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Your search for all content returned 12 results

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  • EMDR Group Treatment of Children Refugees—A Field StudyGo to article: EMDR Group Treatment of Children Refugees—A Field Study

    EMDR Group Treatment of Children Refugees—A Field Study

    Article

    Given the significant growth in the migration flow of refugees who are fleeing from persecution, terrorism, and war-torn countries to Europe, there is an urgent need for effective interventions for the treatment of this highly traumatized population. EMDR Integrative Group Treatment Protocol (EMDR-IGTP) was provided to 14 child refugees (7 females) in 2016 at a Turkey orphanage near the Syrian border which was housing adult and child Syrian refugees. Treatment was provided in three groups, one each for children aged 3–7 years, pre-adolescents aged 9–12, and adolescents aged 13–18 with three sessions provided to each group. Pre-treatment assessment with multiple measures was compromised by difficulties with translator availability and refugee mobility, resulting in high attrition. When the post-treatment assessment was conducted 45 days later, many refugees had already left the orphanage. The sparse character of the data matrix produced analyzable data for 8 children (mean age 11 ± 3; 4 females) on the Children's Revised Impact of Event Scale (CRIES). Statistical analysis showed a significant decrease in CRIES scores, reflecting a decrease in severity of posttraumatic symptoms.

    Source:
    Journal of EMDR Practice and Research
  • Corrélats de la thérapie EMDR en neuroimagerie fonctionnelle et structurelle : un résumé critique des résultats récentsGo to article: Corrélats de la thérapie EMDR en neuroimagerie fonctionnelle et structurelle : un résumé critique des résultats récents

    Corrélats de la thérapie EMDR en neuroimagerie fonctionnelle et structurelle : un résumé critique des résultats récents

    Article

    Les investigations en neuroimagerie sur les effets des psychothérapies qui traitent l'état de stress post-traumatique (ESPT), dont l'EMDR (désensibilisation et retraitement par les mouvements oculaires), ont décrit des résultats cohérents avec des modifications au niveau du débit sanguin cérébral (DSC ; tomographie d'émission monophotonique [SPECT : single photon emission computed tomography]), du volume neuronal et de la densité neuronale (imagerie par résonance magnétique [IRM]) et, plus récemment, du signal électrique cérébral (électroencéphalographie [EEG]). De plus, récemment, des changements neurobiologiques en lien avec l'EMDR ont été relevés par EEG pendant la thérapie elle-même et a montré une modification de l'activation maximale depuis les régions cérébrales limbiques émotionnelles vers les régions corticales cognitives. C'était la première fois que des changements neurobiologiques se produisant au cours d'une séance de psychothérapie étaient rapportés, faisant de l'EMDR la première psychothérapie avec un effet neurobiologique prouvé. Le but de cet article est de résumer les résultats indiquant les changements fonctionnels et structurels se produisant lors du traitement de l'ESPT et présentés par divers groupes de recherche pendant la période 1999-2012. Les changements pathophysiologiques décrits sont présentés en fonction de la technique neuropsychologique et de la méthodologie employée, puis analysés de manière critique.

    Source:
    Journal of EMDR Practice and Research
  • Impact neurobiologique de l’EMDR dans le cancerGo to article: Impact neurobiologique de l’EMDR dans le cancer

