Current State of Research on the Effectiveness of Eye Movement Desensitization and Processing (EMDR) in Post-Traumatic Stress Disorder

371

Abstract

Relevance. This article provides an overview of studies examining the effectiveness of Eye Movement Desensitization and Processing (EMDR) in treating post–traumatic stress disorder (PTSD). It presents the findings from the latest systematic reviews and meta–analyses. Drawing from recent systematic reviews and meta-analyses, this study underscores the significant impact of untreated PTSD on morbidity, functional impairment, and overall mental health. Therefore, exploring effective treatments for PTSD is vital to enhance the quality of life and the mental and physical well-being of affected individuals. Purpose of the study. This study aims to analyze the current state of research concerning the effectiveness of EMDR therapy for PTSD. Results. Eye movement desensitization and processing has been shown to reduce symptoms associated with PTSD, as well as anxiety and depression, among various groups of individuals, including survivors of life–threatening diseases (such as cancer), first responders, and internally displaced persons/refugees. The research suggests that EMDR may be more effective than Cognitive Behavioral Therapy (CBT) in reducing the severity of intrusion and arousal symptoms. However, both approaches show relatively similar rates of reduction in avoidance symptoms. Encouragingly, recent studies indicate that EMDR therapy's effectiveness extends beyond trauma-focused applications, emphasizing its potential utility in addressing a broader spectrum of issues. The researchers note that further investigation is needed to determine the effectiveness of EMDR on different samples. Currently, there are no studies available on the effectiveness of EMDR specifically on a Russian sample, based on the best of our knowledge.

General Information

Keywords: effectiveness of psychotherapy, post–traumatic stress disorder, PTSD, eye movement desensitization and reprocessing, EMDR, meta–analysis, randomised trials, scientific review

Journal rubric: Research Reviews

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2023310304

Received: 27.06.2023

Accepted:

For citation: Kazennaya E.V. Current State of Research on the Effectiveness of Eye Movement Desensitization and Processing (EMDR) in Post-Traumatic Stress Disorder. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2023. Vol. 31, no. 3, pp. 69–90. DOI: 10.17759/cpp.2023310304. (In Russ., аbstr. in Engl.)

