Attentional Bias Modification in Dutch Veterans With Posttraumatic Stress Disorder-A Case Series With a Personalized Treatment Version

2014 ◽  
Vol 27 (2) ◽  
pp. 240-243 ◽  
Author(s):  
Maartje Schoorl ◽  
Peter Putman ◽  
Trudy M. Mooren ◽  
Steven Van Der Werff ◽  
Willem Van Der Does
2016 ◽  
Vol 10 (1) ◽  
pp. 33-46 ◽  
Author(s):  
Claire Kullack ◽  
Jonathan Laugharne

This report begins with a summary of the literature regarding the theoretical models behind the comorbid relationship between posttraumatic stress disorder and substance use disorders and the various modified addiction protocols formulated to assist in treating these disorders. This case series outlines the effect that the standard eye movement desensitization and reprocessing (EMDR) protocol had on alcohol and substance dependence for 4 patients who attended our Post Traumatic Stress Clinic in Fremantle, Western Australia, primarily for treatment for posttraumatic stress disorder. Patients were assessed for substance use disorders using the Mini International Neuropsychiatric Interview Plus prior to, immediately after, and 12 months after completing EMDR therapy. Results indicate that the standard EMDR protocol was successful in reducing alcohol and substance use. Prior to treatment, 3 patients met criteria for alcohol dependence and 1 met criteria for substance dependence. At 12-month follow-up, 3 out of 4 clients did not meet the diagnostic criteria for current alcohol dependence or current substance dependence. The implications of these findings are discussed with reference to theories of comorbid posttraumatic stress disorder and substance use disorder and the modified EMDR protocols developed for patients with substance dependence.


2008 ◽  
Vol 12 (4) ◽  
pp. 205-225 ◽  
Author(s):  
Estate Sokhadze ◽  
Shraddha Singh ◽  
Christopher Stewart ◽  
Michael Hollifield ◽  
Ayman El-Baz ◽  
...  

2017 ◽  
Vol 11 (2) ◽  
pp. 84-95 ◽  
Author(s):  
Hannelies Bongaerts ◽  
Agnes Van Minnen ◽  
Ad de Jongh

There is mounting evidence suggesting that by increasing the frequency of treatment sessions, posttraumatic stress disorder (PTSD) treatment outcomes significantly improve. As part of an ongoing research project, this study examined the safety and effectiveness of intensive eye movement desensitization and reprocessing (EMDR) therapy in a group of seven (four female) patients suffering from complex PTSD and multiple comorbidities resulting from childhood sexual abuse, physical abuse, and/or work and combat-related trauma. Treatment was not preceded by a preparation phase and consisted of 2 × 4 consecutive days of EMDR therapy administered in morning and afternoon sessions of 90 minutes each, interspersed with intensive physical activity and psychoeducation. Outcome measures were the Clinician-Administered PTSD Scale (CAPS) and the PTSD Symptom Scale Self-report questionnaire (PSS-SR). During treatment, neither personal adverse events nor dropout occurred. CAPS scores decreased significantly from pre- to posttreatment, and four of the seven patients lost their PTSD diagnosis as established with the CAPS. The results were maintained at 3-month follow-up. Effect sizes (Cohen’s d) on the CAPS and PSS-SR were large: 3.2, 1.7 (prepost) and 2.3, 2.1 (prefollow-up), respectively. The results of this case series suggest that an intensive program using EMDR therapy is a potentially safe and effective treatment alternative for complex PTSD. The application of massed, consecutive days of treatments using EMDR therapy for patients suffering from PTSD, particularly those with multiple comorbidities, merits more clinical and research attention.


2014 ◽  
Vol 28 (2) ◽  
pp. 203-210 ◽  
Author(s):  
Maartje Schoorl ◽  
Peter Putman ◽  
Steven Van Der Werff ◽  
A.J. Willem Van Der Does

2020 ◽  
Vol 33 (5) ◽  
pp. 857-863
Author(s):  
Kirsten H. Dillon ◽  
Alyssa M. Medenblik ◽  
Tiffany M. Mosher ◽  
Eric B. Elbogen ◽  
Leslie A. Morland ◽  
...  

1997 ◽  
Vol 10 (4) ◽  
pp. 635-644 ◽  
Author(s):  
Richard A. Bryant ◽  
Allison G. Harvey

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Anne-Wil Kruijt ◽  
Peter Putman ◽  
Willem Van der Does

Background. Attention bias modification (ABM) is a new treatment for affective disorders. A meta-analysis of ABM for anxiety disorders showed that the effect size may be large but the number of studies is low. The working mechanism is still unclear, and little is known about the optimal treatment parameters. ABM for depression is much less studied. A few studies claimed positive effects but the sample sizes are low. Furthermore, the treatment parameters varied widely and differed from the anxiety literature. Aim. To select the most promising version of ABM for depression for further evaluation in clinical trials. Methods. Multiple case series design. We tested six versions of ABM that varied on stimulus duration and training direction. Thirty students with mild to moderate symptoms of depression underwent four sessions of ABM. Change of attentional bias was measured during each session. Generalization of treatment effects and the role of awareness of receiving training were also investigated. Results. None of the investigated versions of ABM had a consistent effect on attentional bias. Changes of attentional bias in individual participants the effects did not generalize to untrained stimuli. Conclusion. It is unlikely that any of these ABM versions will have a specific effect on symptoms in controlled studies.


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