Efficacy of Eye Movement Desensitization and Reprocessing in Children and Adolescent with Post-traumatic Stress Disorder: A Meta-Analysis of Randomized Controlled Trials
Background: Post-traumatic stress disorder (PTSD) can occur in both adults and children/adolescents. Untreated PTSD can lead to negative long-term mental health conditions such as depression, anxiety, low self-concept, disruptive behaviors, and/or substance use disorders. To prevent these adverse ef...
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| Format: | Article |
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Frontiers Media S.A.
2017-10-01
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| Series: | Frontiers in Psychology |
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| Online Access: | http://journal.frontiersin.org/article/10.3389/fpsyg.2017.01750/full |
| _version_ | 1818439090876448768 |
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| author | Ana Moreno-Alcázar Ana Moreno-Alcázar Devi Treen Alicia Valiente-Gómez Alicia Valiente-Gómez Alicia Valiente-Gómez Albert Sio-Eroles Víctor Pérez Víctor Pérez Víctor Pérez Víctor Pérez Benedikt L. Amann Benedikt L. Amann Benedikt L. Amann Benedikt L. Amann Joaquim Radua Joaquim Radua Joaquim Radua Joaquim Radua |
| author_facet | Ana Moreno-Alcázar Ana Moreno-Alcázar Devi Treen Alicia Valiente-Gómez Alicia Valiente-Gómez Alicia Valiente-Gómez Albert Sio-Eroles Víctor Pérez Víctor Pérez Víctor Pérez Víctor Pérez Benedikt L. Amann Benedikt L. Amann Benedikt L. Amann Benedikt L. Amann Joaquim Radua Joaquim Radua Joaquim Radua Joaquim Radua |
| author_sort | Ana Moreno-Alcázar |
| collection | DOAJ |
| description | Background: Post-traumatic stress disorder (PTSD) can occur in both adults and children/adolescents. Untreated PTSD can lead to negative long-term mental health conditions such as depression, anxiety, low self-concept, disruptive behaviors, and/or substance use disorders. To prevent these adverse effects, treatment of PTSD is essential, especially in young population due to their greater vulnerability. The principal aim of this meta-analysis was to examine the efficacy of eye movement desensitization and reprocessing (EMDR) therapy for PTSD symptoms in children and adolescents. Secondary objectives were to assess whether EMDR therapy was effective to improve depressive or anxious comorbid symptoms.Methods: We conducted a thorough systematic search of studies published until January 2017, using PubMed, Medline, Scopus, and ScienceDirect as databases. All randomized controlled trials with an EMDR group condition compared to a control group, such as treatment as usual or another psychological treatment, were included. Meta-analysis was conducted with MetaNSUE to avoid biases related to missing information.Results: Eight studies (n = 295) met our inclusion criteria. EMDR therapy was superior to waitlist/placebo conditions and showed comparable efficacy to cognitive behavior therapy (CBT) in reducing post-traumatic and anxiety symptoms. A similar but non-statistically significant trend was observed for depressive symptoms. Exploratory subgroup analyses showed that effects might be smaller in studies that included more males and in more recent studies.Conclusion: Despite the small number of publications, the obtained results suggest that EMDR therapy could be a promising psychotherapeutic approach for the treatment of PTSD and comorbid symptoms in young individuals. However, further research with larger samples is needed to confirm these preliminary results as well as to analyze differences in the efficacy of EMDR therapy versus CBT. |
| first_indexed | 2024-12-14T17:50:56Z |
| format | Article |
| id | doaj.art-ef59744f3b43401abd90226a09ff29d9 |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-12-14T17:50:56Z |
| publishDate | 2017-10-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Psychology |
| spelling | doaj.art-ef59744f3b43401abd90226a09ff29d92022-12-21T22:52:39ZengFrontiers Media S.A.Frontiers in Psychology1664-10782017-10-01810.3389/fpsyg.2017.01750290128Efficacy of Eye Movement Desensitization and Reprocessing in Children and Adolescent with Post-traumatic Stress Disorder: A Meta-Analysis of Randomized Controlled TrialsAna Moreno-Alcázar0Ana Moreno-Alcázar1Devi Treen2Alicia Valiente-Gómez3Alicia Valiente-Gómez4Alicia Valiente-Gómez5Albert Sio-Eroles6Víctor Pérez7Víctor Pérez8Víctor Pérez9Víctor Pérez10Benedikt L. Amann11Benedikt L. Amann12Benedikt L. Amann13Benedikt L. Amann14Joaquim Radua15Joaquim Radua16Joaquim Radua17Joaquim Radua18Institut de Neuropsiquiatria i Addiccions, Centre Fòrum Research Unit, Parc de Salut Mar, Barcelona, SpainHospital del Mar Medical Research Institute (IMIM), Barcelona, SpainInstitut de Neuropsiquiatria i Addiccions, Centre Fòrum Research Unit, Parc de Salut Mar, Barcelona, SpainInstitut de Neuropsiquiatria i Addiccions, Centre Fòrum Research Unit, Parc de Salut Mar, Barcelona, SpainHospital del Mar Medical Research Institute (IMIM), Barcelona, SpainCentre Emili Mirà, Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, Barcelona, SpainHospital Benito Menni Complex Assistencial en Salut Mental, Sant Boi del Llobregat, SpainInstitut