Efficacy of EMDR for early intervention after a traumatic event: A systematic review and meta-analysis
Eye Movement Desensitization and Reprocessing (EMDR) is a well-established psychological therapy for the treatment of post-traumatic stress disorder, based on the recommendations of clinical practice guidelines. However, these guidelines are not as consistent in recommending EMDR interventions for t...
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| Veröffentlicht in: | Journal of psychiatric research Jg. 174; S. 73 - 83 |
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01.06.2024
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| Abstract | Eye Movement Desensitization and Reprocessing (EMDR) is a well-established psychological therapy for the treatment of post-traumatic stress disorder, based on the recommendations of clinical practice guidelines. However, these guidelines are not as consistent in recommending EMDR interventions for the early treatment of post-traumatic symptoms. The main objective of this review is to evaluate the effectiveness of EMDR therapy for early intervention after a traumatic event.
A systematic search for randomized clinical trials has been carried out in the PUBMED, CINAHL, Psyc-INFO and Cochrane Library search engines. We included individuals exposed to a recent traumatic event (within 3 months of a traumatic incident). Outcomes on PTSD, depression and anxiety in post-treatment, and at follow-up at 3, 6 and 12 months, as well as on safety and tolerability were extracted.
A total of 11 RCTs were found. Studies showed beneficial effects of early EMDR interventions on post-traumatic symptoms at post-treatment and at 3-month follow-up. No differences were found between EMDR and no intervention or another intervention in the remaining analyses.
The main limitations are the low quality of the studies, the small number of studies per outcome assessed, and the small sample sizes.
There is evidence for the short-term beneficial effect of early EMDR interventions on post-traumatic symptoms. Although it appears to be a safe therapeutic choice, more studies are necessary that include safety data.
•There is controversy regarding recommending EMDR as an early intervention for post-traumatic symptoms.•Different adaptations of the standard EMDR protocol have been made.•There are no previous meta-analyses on the effectiveness of EMDR for early intervention.•There are short-term benefits of early EMDR interventions on post-traumatic symptoms. |
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| AbstractList | Eye Movement Desensitization and Reprocessing (EMDR) is a well-established psychological therapy for the treatment of post-traumatic stress disorder, based on the recommendations of clinical practice guidelines. However, these guidelines are not as consistent in recommending EMDR interventions for the early treatment of post-traumatic symptoms. The main objective of this review is to evaluate the effectiveness of EMDR therapy for early intervention after a traumatic event.BACKGROUNDEye Movement Desensitization and Reprocessing (EMDR) is a well-established psychological therapy for the treatment of post-traumatic stress disorder, based on the recommendations of clinical practice guidelines. However, these guidelines are not as consistent in recommending EMDR interventions for the early treatment of post-traumatic symptoms. The main objective of this review is to evaluate the effectiveness of EMDR therapy for early intervention after a traumatic event.A systematic search for randomized clinical trials has been carried out in the PUBMED, CINAHL, Psyc-INFO and Cochrane Library search engines. We included individuals exposed to a recent traumatic event (within 3 months of a traumatic incident). Outcomes on PTSD, depression and anxiety in post-treatment, and at follow-up at 3, 6 and 12 months, as well as on safety and tolerability were extracted.METHODSA systematic search for randomized clinical trials has been carried out in the PUBMED, CINAHL, Psyc-INFO and Cochrane Library search engines. We included individuals exposed to a recent traumatic event (within 3 months of a traumatic incident). Outcomes on PTSD, depression and anxiety in post-treatment, and at follow-up at 3, 6 and 12 months, as well as on safety and tolerability were extracted.A total of 11 RCTs were found. Studies showed beneficial effects of early EMDR interventions on post-traumatic symptoms at post-treatment and at 3-month follow-up. No differences were found between EMDR and no intervention or another intervention in the remaining analyses.RESULTSA total of 11 RCTs were found. Studies showed beneficial effects of early EMDR interventions on post-traumatic symptoms at post-treatment and at 3-month follow-up. No differences were found between EMDR and no intervention or another intervention in the remaining analyses.The main limitations are the low quality of the studies, the small number of studies per outcome assessed, and the small sample sizes.LIMITATIONSThe main limitations are the low quality of the studies, the small number of studies per outcome assessed, and the small sample sizes.There is evidence for the short-term beneficial effect of early EMDR interventions on post-traumatic symptoms. Although it appears to be a safe therapeutic choice, more studies are necessary that include safety data.CONCLUSIONSThere is evidence for the short-term beneficial