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Dr Zeynep Zat

Emdr to heal from the traumatic experiences

Posted by Dr Zeynep Zat

293 Days Ago

An Eye Movement Desensitization and Reprocessing (EMDR) Group Intervention for Syrian Refugees With Post-traumatic Stress Symptoms: Results of a Randomized Controlled Trial

  • 1DBE Institute for Behavioral Studies, Istanbul, Turkey
  • 2BATE Individual and Family Therapy Institute, Istanbul, Turkey
  • 3Psychiatry Department, Medical School, Istanbul University, Istanbul, Turkey
  • 4Psychologist in Private Practice, Ramat Yishay, Israel

The number of refugees has increased significantly over the past few years. PTSD and depression are among the most common mental health problems among refugees. Eye Movement Desensitization and Reprocessing (EMDR), an effective treatment for PTSD, is usually administered individually. The availability of mental health resources would be greatly enhanced when EMDR can be delivered to groups. The EMDR G-TEP is a group protocol based on Early EMDR intervention protocols. There is clinical evidence and one field study published on the effect of EMDR G-TEP and there is only one RCT published on the treatment of PTSD and depression in a refugee camp. The aim of our study was to investigate the efficacy of EMDR G-TEP in treating post-trauma symptoms and depression and preventing the development of chronic PTSD among refugees living in a refugee camp. 47 adult participants with PTSD symptoms were randomly allocated to experimental (n = 18) and control (n = 29) groups. We measured Impact of Event Scale (IES-R), Beck Depression Inventory-II (BDI-II) and International Neuropsychiatric Interview (MINI) at pre-, post- and 4-week follow-up. Analysis of the results showed that the EMDR G-TEP group had significantly lower PTSD and depression symptoms after intervention. The percentage of PTSD diagnosis decreased from 100 to 38.9% in the EMDR G-TEP group and was unchanged in the control group. Following the EMDR G-TEP intervention 61.1% of the experimental group no longer had a PTSD diagnosis; this decrease was maintained at 4 weeks follow-up. In the control group the percentage of people who no longer met the diagnostic criteria for PTSD was 10.3% post-test and 6.9% at 4 weeks follow-up. A significant decrease in depression symptoms from pre-test levels was found in EMDR group but not in the control group follow up-test. This study indicated that EMDR G-TEP effectively reduced PTSD symptoms among refugees living in a camp, after two treatment sessions conducted over a period of 3 days. Further studies need to be performed using a larger number of participants, followed for a longer period of time and given more treatment sessions to strengthen our findings.

Dr Zeynep Zat

Article written by Dr Zeynep Zat - London

I am in London to provide counselling services to individual, families and couples. My areas of expertise are anxiety, panic attacks, performance anxiety, concentration difficulty, post-traumatic symptoms, phobias, chronic pain and relationship problems. I mainly utilize Eye Movement Desensitisation and Reprocessing (EMDR), Solution Focused Therapy, Cognitive Behavioural Therapy, Family and Couple... [read more]


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