de Neuropsiquiatria i Addiccions, Centre Fòrum Research Unit, Parc de Salut Mar, Barcelona, SpainHospital del Mar Medical Research Institute (IMIM), Barcelona, SpainDepartment of Psychiatry, Autonomous University of Barcelona, Bellaterra, SpainMental Health Research Networking Center, Centro de Investigacion Biomedica en Red de Salud Mental, Madrid, SpainInstitut de Neuropsiquiatria i Addiccions, Centre Fòrum Research Unit, Parc de Salut Mar, Barcelona, SpainHospital del Mar Medical Research Institute (IMIM), Barcelona, SpainDepartment of Psychiatry, Autonomous University of Barcelona, Bellaterra, SpainMental Health Research Networking Center, Centro de Investigacion Biomedica en Red de Salud Mental, Madrid, SpainMental Health Research Networking Center, Centro de Investigacion Biomedica en Red de Salud Mental, Madrid, SpainFIDMAG Germanes Hospitalàries Research Foundation, Sant Boi del Llobregat, SpainCentre for Psychiatric Research and Education, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, SwedenDivision of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United KingdomBackground: Post-traumatic stress disorder (PTSD) can occur in both adults and children/adolescents. Untreated PTSD can lead to negative long-term mental health conditions such as depression, anxiety, low self-concept, disruptive behaviors, and/or substance use disorders. To prevent these adverse effects, treatment of PTSD is essential, especially in young population due to their greater vulnerability. The principal aim of this meta-analysis was to examine the efficacy of eye movement desensitization and reprocessing (EMDR) therapy for PTSD symptoms in children and adolescents. Secondary objectives were to assess whether EMDR therapy was effective to improve depressive or anxious comorbid symptoms.Methods: We conducted a thorough systematic search of studies published until January 2017, using PubMed, Medline, Scopus, and ScienceDirect as databases. All randomized controlled trials with an EMDR group condition compared to a control group, such as treatment as usual or another psychological treatment, were included. Meta-analysis was conducted with MetaNSUE to avoid biases related to missing information.Results: Eight studies (n = 295) met our inclusion criteria. EMDR therapy was superior to waitlist/placebo conditions and showed comparable efficacy to cognitive behavior therapy (CBT) in reducing post-traumatic and anxiety symptoms. A similar but non-statistically significant trend was observed for depressive symptoms. Exploratory subgroup analyses showed that effects might be smaller in studies that included more males and in more recent studies.Conclusion: Despite the small number of publications, the obtained results suggest that EMDR therapy could be a promising psychotherapeutic approach for the treatment of PTSD and comorbid symptoms in young individuals. However, further research with larger samples is needed to confirm these preliminary results as well as to analyze differences in the efficacy of EMDR therapy versus CBT.http://journal.frontiersin.org/article/10.3389/fpsyg.2017.01750/fullpost-traumatic stress disorderpsychological traumaEMDRchildrenadolescentsmeta-analysis |
| spellingShingle | Ana Moreno-Alcázar Ana Moreno-Alcázar Devi Treen Alicia Valiente-Gómez Alicia Valiente-Gómez Alicia Valiente-Gómez Albert Sio-Eroles Víctor Pérez Víctor Pérez Víctor Pérez Víctor Pérez Benedikt L. Amann Benedikt L. Amann Benedikt L. Amann Benedikt L. Amann Joaquim Radua Joaquim Radua Joaquim Radua Joaquim Radua Efficacy of Eye Movement Desensitization and Reprocessing in Children and Adolescent with Post-traumatic Stress Disorder: A Meta-Analysis of Randomized Controlled Trials Frontiers in Psychology post-traumatic stress disorder psychological trauma EMDR children adolescents meta-analysis |
| title | Efficacy of Eye Movement Desensitization and Reprocessing in Children and Adolescent with Post-traumatic Stress Disorder: A Meta-Analysis of Randomized Controlled Trials |
| title_full | Efficacy of Eye Movement Desensitization and Reprocessing in Children and Adolescent with Post-traumatic Stress Disorder: A Meta-Analysis of Randomized Controlled Trials |
| title_fullStr | Efficacy of Eye Movement Desensitization and Reprocessing in Children and Adolescent with Post-traumatic Stress Disorder: A Meta-Analysis of Randomized Controlled Trials |
| title_full_unstemmed | Efficacy of Eye Movement Desensitization and Reprocessing in Children and Adolescent with Post-traumatic Stress Disorder: A Meta-Analysis of Randomized Controlled Trials |
| title_short | Efficacy of Eye Movement Desensitization and Reprocessing in Children and Adolescent with Post-traumatic Stress Disorder: A Meta-Analysis of Randomized Controlled Trials |
| title_sort | efficacy of eye movement desensitization and reprocessing in children and adolescent with post traumatic stress disorder a meta analysis of randomized controlled trials |
| topic | post-traumatic stress disorder psychological trauma EMDR children adolescents meta-analysis |
| url | http://journal.frontiersin.org/article/10.3389/fpsyg.2017.01750/full |
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