Implementing an Eye Movement and Desensitization Reprocessing Treatment-Program for Women With Posttraumatic Stress Disorder After Childbirth

PurposeThe purpose of this study is to describe the implementation and outcomes of an Eye Movement and Desensitization Reprocessing (EMDR) treatment-program for women with posttraumatic stress disorder (PTSD) after childbirth.MethodsA prospective cohort-study with pre- and post-measurements was carr...

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Main Authors: Leonieke W. Kranenburg, Hilmar H. Bijma, Alex J. Eggink, Esther M. Knijff, Mijke P. Lambregtse-van den Berg
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-01-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2021.797901/full
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author Leonieke W. Kranenburg
Hilmar H. Bijma
Alex J. Eggink
Esther M. Knijff
Mijke P. Lambregtse-van den Berg
Mijke P. Lambregtse-van den Berg
author_facet Leonieke W. Kranenburg
Hilmar H. Bijma
Alex J. Eggink
Esther M. Knijff
Mijke P. Lambregtse-van den Berg
Mijke P. Lambregtse-van den Berg
author_sort Leonieke W. Kranenburg
collection DOAJ
description PurposeThe purpose of this study is to describe the implementation and outcomes of an Eye Movement and Desensitization Reprocessing (EMDR) treatment-program for women with posttraumatic stress disorder (PTSD) after childbirth.MethodsA prospective cohort-study with pre- and post-measurements was carried out in the setting of an academic hospital in the Netherland. Included were women who gave birth to a living child at least 4 weeks ago, with a diagnosis of PTSD, or severe symptoms of PTSD combined with another psychiatric diagnosis. All received up to 8 sessions of EMDR-therapy. The posttraumatic stress disorder Checklist for DSM-5 was administered before and after treatment. Trauma history was assessed before treatment with the Life Events Checklist for the DSM-5, the Childhood Trauma Questionnaire and the Childbirth Perception Scale. Descriptive statistics were used.ResultsForty-four women were referred, 26 met the inclusion criteria. After treatment, none of the women met the criteria for diagnosis of PTSD after on average 5 weekly sessions of EMDR- therapy. These outcomes are promising, as they were achieved in women with relatively high levels of psychiatric comorbidity (64%) and high rates of previous mental health treatment (80%).ConclusionImplementing an EMDR-treatment program for women with PTSD after childbirth in the setting of an academic hospital is feasible and effective. Key factors for success include a close collaboration between the relevant hospital departments and a thorough case conceptualization addressing the etiology of the PTSD.
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spelling doaj.art-d8230b3391c34584a277399a350c5a812022-12-22T04:16:17ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-01-011210.3389/fpsyg.2021.797901797901Implementing an Eye Movement and Desensitization Reprocessing Treatment-Program for Women With Posttraumatic Stress Disorder After ChildbirthLeonieke W. Kranenburg0Hilmar H. Bijma1Alex J. Eggink2Esther M. Knijff3Mijke P. Lambregtse-van den Berg4Mijke P. Lambregtse-van den Berg5Department of Psychiatry, Erasmus University Medical Center, Rotterdam, NetherlandsDepartment of Obstetrics and Gynecology, Erasmus University Medical Center, Rotterdam, NetherlandsDepartment of Obstetrics and Gynecology, Erasmus University Medical Center, Rotterdam, NetherlandsDepartment of Psychiatry, Erasmus University Medical Center, Rotterdam, NetherlandsDepartment of Psychiatry, Erasmus University Medical Center, Rotterdam, NetherlandsDepartment of Child & Adolescent Psychiatry, Erasmus University Medical Center, Rotterdam, NetherlandsPurposeThe purpose of this study is to describe the implementation and outcomes of an Eye Movement and Desensitization Reprocessing (EMDR) treatment-program for women with posttraumatic stress disorder (PTSD) after childbirth.MethodsA prospective cohort-study with pre- and post-measurements was carried out in the setting of an academic hospital in the Netherland. Included were women who gave birth to a living child at least 4 weeks ago, with a diagnosis of PTSD, or severe symptoms of PTSD combined with another psychiatric diagnosis. All received up to 8 sessions of EMDR-therapy. The posttraumatic stress disorder Checklist for DSM-5 was administered before and after treatment. Trauma history was assessed before treatment with the Life Events Checklist for the DSM-5, the Childhood Trauma Questionnaire and the Childbirth Perception Scale. Descriptive statistics were used.ResultsForty-four women were referred, 26 met the inclusion criteria. After treatment, none of the women met the criteria for diagnosis of PTSD after on average 5 weekly sessions of EMDR- therapy. These outcomes are promising, as they were achieved in women with relatively high levels of psychiatric comorbidity (64%) and high rates of previous mental health treatment (80%).ConclusionImplementing an EMDR-treatment program for women with PTSD after childbirth in the setting of an academic hospital is feasible and effective. Key factors for success include a close collaboration between the relevant hospital departments and a thorough case conceptualization addressing the etiology of the PTSD.https://www.frontiersin.org/articles/10.3389/fpsyg.2021.797901/fullEMDRwomen mental healthimplementationchildbirthPTSD – posttraumatic stress disordertreatment program
spellingShingle Leonieke W. Kranenburg
Hilmar H. Bijma
Alex J. Eggink
Esther M. Knijff
Mijke P. Lambregtse-van den Berg
Mijke P. Lambregtse-van den Berg
Implementing an Eye Movement and Desensitization Reprocessing Treatment-Program for Women With Posttraumatic Stress Disorder After Childbirth
Frontiers in Psychology
EMDR
women mental health
implementation
childbirth
PTSD – posttraumatic stress disorder
treatment program
title Implementing an Eye Movement and Desensitization Reprocessing Treatment-Program for Women With Posttraumatic Stress Disorder After Childbirth
title_full Implementing an Eye Movement and Desensitization Reprocessing Treatment-Program for Women With Posttraumatic Stress Disorder After Childbirth
title_fullStr Implementing an Eye Movement and Desensitization Reprocessing Treatment-Program for Women With Posttraumatic Stress Disorder After Childbirth
title_full_unstemmed Implementing an Eye Movement and Desensitization Reprocessing Treatment-Program for Women With Posttraumatic Stress Disorder After Childbirth
title_short Implementing an Eye Movement and Desensitization Reprocessing Treatment-Program for Women With Posttraumatic Stress Disorder After Childbirth
title_sort implementing an eye movement and desensitization reprocessing treatment program for women with posttraumatic stress disorder after childbirth
topic EMDR
women mental health
implementation
childbirth
PTSD – posttraumatic stress disorder
treatment program
url https://www.frontiersin.org/articles/10.3389/fpsyg.2021.797901/full
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