EMDR therapy in children and adolescents who have post-traumatic stress disorder: a six-week follow-up study

International Journal of Psychiatry in Clinical Practice, Год журнала: 2019, Номер 24(1), С. 77 - 82

Опубликована: Окт. 30, 2019

Objectives: The purpose of this study is to explore whether eye movement desensitisation and reprocessing (EMDR) an effective therapy investigate EMDR affects anxiety levels for children adolescents.Methods: We conducted with 30 clients. clients completed self-administered questionnaires Child Post-Traumatic Stress Reaction Index Scale State-Trait Anxiety Inventory. were before the 6 weeks after completion therapy.Results: Nineteen (63%) had only one traumatic event, but 11 (37%) more than event. While mean score on PTSD symptom scale was 60 (±8.7), rate decreased 24 (±10.1), whereas STAI-T 59 (±8.9) treatment 41 (±11.5) treatment. found a statistically significant difference between scores as quantified by both (p < .05).Conclusions: As result, we have shown that method adolescents in terms post-traumatic levels; however, recommend larger sample size control group further establish effectiveness children.KEY POINTSPTSD common disorder adolescents.Additional psychiatric disorders such depression are PTSD.In cases applying treatment, trauma associated sexual abuse pronounced complex.EMDR well adults.There decrease at patients therapy.

Язык: Английский

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A Systematic Review of Treatment Interventions for Individuals With Intellectual Disability and Trauma Symptoms: A Review of the Recent Literature

Trauma Violence & Abuse, Год журнала: 2020, Номер 23(2), С. 541 - 554

Опубликована: Сен. 24, 2020

Individuals with intellectual disabilities (IDs) are at increased susceptibility to adverse life experiences and trauma sequelae. There is a disparate range of therapeutic interventions for post-traumatic stress disorder (PTSD) associated symptoms. This systematic review aimed appraise the effectiveness both cognitive behavioral therapy (CBT) eye movement desensitization reprocessing (EMDR) PTSD symptoms adults children mild, moderate, or severe delay. A search, in line Preferred Reporting Items Systematic Reviews Meta-Analyses guidelines, PsychInfo, PubMed, Cochrane Database Reviews, MEDLINE databases were performed, all relevant articles published between 2010 March 2020 included. total 11 included, eight that focused on EMDR three CBT. The methodological quality many these was generally weak. Tentative findings suggest CBT acceptable feasible treatment options among varying levels delay, but no firm conclusions can be drawn regarding due small sample sizes, lack standardized assessment, paucity rigorous designs. highlights continued use approaches clients presenting IDs PTSD. It adds extant literature by providing an expansive broad overview current Further high-quality research needed provide more conclusive modifications this population.

Язык: Английский

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Trauma exposure and post‐traumatic stress disorder in people with intellectual disabilities: A Delphi expert rating

Journal of Applied Research in Intellectual Disabilities, Год журнала: 2018, Номер 32(3), С. 558 - 567

Опубликована: Ноя. 19, 2018

Abstract Background There is a lack of research on trauma in people with intellectual disabilities. This study assessed expert consensus the traumatic potential broader range adverse life events, and differences symptom manifestation behavioural equivalents post‐traumatic stress disorder (PTSD) symptoms. Method The present authors conducted three‐step Delphi survey using mixed‐methods design. Twenty‐nine raters participated survey, 16 persisted to final round. Consensus was calculated interquartile range. Results Traumatic attributed particularly revolving around sexuality autonomy. DSM‐5 symptoms PTSD were rated as partially adequate, expression being main difference general population. Conclusion events should be broadened for A specific subset need defined future research. Detection depends upon determining correlates challenging behaviour.

Язык: Английский

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Trauma‐Specific Treatment for Individuals With Intellectual and Developmental Disabilities: A Review of the Literature From 2008 to 2018

Journal of Policy and Practice in Intellectual Disabilities, Год журнала: 2020, Номер 17(4), С. 332 - 345

Опубликована: Июнь 8, 2020

Abstract Background Individuals with intellectual and developmental disabilities (IDD) are at increased risk for adverse experiences developing posttraumatic stress disorder (PTSD). However, trauma PTSD in this population frequently underdiagnosed undertreated. Despite the availability of multiple types trauma‐specific treatments general population, there is a gap understanding these collective interventions within IDD literature. Specific Aims The aim article was to conduct review peer‐reviewed literature on treatment published from 2008 2018. Method A systematic search online databases conducted using Academic Search Premier, MEDLINE, PsycARTICLES, Social Work Abstracts. quality appraisal studies included review. Findings Twelve articles described four treatments: child–parent psychotherapy, exposure therapy, trauma‐focused cognitive behavior eye movement desensitization reprocessing therapy. All demonstrated that were well tolerated associated improvement symptoms. Eight sustained follow‐up, ranging 6 weeks 5 years. Discussion Research among individuals continues present methodological limitations yet provides considerations future practice foundation research.

