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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Vydáno v:	Journal of psychiatric research Ročník 174; s. 73 - 83
Hlavní autoři:	Torres-Giménez, Anna, Garcia-Gibert, Cristina, Gelabert, Estel, Mallorquí, Aïda, Segu, Xavier, Roca-Lecumberri, Alba, Martínez, Amparo, Giménez, Yolanda, Sureda, Bàrbara
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	England Elsevier Ltd 01.06.2024
Témata:	Early intervention EMDR Eye Movement Desensitization Reprocessing - methods Humans Outcome Assessment, Health Care Post-traumatic symptoms Stress Disorders, Post-Traumatic - therapy Early intervention EMDR Post-traumatic symptoms
ISSN:	0022-3956, 1879-1379, 1879-1379
On-line přístup:	Získat plný text
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Shrnutí:	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.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Review-4 content type line 23 ObjectType-Undefined-3
ISSN:	0022-3956 1879-1379 1879-1379
DOI:	10.1016/j.jpsychires.2024.04.019