References

  1. Shapiro F. Psihoterapiya emocional'nyh travm s pomoshch'yu dvizhenij glaz (EMDR): osnovnye princiny, protokoly i procedury. [Eye Movement Psychotherapy for Emotional Trauma (EMDR): Core Principles, Protocols, and Procedures]: Per. s angl. SPb.: OOO «Dialektika», 2021. 832 p.
  2. Klinicheskie rekomendacii. Posttravmaticheskoe stressovoe rasstrojstvo [Clinical guidelines. Post Traumatic Stress Disorder]: ot 28.02.2023 ID:753: (prinyat Minzdravom RF 28.02.20023): Rubrikator klinicheskih rekomendacij Ministerstva zdravoohraneniya Rossijskoj Federacii [Elektronnyj resurs]. Elektron. dan.  URL: https://cr.minzdrav.gov.ru/schema/753_1 (data obrashcheniya: 01.06.2023)
  3. Adams R., Ohlsen S. & Wood E. Eye movement desensitization and reprocessing (EMDR) for the treatment of psychosis: A systematic review. European Journal of Psychotraumatology, 2020, no. 11 (1), pp. e1711349. DOI:10.1080/20008198.2019.1711349
  4. Acarturk C., Konuk E., Cetinkaya M., Senay I., Sijbrandij M., Gulen B. et al. The efficacy of eye movement desensitization and reprocessing for post–traumatic stress disorder and depression among Syrian refugees: Results of a randomized controlled trial. Psychol. Med. 2016, no. 46, pp. 2583¾2593. DOI: 10.1017/S0033291716001070
  5. Arabia E., Manca M.L., Solomon R.M. EMDR for survivors of life–threatening cardiac events: Results of a pilot study. J EMDR Pract. Res., 2011, no. 5, pp. 2¾13.
  6. Baek J., Lee S., Cho T., Kim S.W., Kim M., Yoon Y., Kim K.K., Byun J., Kim S.J., Jeong J., Shin H.–S. Neural circuits underlying a psychotherapeutic regimen for fear disorders. Nature, 2019, no. 566, pp. 339¾343.
  7. Bedeschi L. EMDR for bipolar disorder: A systematic review of the existing studies in literature. Clinical Neuropsychiatry: Journal of Treatment Evaluation, 2018, no. 15 (3), pp. 222¾225.
  8. Berger W., Coutinho E., Figueira I., Marques–Portella C., Pires Luz M., Neylan T. C., Marmar C. R. & Mendlowicz M. V. Rescuers at risk: A systematic review and meta–regression analysis of the worldwide current prevalence and correlates of PTSD in rescue workers. Social Psychiatry and Psychiatric Epidemiology, 2012, no. 47 (6), pp. 1001¾1011. DOI: 10.1007/s00127–011–0408–2
  9. Capezzani L., Ostacoli L., Cavallo M., Carletto S., Fernandez I., Solomon R., Cantelmi T. EMDR and CBT for cancer patients: Comparative study of effects on PTSD, anxiety and depression. Journal of EMDR Practice and Research, 2013, no. 7, pp. 134¾143.
  10. Carletto S., Borghi M., Bertino G., Oliva F., Cavallo M., Hofmann A. et al. Treating post–traumatic stress disorder in patients with multiple sclerosis: A randomized controlled trial comparing the efficacy of eye movement desensitization and reprocessing and relaxation therapy. Front. Psychol, 2016, no. 7, pp. 5¾26. DOI: 10.3389/fpsyg.2016.00526
  11. Chen L., Zhang G., Hu M., Liang X. Eye movement desensitization and reprocessing versus cognitive–behavioral therapy for adult posttraumatic stress disorder: Systematic review and meta–analysis. J. Nervous Mental Dis. 2015, no. 203, pp. 443¾451. DOI: 10.1097/NMD.0000000000000306
  12. Chen Y. R., Hung K. W., Tsai J. C., Chu H., Chung M. H., Chen S. R. et al. Efficacy of eye–movement desensitization and reprocessing for patients with posttraumatic–stress disorder: A meta–analysis of randomized controlled trials. PLoS ONE. 2014, no. 9, pp. e0103676. DOI: 10.1371/journal.pone.0103676
  13. Cuijpers P. et al. The effects of fifteen evidence–supported therapies for adult depression: a meta–analytic review. Psychotherapy Research, 2020, vol. 30, no. 3, pp. 279¾293.
  14. Davidson P.R., Parker K.C. Eye movement desensitization and reprocessing (EMDR): A meta–analysis. J Consult Clin Psychol, 2001, no. 69, pp. 305¾316.
  15. de Bont P., van den Berg D. P. G., van der Vleugel B. M. et al. Prolonged exposure and EMDR for PTSD v. a PTSD waiting–list condition: Effects on symptoms of psychosis, depression and social functioning in patients with chronic psychotic disorders. Psychol. Med., 2016, 46, pp. 2411¾2421. DOI: 10.1017/S0033291716001094
  16. Dominguez S. K., Matthijssen S. J. M. A., Lee C. W. Trauma–focused treatments for depression. A systematic review and meta–analysis. PLoS One, 2021, vol. 16, no. 7, p. e0254778.
  17. Engelhard I. M. et al. Reducing vividness and emotional intensity of recurrent «flashforwards» by taxing working memory: An analogue study. Journal of anxiety disorders, 2011, vol. 25, no 4, pp. 599¾603.
  18. Felitti V. J. et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American journal of preventive medicine, 1998, vol. 14, no 4. pp. 245¾258.
  19. Fjeldheim C. B. et al. Trauma exposure, posttraumatic stress disorder and the effect of explanatory variables in paramedic trainees. BMC emergency medicine, 2014, vol. 14, pp. 1¾7.