Язык: Английский

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Prevention and Intervention Programs Targeting Sexual Abuse in Individuals with Mild Intellectual Disability: A Systematic Review

Journal of Mental Health Research in Intellectual Disabilities, Год журнала: 2021, Номер 14(2), С. 135 - 158

Опубликована: Март 7, 2021

Introduction: Compared to their non-disabled peers, individuals with mild intellectual disability (MID) are at higher risk of becoming a victim sexual abuse and more vulnerable its disruptive effects. This review provides an overview content effectiveness prevention intervention programs targeting in MID.Methods: PRISMA guidelines were followed quality the evaluated taking into account rating Quality Assessment Tool for Quantitative Studies (QATQS).Results: Twelve studies included. In role-play prevailed, whereas varied. All received "weak" QATQS rating. By consequence, program was downgraded "unclear" ten, "ineffective" two studies.Conclusion: Further development research is needed investigate whether they effective preventing or reducing consequences MID.

Язык: Английский

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Eye Movement Desensitization and Reprocessing (EMDR) Therapy as a Feasible and Potential Effective Treatment for Adults with Autism Spectrum Disorder (ASD) and a History of Adverse Events

Journal of Autism and Developmental Disorders, Год журнала: 2018, Номер 49(1), С. 151 - 164

Опубликована: Июль 25, 2018

Язык: Английский

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Assessing Posttraumatic Stress Disorder in Adults with Mild Intellectual Disabilities or Borderline Intellectual Functioning

Journal of Mental Health Research in Intellectual Disabilities, Год журнала: 2020, Номер 13(2), С. 110 - 126

Опубликована: Апрель 2, 2020

Introduction: Persons with mild intellectual disability or borderline functioning (MID-BIF, IQ 50–85) are at high risk for the development of posttraumatic stress disorder (PTSD). A diagnostic instrument to establish a valid and reliable DSM-5 PTSD diagnosis in adults MID-BIF was lacking. Aim current study determine reliability validity Adapted ADIS-C PTSD-adults assessment according DSM-IV-TR MID-BIFMethod: 106 (18– 72 years old) were interviewed using PTSD-adultsResults: Agreement between raters appeared be good (mean Cohen’s kappa traumatic event scores 0.84, fulfillment A-criterion 0.50, symptom 0.90). Content supported by significant positive association on IES-IDs, DSM-IV screening (DSM-IV: r = .58; DSM-5: .43; ps <.001). Convergent considering correlations rates symptoms ADESS, measuring anxiety stress, depression, social avoidance .47; .49; <.001)Conclusion: The is suitable assessing MID-BIF, an important step gain access trauma-focused interventions that have shown applicable potentially effective this high-risk target group.

Язык: Английский

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Some observations on remote delivery of eye‐movement desensitisation and reprocessing to people with intellectual disabilities

Journal of Policy and Practice in Intellectual Disabilities, Год журнала: 2023, Номер 20(2), С. 205 - 215

Опубликована: Янв. 13, 2023

Abstract It is increasingly recognised that many people with intellectual disabilities suffer from post‐traumatic stress disorder (PTSD). Eye‐movement desensitisation and reprocessing (EMDR) has been proposed as a potentially helpful intervention less reliant on verbal skills than other effective treatments for PTSD therefore could be more interventions disabilities. The Trauma‐AID project randomised clinical trial (RCT) evaluating the effectiveness of bespoke EMDR protocol adults disability PTSD, which incorporates prolonged phase Psycho‐Education Stabilisation (PES) prior to trauma confrontation EMDR. COVID‐19 pandemic struck during feasibility project, necessitating second study evaluate acceptability remote or hybrid delivery PES + protocol. To this end, we conducted two online surveys therapists followed by interviews clients, carers senior therapists. were analysed descriptively. Content analysis was used client carer interviews, framework therapist interviews. All stakeholders reported positive experiences EMDR; however, some challenges identified. majority interviewed intervention, whether alone full PES‐EMDR package, had improved symptoms psychological well‐being, also decreases in challenging behaviour. A account data provided four Supplementary Digital files. therapy appears both feasible acceptable clients therapists, delivered face‐to‐face mode, though working easier intervention.

