Efficacy of Eye Movement Desensitization and Reprocessing in Children and Adolescent with Post-traumatic Stress Disorder : A Meta-Analysis of Randomized Controlled Trials
Moreno Alcázar, Ana (Institut Hospital del Mar d'Investigacions Mèdiques)
Treen, Devi (Parc de Salut MAR de Barcelona)
Valiente-Gómez, Alicia (Parc de Salut MAR de Barcelona)
Sio-Eroles, Albert (Hospital Benito Menni Complex Assistencial en Salut Mental)
Pérez Solà, Víctor (Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal)
Amann, Benedikt L. (Parc de Salut MAR de Barcelona)
Radua, Joaquim (King's College London)

Data:	2017
Resum:	Background: Post-traumatic stress disorder (PTSD) can occur in both adults and children/adolescents. Untreated PTSD can lead to negative long-term mental health conditions such as depression, anxiety, low self-concept, disruptive behaviors, and/or substance use disorders. To prevent these adverse effects, treatment of PTSD is essential, especially in young population due to their greater vulnerability. The principal aim of this meta-analysis was to examine the efficacy of eye movement desensitization and reprocessing (EMDR) therapy for PTSD symptoms in children and adolescents. Secondary objectives were to assess whether EMDR therapy was effective to improve depressive or anxious comorbid symptoms. Methods: We conducted a thorough systematic search of studies published until January 2017, using PubMed, Medline, Scopus, and ScienceDirect as databases. All randomized controlled trials with an EMDR group condition compared to a control group, such as treatment as usual or another psychological treatment, were included. Meta-analysis was conducted with MetaNSUE to avoid biases related to missing information. Results: Eight studies (n = 295) met our inclusion criteria. EMDR therapy was superior to waitlist/placebo conditions and showed comparable efficacy to cognitive behavior therapy (CBT) in reducing post-traumatic and anxiety symptoms. A similar but non-statistically significant trend was observed for depressive symptoms. Exploratory subgroup analyses showed that effects might be smaller in studies that included more males and in more recent studies. Conclusion: Despite the small number of publications, the obtained results suggest that EMDR therapy could be a promising psychotherapeutic approach for the treatment of PTSD and comorbid symptoms in young individuals. However, further research with larger samples is needed to confirm these preliminary results as well as to analyze differences in the efficacy of EMDR therapy versus CBT.
Ajuts:	Ministerio de Economía y Competitividad CP14/00041 Ministerio de Ciencia e Innovación PI11/01766 Ministerio de Economía y Competitividad PI14/00292 Ministerio de Economía y Competitividad PI/15/02242
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Post-traumatic stress disorder ; Psychological trauma ; EMDR ; Children ; Adolescents ; Meta-analysis
Publicat a:	Frontiers in psychology, Vol. 8 (october 2017) , ISSN 1664-1078

DOI: 10.3389/fpsyg.2017.01750
PMID: 29066991

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