  20. Friedberg F. Eye movement desensitization in fibromyalgia: A pilot study. Complementary Therapies in Nursing and Midwifery, 2004, vol. 10, no. 4, pp. 245¾249.
  21. Gardoki–Souto I. et al. Augmentation of EMDR with multifocal transcranial current stimulation (MtCS) in the treatment of fibromyalgia: study protocol of a double–blind randomized controlled exploratory and pragmatic trial. Trials, 2021, vol. 22, no. 1, pp. 1¾13.
  22. Geronazzo–Alman L. et al. Cumulative exposure to work–related traumatic events and current post–traumatic stress disorder in New York City's first responders. Comprehensive psychiatry, 2017, vol. 74, pp. 134¾143.
  23. Grant M., Threlfo C. EMDR in the treatment of chronic pain. Journal of clinical psychology, 2002, vol. 58, no. 12, pp. 1505¾1520.
  24. Guidelines for the management of conditions specifically related to stress. World Health Organization. Geneva: WHO, 2013. 273 p. URL: https://apps.who.int/iris/bitstream/handle/10665/85119/9789241505406_eng.pdf (accessed: 01.06.2023)
  25. Harvey C. R., Liu Y., Zhu H. … and the cross–section of expected returns. The Review of Financial Studies, 2016, vol. 29, no. 1, pp. 5¾68.
  26. Hase M., Balmaceda U.M., Ostacoli L., Liebermann P., Hofmann A. The AIP Model of EMDR Therapy and Pathogenic Memories. Front. Psychol., 2017, no. 8, pp. e1578. DOI: 10.3389/fpsyg.2017.01578
  27. Jarero I., Amaya C., Givaudan M., Miranda A. EMDR Individual Protocol for Paraprofessional Use: A Randomized Controlled Trial With First Responders. Journal of EMDR Practice and Research, 2013, vol. 7, no. 2. DOI: 10.1891/1933–3196.7.2.55
  28. Jarero I., Schnaider S., Givaudan M. Randomized Controlled Trial: Provision of EMDR Protocol for Recent Critical Incidents and Ongoing Traumatic Stress to First Responders. Journal of EMDR Practice and Research, 2019, vol.13, no. 2, pp. 100¾110. DOI:10.1891/1933–3196.13.2.100
  29. Jeffries F.W. Davis P. What is the role of eye movements in eye movement desensitization and reprocessing (EMDR) for post–traumatic stress disorder (PTSD)? A review. Behav. Cognit. Psychother, 2013, 41, pp. 290¾300.
  30. Jung W. H., Chang K. J., Kim N. H. Disrupted topological organization in the whole–brain functional network of trauma–exposed firefighters: a preliminary study. Psychiatry Research: Neuroimaging, 2016, vol. 250, pp. 15¾23.
  31. Kapteijn C.M., van der Borg J.A.M., Vinke C.M., Endenburg N. On the Applicability of Eye Movement Desensitization and Reprocessing (EMDR) as an intervention in dogs with fear and anxiety disorders after a traumatic event. Behaviour, 2021, pp. 1¾17.
  32. Keenan P., Royle L. Vicarious trauma and first responders: A case study utilizing eye movement desensitization and reprocessing (EMDR) as the primary treatment modality. International journal of emergency mental health, 2007, vol. 9, no. 4, pp. 291¾298.
  33. Kessler R. C. et al. Prevalence, severity, and comorbidity of 12–month DSM–IV disorders in the National Comorbidity Survey Replication. Archives of general psychiatry, 2005, vol. 62, no. 6, pp. 617¾627.
  34. Kitchiner N. J., Aylard P. Psychological treatment of post–traumatic stress disorder: a single case study of a UK police officer. Mental Health Practice, 2002, vol. 5, no. 6, pp. 34¾38.
  35. Kitchiner N. J. Psychological treatment of three urban fire fighters with post–traumatic stress disorder using eye movement desensitisation reprocessing (EMDR) therapy. Complementary therapies in nursing and midwifery, 2004, vol. 10, no. 3, pp. 186¾193.
  36. Klimley K. E., Van Hasselt V. B., Stripling A. M. Posttraumatic stress disorder in police, firefighters, and emergency dispatchers. Aggression and violent behavior, 2018, vol. 43, pp. 33¾44.
  37. Lansing K. et al. High–resolution brain SPECT imaging and eye movement desensitization and reprocessing in police officers with PTSD. The Journal of neuropsychiatry and clinical neurosciences, 2005, vol. 17, no. 4, pp. 526¾532.
  38. Lee C. W., Cuijpers P. A meta–analysis of the contribution of eye movements in processing emotional memories. Journal of behavior therapy and experimental psychiatry, 2013, vol. 44,  no. 2, pp. 231‒239
  39. Lewis C., Roberts N., Andrew M., Starling E. & Bisson, J. Psychological therapies for post–traumatic stress disorder in adults: Systematic review and meta–analysis. European Journal of Psychotraumatology, 2020. 11 (1). DOI: 10.1080/20008198.2019.1709709
  40. Macgowan M. J., Naseh M. & Rafieifar M. Eye Movement Desensitization and Reprocessing to Reduce Post–Traumatic Stress Disorder and Related Symptoms among Forcibly Displaced People: A Systematic Review and Meta–Analysis. Research on Social Work Practice, 2022, № 1, pp. 181¾208.  DOI: 10.1177/10497315221082223