    Impact neurobiologique de l’EMDR dans le cancer

    Article

    L’exposition à une maladie mortelle comme le cancer peut constituer une expérience traumatique qui dans certains cas peut conduire au développement d’un état de stress post-traumatique (ESPT). Au cours des dernières années, plusieurs études ont investigué ce syndrome chez des patients atteints de cancer, mais peu se sont centrées sur la neurobiologie sous-jacente. Le but de ce texte est de passer en revue la littérature actuelle sur la neurobiologie de l’ESPT dans les maladies oncologiques, en se centrant sur une comparaison des résultats d’études neurobiologiques de l’ESPT chez des patients non atteints de cancer ainsi que sur les traitements ayant montré des résultats efficaces pour ce trouble. Les structures cérébrales jouant un rôle dans l’apparition de l’ESPT en psycho-oncologie, en particulier des symptômes intrusifs, semblent être les mêmes que celles impliquées dans l’ESPT non-oncologique. Ces résultats peuvent avoir des implications importantes sur un plan clinique également, en suggérant que les psychothérapies démontrées comme efficaces dans le traitement de l’ESPT dans différentes populations peuvent aussi être proposées aux patients présentant des symptômes post-traumatiques dus au cancer. D’autres études sont nécessaires pour approfondir nos connaissances sur la neurobiologie de l’ESPT lié au cancer et son traitement, afin de transposer les résultats dans la pratique clinique.

    Source:
    Journal of EMDR Practice and Research
  • Correlates of EMDR Therapy in Functional and Structural Neuroimaging: A Critical Summary of Recent FindingsGo to article: Correlates of EMDR Therapy in Functional and Structural Neuroimaging: A Critical Summary of Recent Findings

    Correlates of EMDR Therapy in Functional and Structural Neuroimaging: A Critical Summary of Recent Findings

    Article

    Neuroimaging investigations of the effects of psychotherapies treating posttraumatic stress disorder (PTSD), including eye movement desensitization and reprocessing (EMDR), have reported findings consistent with modifications in cerebral blood flow (CBF; single photon emission computed tomography [SPECT]), in neuronal volume and density (magnetic resonance imaging [MRI]), and more recently in brain electric signal (electroencephalography [EEG]). Additionally in the recent past, EMDR-related neurobiological changes were monitored by EEG during therapy itself and showed a shift of the maximal activation from emotional limbic to cortical cognitive brain regions. This was the first time in which neurobiological changes occurring during any psychotherapy session have been reported, making EMDR the first psychotherapy with a proven neurobiological effect. The purpose of this article was to review the results of functional and structural changes taking place at PTSD treatment and presented during the period of 1999–2012 by various research groups. The reported pathophysiological changes are presented by neuropsychological technique and implemented methodology and critically analyzed.

    Source:
    Journal of EMDR Practice and Research
  • Funktionelle und Strukturelle Korrelate von EMDR-Therapie in Neuro-Bildgebungsverfahren (Neuroimaging) : Eine kritische Übersicht neuester BefundeGo to article: Funktionelle und Strukturelle Korrelate von EMDR-Therapie in Neuro-Bildgebungsverfahren (Neuroimaging) : Eine kritische Übersicht neuester Befunde

    Funktionelle und Strukturelle Korrelate von EMDR-Therapie in Neuro-Bildgebungsverfahren (Neuroimaging) : Eine kritische Übersicht neuester Befunde

    Article

    Neuroimaging-Untersuchungen zu den Auswirkungen PTSD-fokussierter Therapien, einschließlich Eye Movement Desensitization and Reprocessing (EMDR), berichten von entsprechenden Veränderungsbefunden in der zerebralen Durchblutung (CBF; single photon emission computed tomography SPECT), im neuronalen Volumen und der neuronalen Dichte (funktionelle Magnetresonanz-Tomographie; fMRT) und jüngst auch im EEG-Befund. Ebenso wurden vor kurzem neurobiologische Veränderungen während laufender Therapie nachgewiesen, wobei eine Verlagerung der maximalen Aktivierung von den emotionsprozessierenden limbischen zu den kortikal-kognitiven Hirnregionen zu verzeichnen war. Erstmals konnte hier von neurobiologischen Veränderungen während einer Therapiesitzung berichtet werden; EMDR war damit die erste Therapie mit einem nachgewiesenen neurobiologischen Effekt. Ziel dieses Artikels ist eine kritische Übersicht der Ergebnisse zu den funktionellen und strukturellen Veränderungen, die durch eine PTBS-Behandlung bewirkt werden und die im Zeitraum 1999–2012 von verschiedenen Forschungsgruppen vorgestellt worden sind. Die berichteten pathophysiologischen Veränderungen werden hinsichtlich ihrer neurophysiologischen Technik und der dabei angewandten Methodik dargestellt und kritisch analysiert.

