Comparing the efficacy of EMDR and trauma-focused cognitive-behavioral therapy in the treatment of PTSD: a meta-analytic study

Seidler, Günter H.; Wagner, Frank E.

doi:10.1017/s0033291706007963

Cited by 390 publications

(255 citation statements)

References 34 publications

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“…EMDR is an evidence-based psychological treatment that is frequently used and effective in post-traumatic stress disorder (PTSD) and its affiliated symptoms (Bisson et al, 2007; Bradley, Greene, Russ, Dutra, & Westen, 2005; Seidler & Wagner, 2006). Desensitization and reprocessing of memories and images that contribute to the symptoms, such as events in which the tinnitus acquired negative meaning, may reduce tinnitus distress.…”

Section: Introductionmentioning

confidence: 99%

A trauma-focused approach for patients with tinnitus: the effectiveness of eye movement desensitization and reprocessing – a multicentre pilot trial

Rikkert

Rood

Roos

et al. 2018

European Journal of Psychotraumatology

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Background: While normal tinnitus is a short-term sensation of limited duration, in 10–15% of the general population it develops into a chronic condition. For 3–6% it seriously interferes with many aspects of life. Objective: The aim of this trial was to assess effectiveness of a trauma-focused approach, eye movement desensitization and reprocessing (EMDR), in reducing tinnitus distress. Methods: The sample consisted of 35 adults with high levels of chronic tinnitus distress from five general hospitals in the Netherlands. Participants served as their own controls. After pre-assessment (T1), participants waited for a period of 3 months, after which they were assessed again (T2) before they received six 90 min manualized EMDR treatment sessions in which tinnitus-related traumatic or stressful events were the focus of treatment. Standardized self-report measures, the Tinnitus Functional Index (TFI), Mini-Tinnitus Questionnaire (Mini-TQ), Symptom Checklist-90 (SCL-90) and the Self-Rating Inventory List for Post-traumatic Stress Disorder (SRIP), were completed again halfway through treatment (T3), post-treatment (T4) and at 3 months’ follow-up (T5). Results: Repeated measures analysis of variance revealed significant improvement after EMDR treatment on the primary outcome, TFI. Compared to the waiting-list condition, scores significantly decreased in EMDR treatment [t(34) = −4.25, p < .001, Cohen’s dz = .72]. Secondary outcomes, Mini-TQ and SCL-90, also decreased significantly. The treatment effects remained stable at 3 months’ follow-up. No adverse events or side effects were noted in this trial. Conclusions: This is the first study to suggest that EMDR is effective in reducing tinnitus distress. Randomized controlled trials are warranted.

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Section: Introductionmentioning

confidence: 99%

A trauma-focused approach for patients with tinnitus: the effectiveness of eye movement desensitization and reprocessing – a multicentre pilot trial

Rikkert

Rood

Roos

et al. 2018

European Journal of Psychotraumatology

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“…In posttraumatic stress disorder (PTSD) there has been considerable research on whether CR adds any treatment effectiveness beyond prolonged trauma exposure. Several meta-analyses have concluded that individual trauma-focused CBT that includes exposure to an individual's memory of the trauma and its personal meaning is an effective treatment for PTSD (e.g., Bisson & Andrew, 2009;Seidler & Wagner, 2006; see also discussion by Ehlers et al, 2010). However, there is considerable controversy over whether CR of trauma-related thoughts and beliefs adds any therapeutic effectiveness over prolonged imaginal exposure to the trauma memory.…”

Section: Component Analysismentioning

confidence: 99%

Cognitive Restructuring

Clark¹

2013

The Wiley Handbook of Cognitive Behavioral Therapy

114

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Cognitive restructuring is the core therapeutic ingredient of cognitive therapy that was first introduced to the psychotherapy community by A. T. Beck and colleagues. This chapter provides a detailed breakdown and elaboration of cognitive restructuring and how it is implemented to effect symptom change. The nature of cognitive restructuring and its multifaceted therapeutic components are discussed. A critical review of the empirical research on its treatment efficacy is presented, as well as the evidence for cognitive mediation from component and mediation process research. It is concluded that cognitive restructuring is an effective treatment strategy for psychological disorders, especially anxiety and depression. However, superiority to other “less cognitive” interventions has not been demonstrated, even though the effectiveness of cognitive restructuring does occur by inducing cognitive change. Various research issues are raised that would advance a greater understanding of the mechanisms of change associated with cognitive restructuring. With greater knowledge of the change processes that characterize cognitive restructuring, clinicians will be better equipped to employ this powerful therapeutic intervention.

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“…Ambas consisten esencialmente en exposición sistemática, desensibilización y reestructuración cognitiva. En el caso de EMDR, se utilizan los movimientos oculares para facilitar este proceso, pero la utilidad de ello es controvertida 37,44,52 . La evidencia, por el contrario, indica que sería el componente conductual, común a todas las psicoterapias centradas en el trauma, el que explicaría su efecto benéfico 42 y no se han encontrado diferencias de efectividad entre la terapia cognitivo-conductual y EMDR en el tratamiento del TEPT 37 .…”

Section: Nivel IV Manejo Psiquiátrico Generalunclassified

“…En el caso de EMDR, se utilizan los movimientos oculares para facilitar este proceso, pero la utilidad de ello es controvertida 37,44,52 . La evidencia, por el contrario, indica que sería el componente conductual, común a todas las psicoterapias centradas en el trauma, el que explicaría su efecto benéfico 42 y no se han encontrado diferencias de efectividad entre la terapia cognitivo-conductual y EMDR en el tratamiento del TEPT 37 . Las psicoterapias sin un componente conductual, como las psicoterapias de apoyo, la hipnosis, la psicoterapia psicodiná-mica, etc, no han demostrado ser efectivas 31,34,40,63 ; sólo dos metaanálisis plantean lo contrario 29,46 .…”

Section: Nivel IV Manejo Psiquiátrico Generalunclassified

Apoyo psicológico en desastres: Propuesta de un modelo de atención basado en revisiones sistemáticas y metaanálisis

Figueroa¹,

Marín²,

González³

2010

Rev. méd. Chile

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Comparing the efficacy of EMDR and trauma-focused cognitive-behavioral therapy in the treatment of PTSD: a meta-analytic study

Cited by 390 publications

References 34 publications

A trauma-focused approach for patients with tinnitus: the effectiveness of eye movement desensitization and reprocessing – a multicentre pilot trial

A trauma-focused approach for patients with tinnitus: the effectiveness of eye movement desensitization and reprocessing – a multicentre pilot trial

Cognitive Restructuring

Apoyo psicológico en desastres: Propuesta de un modelo de atención basado en revisiones sistemáticas y metaanálisis

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