Efficacy of the eye movement desensitization and reprocessing group protocol with children in reducing posttraumatic stress disorder in refugee children - 11/03/22
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Abstract |
The prevalence of posttraumatic stress disorder (PTSD) is high among Syrian refugee children. Depression is another pathology whose symptoms are often seen associated with vulnerability to PTSD and decreasing life satisfaction in refugee children. The Eye Movement Desensitization and Reprocessing (EMDR) psychotherapy method is a well-known intervention for the treatment of PTSD. Despite its treatment efficacy shown in clinical trials, individual EMDR applications fall short of the cost and time effectiveness targets in mass casualty incidents, such as war victimizations. In response to this need, a group treatment protocol developed especially for children (EMDR-GP/C) was tested by a randomized controlled trial study with Syrian refugee children (n = 61, 6-15 years old). After the treatment, EMDR group had significantly lower trauma scores compared to the waiting-list (F(1,58) = 4.72, p = .03, ηp² = .08). Depression scores significantly diminished (F(1, 17) = 8.67, p = .01, ηp² = .34) and well-being levels increased (F(1,58) = 6.58, p = .01, ηp² = .10). The curative effect of time by itself (F(1, 59) = 29.91, p < .001, ηp² = .34) and time-by-group interaction (F(1, 59) = 4.61, p = .04, ηp² = .07) were significant on PTSD symptoms, but non-significant on depression and well-being levels. Results suggest that EMDR-GP/C interventions may reduce PTSD and depression symptoms, as well as improving the well-being of Syrian refugee children with PTSD. It also appears that the content of the EMDR-GP/C helps children to integrate the whole experience, reconstructing an adaptive meaning for the traumatic event.
Le texte complet de cet article est disponible en PDF.Keywords : Syrian children, War-related traumas, EMDR treatment, Major depression disorders, Child well-being
Plan
The first author (project coordinator) disclosed receipt of the financial support of the United Nations High Commissioner for Refugees (UNHCR) Istanbul Field Office (Grant Number: CSP/2018-11), Maltepe District Governorship and Maltepe Municipality. We would like to sincerely thank Maltepe Governor, Meftun Dallı, for supporting this project under the auspices of Maltepe District Governorship. We are also grateful to EMDR therapists (Nagehan Bilge, Nuran Derya Yassı, Selvi Kaval, Uygar Eren, Zuhal Akıntı) and psychiatrist Dr. Hüseyin Ünübol, who applied the EMDR-GP/C in the field, as well as Arabic-Turkish translators Udey Öztürkmen, Maha Dada, and Aycan Hüzmeli. Without them this research would not have been possible. Lastly, we express our gratitude to the colleagues in UNHCR Istanbul Field Office, Mohammadreza Lak Zadeh and Sinan Özyürek, as well as the head of UNHCR Istanbul Field Office, Elif Selen Ay. Thanks to all these stakeholders, this research project was given the Best State Project Award by the Ministry of Interior of Republic of Turkey in 2019. |
Vol 6 - N° 1
Article 100241- février 2022 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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