Язык: Английский

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EMDR treatment for people with intellectual disabilities: a systematic review about difficulties and adaptations

Frontiers in Psychiatry, Год журнала: 2024, Номер 14

Опубликована: Янв. 11, 2024

People with intellectual disabilities (ID) are at increased risk for developing Post Traumatic Stress Disorder (PTSD). Emerging evidence indicates that Eye Movement Desensitization and Reprocessing (EMDR) therapy is feasible potentially effective this group. However, communication, cognition, stress regulation, attachment difficulties may interfere the EMDR process. Adaptation of protocol seems therefore required population.

Язык: Английский

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Feasibility and potential effectiveness of an intensive trauma-focused treatment programme for families with PTSD and mild intellectual disability

European journal of psychotraumatology, Год журнала: 2020, Номер 11(1)

Опубликована: Июль 14, 2020

Persons with mild intellectual disabilities or borderline functioning (MID-BIF; IQ 50-85) have a higher risk of being exposed to traumatic events and developing posttraumatic stress disorder (PTSD). EMDR therapy has shown be applicable, safe potentially effective for the treatment PTSD in individuals MID-BIF. However, traumatized multi-problem families MID-BIF (impending) out home placement children, standard an outpatient setting may not appropriate.To evaluate feasibility potential effectiveness KINGS-ID, six-week clinical trauma-focused programme consisting intensive parents parental skills training followed by two weeks parent support at home.Six (nine whom six had MID-BIF) 10 children (all having participated KINGS-ID programme. Seven seven PTSD. Data were collected within single case study design. For each family member data during baseline (three measurements), (seven weekly posttreatment measurements) follow-up measurements).None members dropped out. Within first all but one child no longer met symptom criteria. In both parents, trauma-related symptoms daily life impairment significantly decreased following significant decrease general psychopathology was found. Results maintained six-month follow-up.The findings current are promising given that seems offer new perspectives MID-BIF.Antecedentes: Las personas con discapacidades intelectuales moderadas o funcionamiento intelectual límite tienen un mayor riesgo de estar expuestas eventos traumáticos y desarrollar trastorno estrés postraumático (TEPT). La terapia DRMO ha demostrado ser aplicable, segura potencialmente efectiva para el tratamiento TEPT en individuos Sin embargo, familias traumatizadas múltiples problemas e inminente relocalización niños fuera del hogar, estándar modalidad ambulatoria puede inapropiado.Objetivo: Evaluar la factibilidad potencial efectividad programa clínico seis semanas centrado trauma, consistente intensivo padres niños, entrenamiento habilidades parentales seguido por dos apoyo hogar.Método: Seis (nueve padres, los cuales tenían (todos participaron KINGS-ID. Siete siete TEPT. Los datos fueron recopilados diseño estudio caso único. Para cada miembro familia obtenidos durante inicio (tres mediciones), (siete mediciones semanales), post-tratamiento mediciones) seguimiento mediciones).Resultados: Ningún las desertó. Durante primeras tratamiento, todos excepto niño padre cumplían criterios sintomáticos Tanto como síntomas relacionados trauma deterioro vida diaria disminuyeron significativamente siguiendo se encontró una disminución significativa psicopatología parental. resultados mantuvieron meses seguimiento.Conclusiones: hallazgos este son promisorios, dado que parece ofrecer nuevas perspectivas MID-BIF.背景: 患有轻度智力障碍或具有边缘智力功能 的人暴露于创伤事件并发展为创伤后应激障碍 (PTSD) 的风险更高。 EMDR治疗已被证明对于MID-BIF患者的PTSD治疗是适用, 安全并且可能有效的。但是, 在患有MID-BIF和 (即将) 离家安置的儿童的多问题创伤家庭中, 门诊环境中的标准PTSD治疗可能不合适。目的: 评估KINGS-ID这项为期六周的聚焦创伤临床治疗方案的可行性和潜在有效性, 该方案包括与父母和孩子的强化EMDR治疗, 父母技能培训以及在家中接受父母两周的支持。方法: 六个家庭 (9个父母中有6个患有MID-BIF) 和十个孩子 (都具有MID-BIF) 参加了KINGS-ID计划。七个父母和七个孩子患有PTSD。在单个案例研究设计中收集数据。对于每个家庭成员, 在基线 (3次测量), 治疗时 (每周7次测量), 治疗后 (3次测量) 和随访 期间收集数据。结果: 无家庭成员流失。在前两个治疗周内, 除一个孩子和一个父母之外, 其他参与者均不再符合PTSD症状标准。在儿童和父母中, 创伤相关症状和日常生活障碍在治疗后均显著降低, 在父母中发现了总体精神病态状态和父母压力的显著下降。结果在六个月的随访中维持。结论: 鉴于该治疗方案似乎为遭受创伤的MID-BIF多问题家庭提供了新视角, 本研究结果很有前景。.

Язык: Английский

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