Comparison of eye movement desensitization and reprocessing therapy, cognitive behavioral writing therapy, and wait-list in pediatric posttraumatic stress disorder following single-incident trauma: a multicenter randomized clinical trial
(2017) In Journal of Child Psychology and Psychiatry 58(11). p.1219-1228- Abstract
- Background: Practice guidelines for childhood posttraumatic stress disorder (PTSD) recommend trauma-focused psychotherapies, mainly cognitive behavioral therapy (CBT). Eye movement desensitization and reprocessing (EMDR) therapy is a brief trauma-focused, evidence-based treatment for PTSD in adults, but with few well-designed trials involving children and adolescents. Methods: Weconducted a single-blind, randomized trial with three arms (n = 103): EMDR (n = 43), Cognitive Behavior Writing Therapy (CBWT; n = 42), and wait-list (WL; n = 18). WL participants were randomly reallocated to CBWT or EMDR after 6 weeks; follow-ups were conducted at 3 and 12 months posttreatment. Participants were treatment-seeking youth (aged 8–18 years) with a... (More)
- Background: Practice guidelines for childhood posttraumatic stress disorder (PTSD) recommend trauma-focused psychotherapies, mainly cognitive behavioral therapy (CBT). Eye movement desensitization and reprocessing (EMDR) therapy is a brief trauma-focused, evidence-based treatment for PTSD in adults, but with few well-designed trials involving children and adolescents. Methods: Weconducted a single-blind, randomized trial with three arms (n = 103): EMDR (n = 43), Cognitive Behavior Writing Therapy (CBWT; n = 42), and wait-list (WL; n = 18). WL participants were randomly reallocated to CBWT or EMDR after 6 weeks; follow-ups were conducted at 3 and 12 months posttreatment. Participants were treatment-seeking youth (aged 8–18 years) with a DSM-IV diagnosis of PTSD (or subthreshold PTSD) tied to a single trauma, who received up to six sessions of EMDR or CBWT lasting maximally 45 min each. Results: Both treatments were well-tolerated and relative to WL yielded large, intent-to-treat effect sizes for the primary outcomes at posttreatment: PTSD symptoms (EMDR: d = 1.27; CBWT: d = 1.24). At posttreatment 92.5% of
EMDR, and 90.2% of CBWT no longer met the diagnostic criteria for PTSD. All gains were maintained at follow-up. Compared to WL, small to large (range d = 0.39–1.03) intent-to-treat effect sizes were obtained at posttreatment for negative trauma-related appraisals, anxiety, depression, and behavior problems with these gains being maintained at follow-up. Gains were attained with significantly less therapist contact time for EMDR than CBWT (mean = 4.1 sessions/140 min vs. 5.4 sessions/227 min). Conclusions: EMDR and CBWT are brief, trauma-focused treatments that yielded equally large remission rates for PTSD and reductions in the severity of PTSD and comorbid difficulties in children and adolescents seeking treatment for PTSD tied to a single event. Further trials of both treatments with PTSD tied to multiple traumas are warranted. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/7819f200-050f-4949-980c-ab0f7fe0acde
- author
- de Roos, Carlijn
; van der Oord, Saskia
; Zijlstra, Bonne
; Lucassen, Sacha
; Perrin, Sean
LU
; Emmelkamp, Paul and de Jongh, Ad
- organization
- publishing date
- 2017-06-29
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Eye Movement Desensitization Reprocesssing Therapy, cognitive behavioral therapy (CBT), post traumatic stress disorder PTSD, Randomized controlled trial, Children and Adolescents
- in
- Journal of Child Psychology and Psychiatry
- volume
- 58
- issue
- 11
- pages
- 1219 - 1228
- publisher
- Wiley-Blackwell
- external identifiers
-
- scopus:85021428248
- ISSN
- 0021-9630
- language
- English
- LU publication?
- yes
- id
- 7819f200-050f-4949-980c-ab0f7fe0acde
- alternative location
- http://rdcu.be/tMAl
- date added to LUP
- 2017-05-24 09:39:24
- date last changed
- 2022-02-22 02:59:07
@article{7819f200-050f-4949-980c-ab0f7fe0acde, abstract = {{Background: Practice guidelines for childhood posttraumatic stress disorder (PTSD) recommend trauma-focused psychotherapies, mainly cognitive behavioral therapy (CBT). Eye movement desensitization and reprocessing (EMDR) therapy is a brief trauma-focused, evidence-based treatment for PTSD in adults, but with few well-designed trials involving children and adolescents. Methods: Weconducted a single-blind, randomized trial with three arms (n = 103): EMDR (n = 43), Cognitive Behavior Writing Therapy (CBWT; n = 42), and wait-list (WL; n = 18). WL participants were randomly reallocated to CBWT or EMDR after 6 weeks; follow-ups were conducted at 3 and 12 months posttreatment. Participants were treatment-seeking youth (aged 8–18 years) with a DSM-IV diagnosis of PTSD (or subthreshold PTSD) tied to a single trauma, who received up to six sessions of EMDR or CBWT lasting maximally 45 min each. Results: Both treatments were well-tolerated and relative to WL yielded large, intent-to-treat effect sizes for the primary outcomes at posttreatment: PTSD symptoms (EMDR: d = 1.27; CBWT: d = 1.24). At posttreatment 92.5% of<br/>EMDR, and 90.2% of CBWT no longer met the diagnostic criteria for PTSD. All gains were maintained at follow-up. Compared to WL, small to large (range d = 0.39–1.03) intent-to-treat effect sizes were obtained at posttreatment for negative trauma-related appraisals, anxiety, depression, and behavior problems with these gains being maintained at follow-up. Gains were attained with significantly less therapist contact time for EMDR than CBWT (mean = 4.1 sessions/140 min vs. 5.4 sessions/227 min). Conclusions: EMDR and CBWT are brief, trauma-focused treatments that yielded equally large remission rates for PTSD and reductions in the severity of PTSD and comorbid difficulties in children and adolescents seeking treatment for PTSD tied to a single event. Further trials of both treatments with PTSD tied to multiple traumas are warranted.}}, author = {{de Roos, Carlijn and van der Oord, Saskia and Zijlstra, Bonne and Lucassen, Sacha and Perrin, Sean and Emmelkamp, Paul and de Jongh, Ad}}, issn = {{0021-9630}}, keywords = {{Eye Movement Desensitization Reprocesssing Therapy; cognitive behavioral therapy (CBT); post traumatic stress disorder PTSD; Randomized controlled trial; Children and Adolescents}}, language = {{eng}}, month = {{06}}, number = {{11}}, pages = {{1219--1228}}, publisher = {{Wiley-Blackwell}}, series = {{Journal of Child Psychology and Psychiatry}}, title = {{Comparison of eye movement desensitization and reprocessing therapy, cognitive behavioral writing therapy, and wait-list in pediatric posttraumatic stress disorder following single-incident trauma: a multicenter randomized clinical trial}}, url = {{http://rdcu.be/tMAl}}, volume = {{58}}, year = {{2017}}, }