Treatment of post-traumatic stress disorder with eye movement desensitization and reprocessing: Outcome is stable in 35-month follow-up

Post-traumatic stress disorder (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 desensitizatio...

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Veröffentlicht in:Psychiatry research Jg. 159; H. 1; S. 101 - 108
Hauptverfasser: Högberg, Göran, Pagani, Marco, Sundin, Örjan, Soares, Joaquim, Åberg-Wistedt, Anna, Tärnell, Berit, Hällström, Tore
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Shannon Elsevier Ireland Ltd 30.05.2008
Elsevier
Schlagworte:
Accidents
Accidents - psychology
Adult
Assault
Biological and medical sciences
Chronic Disease
Cognitive Therapy - methods
Conditioning
Desensitization, Psychologic - methods
Diagnostic and Statistical Manual of Mental Disorders
Eye Movements - physiology
Female
Follow-Up Studies
Humans
Life Change Events
Longitudinal Studies
Male
Medical sciences
Middle Aged
Miscellaneous
Occupational Diseases - psychology
Occupational Diseases - therapy
Occupational health
Outcome Assessment (Health Care)
Post-traumatic stress disorder
Psychiatric Status Rating Scales - statistics & numerical data
Psychiatry
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapies. Psychological and clinical counseling
Psychotherapy
Psykologi
Railroads - statistics & numerical data
SAMHÄLLSVETENSKAP
SOCIAL SCIENCES
Socialvetenskap
Stress Disorders, Post-Traumatic - diagnosis
Stress Disorders, Post-Traumatic - psychology
Stress Disorders, Post-Traumatic - therapy
Treatment Outcome
Treatments
Work Capacity Evaluation
Psychotherapy
Occupational health
Assault
Conditioning
Post-traumatic stress disorder
Accidents
Human
Aggression
Treatment efficiency
Anxiety disorder
Posttraumatic stress disorder
Stress
Occupational accident
Treatment
Follow up study
Eye movement desensitization and reprocessing
ISSN:0165-1781, 1872-7123, 1872-7123
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Zusammenfassung:Post-traumatic stress disorder (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). Twenty 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 three 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.
Bibliographie:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
content type line 23
ISSN:0165-1781
1872-7123
1872-7123
DOI:10.1016/j.psychres.2007.10.019