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Víctor Pérez - One of the best experts on this subject based on the ideXlab platform.

  • Efficacy of Eye Movement Desensitization and Reprocessing in Children and Adolescent with Post-traumatic Stress Disorder: A Meta-Analysis of Randomized Controlled Trials
    Frontiers Media S.A., 2017
    Co-Authors: Ana Moreno-alcázar, Devi Treen, Alicia Valiente-gómez, Albert Sio-eroles, Víctor Pérez
    Abstract:

    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

Andres Konichezky - One of the best experts on this subject based on the ideXlab platform.

  • Hypnotically Induced Dissociation (HID) as a strategic interven- tion for enhancing OCD treatment
    2020
    Co-Authors: Joseph Meyerson, Andres Konichezky
    Abstract:

    Abstract To date, cognitive behavioral therapy has been designated the most efficient evidence-based Psychotherapeutic Approach for OCD management. This is mainly due to its ability to effectively address the constitutional and developmentally acquired emotional and cognitive deficiencies of OCD, which express themselves through behavioral compulsions and intrusive thoughts. Yet some reports indicate that from 30 to 60 percent of OCD patients are not responsive to Psychotherapeutic interventions. As a consequence, broader therapeutic models have been considered. These models encompass multifactorial etiologies of OCD and take intrapsychic stressogenic factors into consideration as well. Some of these models have adopted hypnotherapeutic Approaches. In the present article, we introduce a therapeutic tool that utilizes hypnotically induced dissociation (HID) to identify and address the intrapsychic etiology of OCD. The result is a therapeutic intervention that in our view can complement existing OCD treatment strategies. Clinical cases are presented to illustrate implementation of the Approach

  • Hypnotically Induced Dissociation (HID) as a strategic interven- tion for enhancing OCD treatment
    2020
    Co-Authors: Joseph Meyerson, Andres Konichezky
    Abstract:

    Abstract To date, cognitive behavioral therapy has been designated the most efficient evidence-based Psychotherapeutic Approach for OCD management. This is mainly due to its ability to effectively address the constitutional and developmentally acquired emotional and cognitive deficiencies of OCD, which express themselves through behavioral compulsions and intrusive thoughts. Yet some reports indicate that from 30 to 60 percent of OCD patients are not responsive to Psychotherapeutic interventions. As a consequence, broader therapeutic models have been considered. These models encompass multifactorial etiologies of OCD and take intrapsychic stressogenic factors into consideration as well. Some of these models have adopted hypnotherapeutic Approaches. In the present article, we introduce a therapeutic tool that utilizes hypnotically induced dissociation (HID) to identify and address the intrapsychic etiology of OCD. The result is a therapeutic intervention that complements existing OCD treatment strategies. Clinical cases are presented to illustrate implementation of the Approach

Paolo Brambilla - One of the best experts on this subject based on the ideXlab platform.

  • the potential role of emdr on trauma in affective disorders a narrative review
    Journal of Affective Disorders, 2020
    Co-Authors: Cinzia Perlini, Valeria Donisi, Maria Gloria Rossetti, Chiara Moltrasio, Marcella Bellani, Paolo Brambilla
    Abstract:

    Abstract Background Eye Movement Desensitization and Reprocessing (EMDR) is a Psychotherapeutic Approach that has originally been developed to treat post-traumatic stress disorder (PTSD). Recently it has been suggested as a complementary therapy in a wide range of clinical conditions. In particular, affective disorders as bipolar disorder (BD) and major depressive disorder (MDD) have a higher lifetime prevalence of traumatic or stressful life events (SLEs) compared to the general population, which makes them good candidates for the application of EMDR. Methods A bibliographic search on PUBMED, Scopus, and ScienceDirect of studies applying EMDR to people with a primary diagnosis of bipolar disorder (BD) and major depressive disorder (MDD) (with or without a comorbid PTSD) was conducted. Results Literature search retrieved 15 studies, of which 3 were focused on BD and 12 on MDD. Overall, they suggest EMDR as an effective tool in reducing trauma-related but also manic and depressive symptoms, with few effect sides and high adherence rates. Limitations Few small studies exist with heterogeneous and not gold-standard methodology, especially for BD. Conclusions Overall, retrieved studies can be considered as first attempts at investigating the applicability of EMDR in affective disorders. Although far to be conclusive, preliminary evidence suggests EMDR as a useful adjunctive Approach in the treatment of BD and MDD, especially when other treatments have failed. It is now the time to implement such trauma-focused therapy to larger samples of patients using more rigorous methods.

Kathryn A. Moores - One of the best experts on this subject based on the ideXlab platform.

  • Traumatic Memories: Bridging the Gap Between Functional Neuroimaging and Psychotherapy:
    Australian & New Zealand Journal of Psychiatry, 2008
    Co-Authors: Julio F P Peres, Antonia Gladys Nasello, Alexander C. Mcfarlane, Kathryn A. Moores
    Abstract:

    Objective: Neuroimaging studies have highlighted important issues related to structural and functional brain changes found in sufferers of psychological trauma that may influence their ability to synthesize, categorize, and integrate traumatic memories.Methods: Literature review and critical analysis and synthesis.Results: Traumatic memories are diagnostic symptoms of post-traumatic stress disorder (PTSD), and the dual representation theory posits separate memory systems subserving vivid re-experiencing (non-hippocampally dependent) versus declarative autobiographical memories of trauma (hippocampally dependent). But the psychopathological signs of trauma are not static over time, nor is the expression of traumatic memories. Multiple memory systems are activated simultaneously and in parallel on various occasions. Neural circuitry interaction is a crucial aspect in the development of a Psychotherapeutic Approach that may favour an integrative translation of the sensory fragments of the traumatic memory in...

Sheila Payne - One of the best experts on this subject based on the ideXlab platform.

  • what research evidence is there for the use of art therapy in the management of symptoms in adults with cancer a systematic review
    Psycho-oncology, 2011
    Co-Authors: Michele J M Wood, Alex Molassiotis, Sheila Payne
    Abstract:

    Objective: Common psychosocial difficulties experienced by cancer patients are fatigue, depression, anxiety, and existential and relational concerns. Art therapy is one intervention being developed to address these difficulties. The purpose of this research was to assess and synthesize the available research evidence for the use of art therapy in the management of symptoms in adults with cancer. Methods: A literature search of electronic databases, grey literature, hand searching of key journals, and personal contacts was undertaken. Keywords searched were art therapy and cancer or neoplasm. The inclusion criteria were: research studies of any design; adult cancer population; and art therapy intervention. There were no language or date restrictions. Data extraction occurred and quality appraisal was undertaken. Data were analyzed using narrative synthesis. Results: Fourteen papers reporting 12 studies met the inclusion criteria. Symptoms investigated spanned emotional, physical, social and global functioning, and existential/spiritual concerns. Measures used were questionnaires, in-depth interviews, patients' artwork, therapists' narratives of sessions, and stress markers in salivary samples. No overall effect size was determined owing to heterogeneity of studies. Narrative synthesis of the studies shows art therapy is used at all stages of the cancer trajectory, most frequently by women, the most common cancer site in participants being breast. Conclusion: Art therapy is a Psychotherapeutic Approach that is being used by adults with cancer to manage a spectrum of treatment-related symptoms and facilitate the process of psychological readjustment to the loss, change, and uncertainty characteristic of cancer survivorship. Research in this area is still in its infancy.