, despite its enthusiastic support. [Pilots]

Keywords: Adults  Americans  Brief Psychotherapy  Child Abuse  Females  Longitudinal Study  Methodology  Posttraumatic Stress Disorder  PTSD  Random Clinical Trial  RCT  Rape  Self Efficacy  Survivors  Treatment Effectiveness  

14. Montgomery, R. W., & Ayllon, T. (1994, March). Eye movement desensitization across images:  A single case design. Journal of Behavior Therapy and Experimental Psychiatry, 25(1), 23-28. doi:10.1016/0005-7916(94)90059-0 .

Language: English

Format: Journal

Abstract:
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. [Author Summary]

Keywords: Americans  Assault  Case Report  Females  Longitudinal Study  Middle Aged  Motor Traffic Accidents  Posttraumatic Stress Disorder  PTSD  Survivors  

15. Pitman, R., Orr, S., Altman, B., Longpre, R., Poire, R., & Macklin, M. (1996, November-December). Emotional processing during eye-movement desensitization and reprocessing therapy of Vietnam veterans with chronic post-traumatic stress disorder. Comprehensive Psychiatry, 37(6), 419-429. doi:10.1016/S0010-440X(96)90025-5.

Language: English

Format: Journal

Abstract:
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. [Author Abstract]

Keywords: Americans  Clinical Trial  Empirical Study  Longitudinal Study  Males  Middle Aged  Posttraumatic Stress Disorder  PTSD  Treatment Effectiveness  Veterans  Vietnam War  

16. Rothbaum, B. O., Astin, M. C., & Marsteller, F. (2005, December). Prolonged exposure versus eye movement desensitization and reprocessing (EMDR) for PTSD rape victims. Journal of Traumatic Stress, 18(6), 607-616. doi:10.1002/jts.20069.

Language: English

Format: Journal

Abstract:
This controlled study evaluated the relative efficacy of Prolonged Exposure (PE) and Eye Movement Desensitization and Reprocessing (EMDR) compared to a no-treatment waitlist control (WAIT) in the treatment of PTSD in adult female rape victims (n = 74). Improvement in PTSD as assessed by blind independent assessors, depression, dissociation, and state anxiety was significantly greater in both the PE and EMDR group than the WAIT group (n = 20 completers per group). PE and EMDR did not differ significantly for change from baseline to either posttreatment or 6-month follow-up measurement for any quantitative scale. [Author Abstract]

Keywords: Adults  Anger  Canadians  Cognitive Processing Therapy  CPT  Empirical Study  Exposure  Exposure Therapy  Guilt  Longitudinal Study  Posttraumatic Stress Disorder  PTSD  Quantitative Study  Relaxation Therapy  Stress Inoculation Training  Treatment Effectiveness  

17. Sandstrom, M., Wiberg, B., Wikman, M., Willman, A. K., & Hogberg, U. (2008, March). A pilot study of eye movement desensitization and reprocessing treatment (EMDR) for post-traumatic stress after childbirth. Midwifery, 24(1), 62–73. doi:10.1016/j.midw.2006.07.008.

Language: English

Format: Journal

Abstract:
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. [Author Abstract]

Keywords: Adults  Childbirth  Females  Longitudinal Study  Posttraumatic Stress Disorder  PTSD  Survivors  Swedes  Treatment Effectiveness  

18. Solomon, R. M., & Kaufman, T. E. (2002, Fall/Winter). A peer support workshop for the treatment of traumatic stress of railroad personnel: Contributions of eye movement desensitization and reprocessing (EMDR). Journal of Brief Therapy, 2(1), 27-33.

Language: English

Format: Journal

Abstract:
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. [Author Abstract]

Keywords: Adults  Critical Incident Stress Debriefing  Longitudinal Study  Males  Non-Randomized Study  Posttraumatic Stress Disorder  PTSD  Railroad Accident  Survivors  Transport Workers  Treatment Effectiveness  

19. Stapleton, J. A., Taylor, S., & Asmundson, G. J. (2006, February). Effects of three PTSD treatments on anger and guilt: Exposure therapy, eye movement sensitization and reprocessing, and relaxation training. Journal of Traumatic Stress, 19(1), 19-28. doi:10.1002/jts.20095.

Language: English

Format: Journal

Abstract:
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. [Author Abstract]

Keywords: Adults  Anger  Canadians  Exposure Therapy  Guilt  Longitudinal Study  Posttraumatic Stress Disorder  PTSD  Relaxation Therapy  Treatment Effectiveness  

20. Vaughan, K., Armstrong, M., Gold, R., O'Connor, N., Jenneke, W., & Tarrier, N. (1994, December). A trial of eye movement desensitization compared to image habituation training and applied muscle relaxation in post-traumatic stress disorder. Journal of Behavior Therapy and Experimental Psychiatry, 25(4), 283-291. doi:10.1016/0005-7916(94)90036-1.