effect of early EMDR interventions on post-traumatic symptoms. Although it appears to be a safe therapeutic choice, more studies are necessary that include safety data. Eye Movement Desensitization and Reprocessing (EMDR) is a well-established psychological therapy for the treatment of post-traumatic stress disorder, based on the recommendations of clinical practice guidelines. However, these guidelines are not as consistent in recommending EMDR interventions for the early treatment of post-traumatic symptoms. The main objective of this review is to evaluate the effectiveness of EMDR therapy for early intervention after a traumatic event. A systematic search for randomized clinical trials has been carried out in the PUBMED, CINAHL, Psyc-INFO and Cochrane Library search engines. We included individuals exposed to a recent traumatic event (within 3 months of a traumatic incident). Outcomes on PTSD, depression and anxiety in post-treatment, and at follow-up at 3, 6 and 12 months, as well as on safety and tolerability were extracted. A total of 11 RCTs were found. Studies showed beneficial effects of early EMDR interventions on post-traumatic symptoms at post-treatment and at 3-month follow-up. No differences were found between EMDR and no intervention or another intervention in the remaining analyses. The main limitations are the low quality of the studies, the small number of studies per outcome assessed, and the small sample sizes. There is evidence for the short-term beneficial effect of early EMDR interventions on post-traumatic symptoms. Although it appears to be a safe therapeutic choice, more studies are necessary that include safety data. •There is controversy regarding recommending EMDR as an early intervention for post-traumatic symptoms.•Different adaptations of the standard EMDR protocol have been made.•There are no previous meta-analyses on the effectiveness of EMDR for early intervention.•There are short-term benefits of early EMDR interventions on post-traumatic symptoms. Eye Movement Desensitization and Reprocessing (EMDR) is a well-established psychological therapy for the treatment of post-traumatic stress disorder, based on the recommendations of clinical practice guidelines. However, these guidelines are not as consistent in recommending EMDR interventions for the early treatment of post-traumatic symptoms. The main objective of this review is to evaluate the effectiveness of EMDR therapy for early intervention after a traumatic event. A systematic search for randomized clinical trials has been carried out in the PUBMED, CINAHL, Psyc-INFO and Cochrane Library search engines. We included individuals exposed to a recent traumatic event (within 3 months of a traumatic incident). Outcomes on PTSD, depression and anxiety in post-treatment, and at follow-up at 3, 6 and 12 months, as well as on safety and tolerability were extracted. A total of 11 RCTs were found. Studies showed beneficial effects of early EMDR interventions on post-traumatic symptoms at post-treatment and at 3-month follow-up. No differences were found between EMDR and no intervention or another intervention in the remaining analyses. The main limitations are the low quality of the studies, the small number of studies per outcome assessed, and the small sample sizes. There is evidence for the short-term beneficial effect of early EMDR interventions on post-traumatic symptoms. Although it appears to be a safe therapeutic choice, more studies are necessary that include safety data. |
| Author | Garcia-Gibert, Cristina Roca-Lecumberri, Alba Sureda, Bàrbara Segu, Xavier Giménez, Yolanda Gelabert, Estel Mallorquí, Aïda Martínez, Amparo Torres-Giménez, Anna |
| Author_xml | – sequence: 1 givenname: Anna orcidid: 0000-0001-5178-1917 surname: Torres-Giménez fullname: Torres-Giménez, Anna email: atorresg@clinic.cat organization: Unitat de Salut Mental Perinatal CLINIC-BCN, Hospital Clínic, Barcelona, Spain – sequence: 2 givenname: Cristina surname: Garcia-Gibert fullname: Garcia-Gibert, Cristina organization: Unitat de Salut Mental Perinatal CLINIC-BCN, Hospital Clínic, Barcelona, Spain – sequence: 3 givenname: Estel surname: Gelabert fullname: Gelabert, Estel organization: Departament of Clinical and Health Psychology, Universitat Autònoma de Barcelona, Barcelona, Spain – sequence: 4 givenname: Aïda surname: Mallorquí fullname: Mallorquí, Aïda organization: Clinical Health Psychology Section, Hospital Clinic, Barcelona, Spain – sequence: 5 givenname: Xavier surname: Segu fullname: Segu, Xavier organization: Clinical Health Psychology Section, Hospital Clinic, Barcelona, Spain – sequence: 6 givenname: Alba surname: Roca-Lecumberri fullname: Roca-Lecumberri, Alba organization: Unitat de Salut Mental Perinatal CLINIC-BCN, Hospital Clínic, Barcelona, Spain – sequence: 7 givenname: Amparo surname: Martínez fullname: Martínez, Amparo organization: Maternal Fetal Medicine Service, Hospital Clinic, Barcelona, Spain – sequence: 8 givenname: Yolanda surname: Giménez fullname: Giménez, Yolanda organization: Maternal Fetal Medicine Service, Hospital Clinic, Barcelona, Spain – sequence: 9 givenname: Bàrbara surname: Sureda fullname: Sureda, Bàrbara organization: Unitat de Salut Mental Perinatal CLINIC-BCN, Hospital Clínic, Barcelona, Spain |
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| Keywords | Early intervention EMDR Post-traumatic symptoms |
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