Articlebronze2012

Brief eclectic psychotherapy v. eye movement desensitisation and reprocessing therapy for post-traumatic stress disorder: randomised controlled trial

Mirjam J. Nijdam · Berthold P. R. Gersons · Johannes B. Reitsma · Ad de Jongh · Miranda Olff

141 citations0/0 files storedThe British Journal of Psychiatry

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Posttraumatic Stress Disorder Research Psychoanalysis and Psychopathology Research Psychotherapy Techniques and Applications

Abstract

BACKGROUND: Trauma-focused cognitive-behavioural therapy (CBT) and eye movement desensitisation and reprocessing therapy (EMDR) are efficacious treatments for post-traumatic stress disorder (PTSD), but few studies have directly compared them using well-powered designs and few have investigated response patterns. AIMS: To compare the efficacy and response pattern of a trauma-focused CBT modality, brief eclectic psychotherapy for PTSD, with EMDR (trial registration: ISRCTN64872147). METHOD: Out-patients with PTSD were randomly assigned to brief eclectic psychotherapy (n = 70) or EMDR (n = 70) and assessed at all sessions on self-reported PTSD (Impact of Event Scale - Revised). Other outcomes were clinician-rated PTSD, anxiety and depression. RESULTS: Both treatments were equally effective in reducing PTSD symptom severity, but the response pattern indicated that EMDR led to a significantly sharper decline in PTSD symptoms than brief eclectic psychotherapy, with similar drop-out rates (EMDR: n = 20 (29%), brief eclectic psychotherapy: n = 25 (36%)). Other outcome measures confirmed this pattern of results. CONCLUSIONS: Although both treatments are effective, EMDR results in a faster recovery compared with the more gradual improvement with brief eclectic psychotherapy.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 1983The Hospital Anxiety and Depression Scale 1995Posttraumatic Stress Disorder in the National Comorbidity Survey 1997Structured clinical interview for DSM-IV axis I disorders : SCID-I : clinical version : scoresheet 2007The Impact of Event Scale: Revised 1998Trauma and Posttraumatic Stress Disorder in the Community 1997A validation study of the Hospital Anxiety and Depression Scale (HADS) in different groups of Dutch subjects 2003Psychometric properties of the Impact of Event Scale—Revised

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