Language: English

Format: Journal

Abstract:
36 patients with PTSD were randomly allocated to individual treatment with imaginal exposure (image habituation training - IHT), or applied muscle relaxation (AMR) or eye movement desensitization (EMD). Assessment by a blind independent rater and self-report instrument applied pre and posttreatment and at 3-month follow-up indicated that all groups improved significantly compared with a waiting list and that treatment benefits were maintained at follow-up. Despite a failure to demonstrate differences among groups, there was some suggestion that immediately after treatment EMD was superior for intrusive memories. [Author Summary]

Keywords: Adults  Australians  Exposure Therapy  Longitudinal Study  Posttraumatic Stress Disorder  PTSD  Random Clinical Trial  RCT  Relaxation Therapy  Stressors  Survivors  Treatment Effectiveness  

21. Vaughan, K., Wiese, M., Gold, R., & Tarrier, N. (1994, April). Eye-movement desensitisation:  Symptom change in post-traumatic stress disorder. British Journal of Psychiatry, 164(4), 533-541. doi:10.1192/bjp.164.4.533.

Language: English

Format: Journal

Abstract:
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. [Author Abstract]

Keywords: Adults  Australians  Females  Longitudinal Study  Males  Posttraumatic Stress Disorder  PTSD  Stressors  Survivors  Treatment Effectiveness  

22. Wilson, D. L., Silver, S. M., Covi, W. G., & Foster, S. (1996, September). Eye movement desensitization and reprocessing:  Effectiveness and autonomic correlates. Journal of Behavior Therapy and Experimental Psychiatry, 27(3), 219-229. doi:10.1016/S0005-7916(96)00026-2.

Language: English

Format: Journal

Abstract:
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. [Author Summary]

Keywords: Adults  Arousal  Empirical Study  European Americans  Longitudinal Study  Posttraumatic Stress Disorder  PTSD  Random Clinical Trial  RCT  Stressors  Survivors  Treatment Effectiveness  

23. Wilson, S., Becker, L., & Tinker, R. (1995, December). Eye movement desensitization and reprocessing (EMDR) treatment for psychologically traumatized individuals. Journal of Consulting & Clinical Psychology, 63(6), 928-937. doi:10.1037/0022-006X.63.6.928.

Language: English

Format: Journal

Abstract:
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. [Author Abstract]

Keywords: Adults  Americans  Empirical Study  Intrusive Thoughts  Longitudinal Study  Posttraumatic Stress Disorder  PTSD  Random Clinical Trial  RCT  Stressors  Survivors  Treatment Effectiveness  

24. Zimmermann, P., Guse, U., Barre, K., & Biesold, K. (2005, Juni). EMDR - Therapie in der bundeswehr - Zurwirksamkeit untersuchung posttraumatischer belastungsstörungv [EMDR in the German armed forces - Therapeutic impact of inpatient therapy of posttraumatic stress disorder / EMDR]. Krankenhauspsychiatrie, 16(2), 57-63. doi:10.1055/s-2004-830275.

Language: German

Format: Journal

Abstract:
In dieser retrospektiven Studie 89 deutsche Soldaten, die als stationäre zur posttraumatischen Belastungsstörung behandelt wurden, zwischen 1998 und 2002 untersucht wurden. Nach einer mittleren von 29 Monaten mit Fragebögen They Were neu bewertet. Behandelt wurden 20 Patienten mit EMDR Konnte bis 14 Patienten mit einer unterstützenden Behandlung verglichen werden. Die Ergebnisse (Jes SOUTH. Voc) direkt nach der Behandlung und in der Langzeit-Follow-up waren deutlich überlegen in der EMDR-Gruppe im Vergleich zu den Kontrollen. Traumatisierte Soldaten in Out-of-area-Einsätze eher eine bessere als die kurzfristigen Ergebnisse Traumatisierte Soldaten in Deutschland haben. (PsycINFO Database Record (c) 2008 APA, alle Rechte vorbehalten)

In this retrospective study 89 German soldiers being treated as inpatients for a posttraumatic stress disorder between 1998 and 2002 were investigated. After a mean of 29 months they were reevaluated with questionnaires. 20 patients treated with EMDR could be compared to 14 patients with a supportive treatment. The results (Isa. SUD. VoC) directly after treatment and in the long-term follow-up were significantly superior in the EMDR group compared to the controls. Soldiers traumatized in out-of-area missions tended to have a better short-term outcome than traumatized soldiers in Germany. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Empirical Study  Inpatient Therapy  Hospitalized Patients  Longitudinal Study  Military Veterans  Posttraumatic Stress Disorder, PTSD, Psychotherapy, Stress  Quantitative Study  Retrospective Study