This article describes the treatment of post-traumatic stress disorder (PTSD)
using eye movement desensitization and reprocessing (EMDR) with four
pre-adolescent children. EMDR has been shown to bring rapid relief in adults
with PTSD. Studies are beginning to show that it can also be useful in work with
young children. However, the standard protocol requires some adjustment to make
it suitable for use with young children. In addition, in situations where
children have complex difficulties in addition to PTSD, EMDR may need to be used
alongside other interventions within a complex treatment package. This study
describes brief work carried out with four pre-adolescent children with PTSD.
Three of these children had received no treatment despite suffering from
significant and chronic symptoms for some years. One had suffered a recent
traumatic bereavement. All had additional problems that required intervention.
EMDR was used as part of a multimodal treatment package. In all cases, the
children's PTSD symptoms resolved within 2-4 sessions of EMDR. The maximum total
number of sessions was 7. The children's symptomatic improvements were
maintained at 6-month follow-up. EMDR can be adapted for use with pre-adolescent
children. It can provide rapid and lasting symptomatic relief. EMDR can be a
useful part of a multi-modal treatment package for young children with PTSD and
additional mental health problems.
Armstrong, M.S.
, &
Vaughan, K.
(1996).
An orienting response model of eye movement desensitization
. Journal of Behavior Therapy & Experimental
Psychiatry, 27,
21-32
.
2.
Barrowcliff, A.
,
Gray, N.
,
MacCulloch, S.
,
Freeman, T.
, &
MacCulloch, M.
(2003).
Horizontal rhythmical eye movements consistently diminish the arousal
provoked by auditory stimuli
. British Journal of Clinical Psychology, 42,
289-302
.
3.
Beere, D.B.
,
Simon, M.J.
, &
Welch, K.
(2001).
Recommendations and illustrations for combining hypnosis and EMDR in the
treatment of psychological trauma
. American Journal of Clinical Hypnosis,
43(34),
217-231
.
4.
Birleson, P.
(1981).
The validity of depressive disorder in childhood and the development of a
self-rating scale: A research report
. Journal of Child Psychology and Psychiatry, 22,
73-88
.
5.
Bradley, S.J.
(2000). Affect regulation and the development of
psychopathology.
New York: Guilford Press
.
6.
Brewin, C.R.
(2003). Posttraumatic stress disorder: Malady or myth?New Haven, CT: Yale University Press
.
7.
Briere, J.
,
Johnson, K.
,
Bissada, A.
,
Damon, L.
,
Crouch, J.
,
Gil, E.
,
Hanson, R.
, &
Ernst, V.
(2001).
The Trauma Symptom Checklist for Young Children (TSCYC): Reliability and
association with abuse exposure in a multi-site study
. Child Abuse & Neglect, 25,
1001-1014
.
8.
Chemtob, C.M.
,
Nakashima, J.P.
, &
Carlson, J.G.
(2002).
Brief treatment for elementary school children with disaster-related
posttraumatic stress disorder: A field study
. Journal of Clinical Psychology, 58,
99-112
.
9.
Chemtob, C.M.
,
Nakashima, J.P.
, &
Hamada, R.S.
(2002).
Psychosocial intervention for postdisaster trauma symptoms in elementary
school children: A controlled community field study
. Archives of Pediatrics and Adolescent Medicine,
156,
211-216
.
10.
Chemtob, C.M.
, &
Taylor, T.L.
(2002). Treating trauma survivors with PTSD. In
R.E. Yehuda
(Ed.), Treatment of traumatized children (pp.
75-126).
Washington, DC: American Psychiatric Press
.
11.
de Roos, C.
,
Greenwald, R.
, &
deJongh, A.
(2004).
EMDR versus CBT for disaster-exposed children: A controlled study
. Paper presented at the ISTSS Annual Conference,
New Orleans, LA.
12.
Goodman, R.
(1997).
The Strengths and Difficulties Questionnaire: A research note
. Journal of Child Psychology & Psychiatry & Allied
Disciplines, 38,
581-586
.
13.
Horowitz, M.J.
,
Wilner, N.
, &
Alvarez, W.
(1979).
Impact of Event Scale: A measure of subjective stress
. Psychosomatic Medicine, 41,
209-218
.
14.
Joseph, S.
,
Brewin, C.
,
Yule, W.
, &
Williams, R.
(1991).
Causal attributions and post traumatic stress in survivors of the Herald of
Free Enterprise disaster
. British Journal of Psychiatry, 159,
542-546
.
15.
Joseph, S.
,
Brewin, C.
,
Yule, W.
, &
Williams, R.
(1993).
Causal attributions and post traumatic stress in adolescents
. Journal of Child Psychology & Psychiatry,
34,
247
.
16.
