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Sequence matters: Combining Prolonged Exposure and EMDR therapy for PTSD

Van Minnen, A., Voorendonk, E.M., Rozendaal, L. and de Jongh, Ad (2020) Sequence matters: Combining Prolonged Exposure and EMDR therapy for PTSD. Psychiatry Research, 290. p. 113032. ISSN Online: 0165-1781

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Abstract

Objective
Investigating the influence of the sequence in which two evidence-based trauma-focused treatments are offered to PTSD-patients.
Methods
PTSD-patients were treated using an intensive eight-day treatment program, combining Prolonged Exposure (PE) and EMDR therapy. Forty-four patients received a PE session in the morning and an EMDR session in the afternoon, while 62 patients received the reversed sequence (EMDR followed by PE). Outcome measures were PTSD symptom severity and subjective experiences.
Results
Patients who received PE first and EMDR second showed a significantly greater reduction in PTSD symptoms, patients preferred this sequence and valued the treatment sessions as significantly more helpful compared to patients in the EMDR-first condition.
Conclusion
Albeit explorative, PE and EMDR therapy can be successfully combined, but sequence matters. First applying PE sessions before EMDR sessions resulted in better treatment outcome, and better subjective patient's evaluations in terms of treatment helpfulness and preference.

Item Type: Article
Additional Information:

The full-text of the online published article can be accessed via the official URL.

Uncontrolled Discrete Keywords: PTSD, EMDR, prolonged exposure, PE, therapy
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Divisions: College of Business, Psychology and Sport > School of Psychology
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Copyright Info: Open access article
SWORD Depositor: Prof. Pub Router
Depositing User: Karen Veitch
Date Deposited: 19 May 2020 10:21
Last Modified: 17 Jun 2020 17:36
URI: https://eprints.worc.ac.uk/id/eprint/9445

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