Psychological Medicine
Volume 46, Issue 12, 2016, Pages 2583-2593

The efficacy of eye movement desensitization and reprocessing for post-traumatic stress disorder and depression among Syrian refugees: Results of a randomized controlled trial (Article)

Acarturk C.* , Konuk E. , Cetinkaya M. , Senay I. , Sijbrandij M. , Gulen B. , Cuijpers P.
  • a Department of Psychology, Istanbul Şehir University, Uskudar, Istanbul, 34660, Turkey
  • b Institute for Behavioral Studies, Istanbul, Turkey
  • c Department of Psychiatry, Istanbul University Medical School, Istanbul, Turkey
  • d Department of Psychology, Istanbul Şehir University, Uskudar, Istanbul, 34660, Turkey
  • e Department of Clinical Psychology, VU University Amsterdam, Amsterdam, Netherlands
  • f Kilis Refugee Camp, Kilis, Turkey
  • g Department of Clinical Psychology, VU University Amsterdam, Amsterdam, Netherlands

Abstract

Background Previous research indicates a high prevalence of post-traumatic stress disorder (PTSD) and depression among refugees. Eye movement desensitization and reprocessing (EMDR) is an effective treatment for PTSD for victims of natural disasters, car accidents or other traumatic events. The current study examined the effect of EMDR on symptoms of PTSD and depression by comparing the treatment with a wait-list control condition in Syrian refugees. Method Adult refugees located in Kilis Refugee Camp at the Turkish-Syrian border with a PTSD diagnosis were randomly allocated to either EMDR (n = 37) or wait-list control (n = 33) conditions. All participants were assessed with the Mini-International Neuropsychiatric Interview Plus at pre-intervention, at 1 week after finishing the intervention and at 5 weeks after finishing the intervention. The main outcome measures were the Harvard Trauma Questionnaire (HTQ) and the Impact of Event Scale-Revised. The Beck Depression Inventory and the Hopkins Symptoms Checklist-25 were included as secondary outcome measures. The Trial Registration no. is NCT01847742. Results Mixed-model analyses adjusted for the baseline scores indicated a significant effect of group at post-treatment indicating that the EMDR therapy group showed a significantly larger reduction of PTSD symptoms as assessed with the HTQ. Similar findings were found on the other outcome measures. There was no effect of time or group × time interaction on any measure, showing that the difference between the groups at the post-treatment was maintained to the 5-week follow-up. Conclusions EMDR may be effective in reducing PTSD and depression symptoms among Syrian refugees with PTSD located in a refugee camp. Copyright © Cambridge University Press 2016.

Author Keywords

Refugees Post-traumatic stress disorder Eye movement desensitization and reprocessing Depression

Index Keywords

depression refugee Syrian Arab Republic Single-Blind Method human single blind procedure Refugees controlled study randomized controlled trial procedures Humans psychology male female Outcome Assessment (Health Care) adult posttraumatic stress disorder Syria Turkey Stress Disorders, Post-Traumatic outcome assessment Eye Movement Desensitization Reprocessing eye movement desensitization and reprocessing

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84976348949&doi=10.1017%2fS0033291716001070&partnerID=40&md5=eeea953cf4cdc4b9595b77c6e8266efe

DOI: 10.1017/S0033291716001070
ISSN: 00332917
Cited by: 25
Original Language: English