Lovett, J.
(1999). Small wonders: Healing childhood trauma with
EMDR.
New York: Free Press
.
17.
McFarlane, A.C.
(1989).
The aetiology of post-traumatic morbidity predisposing, precipitating and
perpetuating factors
. British Journal of Psychiatry, 154,
221-228
.
18.
Ohan, J.L.
,
Myers, K.
, &
Collett, B.R.
(2002).
Ten-year review of rating scales. IV: Scales assessing trauma and its effects
. Journal of the American Academy of Child and Adolescent
Psychiatry, 41,
1401-1422
.
19.
Power, K.
,
McGoldrick, T.
,
Brown, K.
,
Buchanan, R.
,
Sharp, D.
, &
Karatiias, S.V.
(2002).
A controlled comparison of eye movement desensitisation and reprocessing
versus exposure and cognitive restructuring versus waiting list in the
treatment of post traumatic stress disorder
. Clinical Psychology & Psychotherapy, 9,
299-318
.
20.
Puffer, M.
,
Greenwald, R.
, &
Elrod, D.
(1997).
A single session EMDR study with twenty traumatised children and adolescents
. Traumatology, 3(2). Available: http://www.fsu.edu/trauma/v3i2art6.html
21.
Putnam, F.W.
(1993).
Dissociative disorders in children: Behavioral profiles and problems
. Child Abuse & Neglect, Special Issue: Clinical Recognition
of Sexually Abused Children, 17,
39-45
.
22.
Reynolds, C.R.
, &
Richmond, B.O.
(1978).
What I think and feel: A revised measure of children's manifest anxiety
. Journal of Abnormal Child Psychology, 6,
271-280
.
23.
Reynolds, C.R.
, &
Richmond, B.O.
(1997).
What I think and feel: A revised measure of children's manifest anxiety
. Journal of Abnormal Child Psychology, 25,
15-20
.
24.
Ribchester, T.
(2001).
Examining the efficacy of EMDR as a treatment for ptsd in children and adolescents
. Paper presented at the EMDR Europe Annual Conference, London.
25.
Scheeringa, M.S.
,
Zeanah, C.H.
,
Myers, L.
, &
Putnam, F.W.
(2003).
New findings on alternative criteria for PTSD in preschool children
. Journal of the American Academy of Child and Adolescent
Psychiatry, 42,
561-570
.
26.
Shapiro, F.
(1989).
Eye movement desensitisation: A new treatment for posttraumatic stress disorder
. Journal of Behaviour Therapy & Experimental
Psychiatry, 20,
211-217
.
27.
Shapiro, F.
(1995). Eye movement desensitisation and reprocessing: Basic
principles, protocols and procedures.
New York: Guilford Press
.
28.
Shapiro, F.
(2001). Eye movement desensitization and reprocessing: Basic
principles, protocols, and procedures (2nd ed.).
New York: Guilford Press
.
29.
Spector, J.
, &
Read, J.
(1999).
The current status of eye movement desensitisation and reprocessing (EMDR)
. Clinical Psychology and Psychotherapy, 6,
165-174
.
30.
Stickgold, R.
(2002).
EMDR: A putative neurobiological mechanism of action
. Journal of Clinical Psychology, 58,
61-75
.
31.
Tinker, R.
, &
Wilson, S.A.
(1999). Through the eyes of a child: EMDR with
children.
New York: Norton
.
32.
Van Etten, M.
, &
Taylor, S.
(1998).
Comparative efficacy of treatments for posttraumatic stress disorder: A meta-analysis
. Clinical Psychology and Psychotherapy, 5,
126-144
.
33.
Walsh, F.
, &
McGoldrick, M.
(1998). A family systems perspective on loss, recovery and
resilience. In
P. Sutcliffe
,
G. Tufnell
, &
G. Cornish
(Eds.), Working with the dying and bereaved: Systemic approaches to
therapeutic work.
London: Macmillan
.
34.
Welch, K.
, &
Beere, D.B.
(2002).
EMDR a treatment efficacy model
. Clinical Psychology and Psychotherapy, 9,
165-176
.
35.
Yule, W.
(2001).
Post-traumatic stress disorder in children and adolescents
. International Review of Psychiatry, 13,
194-200
.
36.
Yule, W.
,
Perrin, S.
, &
Smith, P.
(1999). Post traumatic stress disorders in children and
adolescents. In
W. Yule
(Ed.), Post traumatic stress disorders: Concepts and therapy (pp.
23-50).
London: Wiley
.
37.
Yule, W.
,
Ten Bruggencate, S.
, &
Joseph, S.A.
(1994).
Principal components analysis of the Impact of Events Scale in adolescents
who survived a shipping disaster
. Personality and Individual Differences, 16,
685-691
.
