A randomised comparison of cognitive behavioural therapy (CBT) and eye movement desensitisation and reprocessing (EMDR) in disaster-exposed children

作者：de Roos Carlijn^*; Greenwald Ricky; den Hollander Gijsman Margien; Noorthoorn Eric; van Buuren Stef; de Jongh Ad

来源：European Journal of Psychotraumatology, 2011, 2(1): 5694.

DOI：10.3402/ejpt.v2i0.5694

• Randomised controlled trial
• eye movement desensitisation and reprocessing (EMDR)
• cognitive behavioural therapy (CBT)
• post-traumatic stress disorder (PTSD)
• disaster

Background: Building on previous research with disaster-exposed children and adolescents, a randomised clinical trial was performed in the treatment of trauma-related symptoms. In the current study two active treatments were compared among children in a broad age range and from a wide diversity of ethnic populations.
Objective: The primary aim was to compare the effectiveness and efficiency of Cognitive Behavioural Therapy (CBT) and Eye Movement Desensitisation and Reprocessing (EMDR).
Design: Children (n = 52, aged 4 = 18) were randomly allocated to either CBT (n = 26) or EMDR (n = 26) in a disaster mental health after-care setting after an explosion of a fireworks factory. All children received up to four individual treatment sessions over a 4 - 8 week period along with up to four sessions of parent guidance. Blind assessment took place pre- and post-treatment and at 3 months follow-up on a variety of parent-rated and self-report measures of post-traumatic stress disorder symptomatology, depression, anxiety, and behaviour problems. Analyses of variance (general linear model repeated measures) were conducted on the intention-to-treat sample and the completers.
Results: Both treatment approaches produced significant reductions on all measures and results were maintained at follow-up. Treatment gains of EMDR were reached in fewer sessions.
Conclusion: Standardised CBT and EMDR interventions can significantly improve functioning of disasterexposed children.

• 出版日期2011