  41. Ménard K. S., Arter M. L., Khan C. Critical incidents, alcohol and trauma problems, and service utilization among police officers from five countries. International journal of comparative and applied criminal justice, 2016, vol. 40, no. 1, pp. 25¾42.
  42. Moore L.H., Grubbs J.B. Gambling Disorder and comorbid PTSD: A systematic review of empirical research. Addictive Behaviors, 2021, № 114,  pp. 12¾21.
  43. Morris H., Hatzikiriakidis K., Savaglio M., Dwyer J., Lewis C., Miller R. et al. Eye movement desensitization and reprocessing for the treatment and early intervention of trauma among first responders: A systematic review. J. Trauma. Stress, 2022, 35, pp. 778¾790. DOI: 10.1002/jts.22792
  44. Portigliatti Pomeri A., La Salvia A., Carletto S., Oliva F. Ostacoli L. EMDR in Cancer Patients: A Systematic Review. Front. Psychol., 2021, № 11, pp. e590204. DOI: 10.3389/fpsyg.2020.590204
  45. Rogers S., Silver S. M. Is EMDR an exposure therapy? A review of trauma protocols. J. Clin. Psychol, 2002, № 58, pp. 43¾59. DOI: 10.1002/jclp.1128
  46. Rybojad B. et al. Risk factors for posttraumatic stress disorder in Polish paramedics: A pilot study. The Journal of emergency medicine, 2016, vol. 50, no. 2, pp. 270¾276.
  47. Scelles C., Bulnes L.C. EMDR as Treatment Option for Conditions Other Than PTSD: A Systematic Review. Front. Psychol., 2021, № 12. P. e644369. DOI: 10.3389/fpsyg.2021.644369
  48. Scharff A. et al. Comparing the clinical presentation of eating disorder patients with and without trauma history and/or comorbid PTSD. Eating disorders, 2021, vol. 29, no 1, pp. 88¾102.
  49. Schilling E. A., Aseltine R. H., Gore S. Adverse childhood experiences and mental health in young adults: a longitudinal survey. BMC public health, 2007, vol. 7, pp. 1‒10
  50. Schubert S., Lee C. W. Adult PTSD and its treatment with EMDR: A review of controversies, evidence, and theoretical knowledge. Journal of EMDR Practice and Research, 2009, vol. 3, no. 3, pp. 117¾132.
  51. Schulz K. F., Altman D. G., Moher D. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. Journal of Pharmacology and pharmacotherapeutics, 2010, vol. 1, no. 2, pp. 100¾107.
  52. Shapiro F. Efficacy of the eye movement desensitization procedure in the treatment of traumatic memories. Journal of Traumatic Stress, 1989a, № 2, pp. 199¾223.
  53. Shapiro F. Eye movement desensitization: A new treatment for post–traumatic stress disorder. Journal of Behavior Therapy and Experimental Psychiatry, 1989b, № 20, pp. 211¾217.
  54. Shapiro E., Maxfield L. The efficacy of EMDR early interventions. Journal of EMDR Practice and Research, 2019, № 13 (4),  pp. 291¾301. DOI: h10.1891/1933–3196.13.4.291
  55. ter Heide F. J. J., Mooren T. M., van de Schoot R., de Jongh A. and Kleber R. J. Eye movement desensitisation and reprocessing therapy V. stabilization as usual for refugees: randomized controlled trial. Br. J. Psychiatry, 2016, № 209, pp. 313¾320. DOI: 10.1192/bjp.bp.115.167775
  56. Tesarz J. et al. Effects of eye movement desensitization and reprocessing (EMDR) treatment in chronic pain patients: a systematic review. Pain Medicine, 2014, vol. 15, no. 2, pp. 247¾263.
  57. Valiente–Gómez A., Moreno–Alcázar A., Treen D., Cedrón C., Colom F., Pérez V., Amann B.L. EMDR beyond PTSD: A Systematic Literature Review. Front. Psychol, 2017, № 8, pp. 16¾68.
  58. Wilson S. A., Becker L. A. & Tinker R. H. Fifteen–month follow–up of eye movement desensitization and reprocessing (EMDR) treatment for posttraumatic stress disorder and psychological trauma. Journal of Consulting and Clinical Psychology, 1997, № 65 (6), pp. 1047¾1056. DOI: 10.1037/0022–006X.65.6.1047
  59. Wilson S. A. et al. Stress management with law enforcement personnel: A controlled outcome study of EMDR versus a traditional stress management program. International Journal of Stress Management, 2001, vol. 8, no. 3, pp. 179¾200.
  60. Wilson G., Farrell D., Barron I., Hutchins J., Whybrow D. Kiernan M.D. The Use of Eye–Movement Desensitization Reprocessing (EMDR) Therapy in Treating Post–traumatic Stress Disorder: A Systematic Narrative Review. Front. Psychol., 2018. № 9. P. 923. DOI: 10.3389/fpsyg.2018.00923

Information About the Authors

Elena V. Kazennaya, Senior Lecturer, Department of Psychological Anthropology, Childhood Institute, Moscow Pedagogical State University (MPSU), Associate Professor, Department ofPsychology, HSE University; Head of the Certification Committee and Co–Founder of EMDR Russia Association, Moscow, Russia, ORCID: https://orcid.org/0000-0002-8506-1552, e-mail: kalianda@mail.ru

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