    Source:
    Journal of EMDR Practice and Research
  • Correlatos de la terapia EMDR en la neuroimagen funcional y estructural: Un resumen crítico de los hallazgos recientesGo to article: Correlatos de la terapia EMDR en la neuroimagen funcional y estructural: Un resumen crítico de los hallazgos recientes

    Correlatos de la terapia EMDR en la neuroimagen funcional y estructural: Un resumen crítico de los hallazgos recientes

    Article

    Las investigaciones con neuroimagen sobre los efectos de las psicoterapias que tratan el trastorno de estrés postraumático (TEPT), incluyendo la terapia de desensibilización y reprocesamiento por movimientos oculares (EMDR), han mostrado hallazgos conformes con modificaciones en el flujo sanguíneo cerebral (FSC; tomografía computerizada de emisión monofotónica [SPECT]), en el volumen y la densidad neuronal (imágenes por resonancia magnética [MRI]) y, más recientemente, en las señales eléctricas del cerebro (electroencefalografía [EEG]). Además, en el pasado reciente, se han monitorizado, por medio de EEG, cambios neurobiológicos relacionados con EMDR durante la misma terapia y han mostrado un cambio en la activación máxima desde las regiones límbicas emocionales a las regiones cognitivas corticales del cerebro. Esta ha sido la primera vez que se han señalado los cambios neurobiológicos que tienen lugar durante una sesión de psicoterapia, lo que ha hecho que EMDR sea la primera psicoterapia con un efecto neurobiológico probado. El propósito de este artículo ha sido analizar los resultados de los cambios funcionales y estructurales que han tenido lugar durante el tratamiento del TEPT y que han sido presentados por diversos grupos de investigación durante el período entre 1999 y 2012. Los cambios fisiopatológicos referidos se presentan en función de las técnicas neuropsicológicas y la metodología implementadas y son analizados de manera crítica.

    Source:
    Journal of EMDR Practice and Research
  • EMDR and CBT for Cancer Patients: Comparative Study of Effects on PTSD, Anxiety, and DepressionGo to article: EMDR and CBT for Cancer Patients: Comparative Study of Effects on PTSD, Anxiety, and Depression

    EMDR and CBT for Cancer Patients: Comparative Study of Effects on PTSD, Anxiety, and Depression

    Article

    This pilot study examined the efficacy of eye movement desensitization and reprocessing (EMDR) treatment compared with cognitive behavioral therapy (CBT) in treating posttraumatic stress disorder (PTSD) in oncology patients in the follow-up phase of the disease. The secondary aim of this study was to assess whether EMDR treatment has a different impact on PTSD in the active treatment or during the follow-up stages of disease. Twenty-one patients in follow-up care were randomly assigned to EMDR or CBT groups, and 10 patients in the active treatment phase were assigned to EMDR group. The Impact of Event Scale—Revised (IES-R) and Clinician-Administered PTSD Scale (CAPS) were used to assess PTSD at pretreatment and 1 month posttreatment. Anxiety, depression, and psychophysiological symptoms were also evaluated. For cancer patients in the follow-up stage, the absence of PTSD after the treatment was associated with a significantly higher likelihood of receiving EMDR rather than CBT. EMDR was significantly more effective than CBT in reducing scores on the IES-R and the CAPS intrusive symptom subscale, whereas anxiety and depression improved equally in both treatment groups. Furthermore, EMDR showed the same efficacy both in the active cancer treatment and during the follow-up of the disease.

    Source:
    Journal of EMDR Practice and Research
  • Pretreatment, Intratreatment, and Posttreatment EEG Imaging of EMDR: Methodology and Preliminary Results From a Single CaseGo to article: Pretreatment, Intratreatment, and Posttreatment EEG Imaging of EMDR: Methodology and Preliminary Results From a Single Case

    Pretreatment, Intratreatment, and Posttreatment EEG Imaging of EMDR: Methodology and Preliminary Results From a Single Case

    Article

    Electroencephalography (EEG), due to its peculiar time and spatial resolution, was used for the first time to fully monitor neuronal activation during the whole eye movement desensitization and reprocessing (EMDR) session, including the autobiographical script. The present case report describes the dominant cortical activations (Z-score >1.5) during the first EMDR session and in the last session after the client processed the index trauma. During the first EMDR session, prefrontal limbic cortex was essentially activated during script listening and during lateral eye movements in the desensitization phase of EMDR. In the last EMDR session, the prevalent electrical activity was recorded in temporal, parietal, and occipital cortical regions, with a clear leftward lateralization. These findings suggest a cognitive processing of the traumatic event following successful EMDR therapy and support evidence of distinct neurobiological patterns of brain activations during lateral eye movements in the desensitization phase of EMDR.

    Source:
    Journal of EMDR Practice and Research
  • El impacto neurobiológico de EMDR en el cáncerGo to article: El impacto neurobiológico de EMDR en el cáncer

    El impacto neurobiológico de EMDR en el cáncer

    Article

    La exposición a una enfermedad potencialmente mortal como el cáncer puede constituir una experiencia traumática que, en algunos casos, puede dar lugar al desarrollo de un trastorno por estrés postraumático (TEPT). En los últimos años, varios estudios han investigado este síndrome en pacientes con cáncer, pero pocos se han centrado en la neurobiología subyacente. El objetivo de este trabajo ha sido revisar la literatura actual de la neurobiología del TEPT en las enfermedades oncológicas, centrándonos en compararla con los resultados de los estudios neurobiológicos sobre el TEPT en pacientes no oncológicos y en los tratamientos que han resultado ser eficaces para dicho trastorno. Las estructuras cerebrales que desempeñan un papel en la aparición del TEPT en psico-oncología, y en particular en los síntomas intrusivos, parecen ser las mismas que están involucradas en el TEPT no oncológico. Estos hallazgos pueden tener implicaciones importantes también a nivel clínico, lo que sugiere que las psicoterapias que resulten ser eficaces para tratar el TEPT en diferentes poblaciones pueden ofrecerse también a pacientes con síntomas postraumáticos inducidos por el cáncer. Se necesitan más estudios para profundizar en nuestros conocimientos sobre la neurobiología del TEPT relacionado con el cáncer y su tratamiento, con el objetivo de transferir los resultados a la práctica clínica.

    Source:
    Journal of EMDR Practice and Research
  • Neurobiological Impact of EMDR in CancerGo to article: Neurobiological Impact of EMDR in Cancer

    Neurobiological Impact of EMDR in Cancer

    Article

    The exposure to a life-threatening disease such as cancer may constitute a traumatic experience that in some cases may lead to the development of posttraumatic stress disorder (PTSD). In recent years, several studies investigated this syndrome in patients with cancer, but few focused on the underlying neurobiology. The aim of this work was to review the current literature of neurobiology of PTSD in oncological diseases, focusing on a comparison with the results of neurobiological studies on PTSD in non-oncological patients and on treatments resulted effective for such disorder. Brain structures having a role in the appearance of PTSD in psycho-oncology, and in particular, in intrusive symptoms, seem to be the same involved in non-oncologic PTSD. These findings may have important implications also at clinical level, suggesting that psychotherapies found to be effective to treat PTSD in different populations may be offered also to patients with cancer-induced posttraumatic symptoms. Further studies are needed to deepen our knowledge about cancer-related PTSD neurobiology and its treatment, aiming at transferring the results into clinical practice.

    Source:
    Journal of EMDR Practice and Research

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