Improving Infant Mental Health: A Pilot Study on the Effectiveness, Acceptability and Feasibility of Eye Movement Desensitization and Reprocessing (EMDR) Storytelling in Infants With Post-traumatic Distress After Medical Procedures.

IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Evaluation & the Health Professions Pub Date : 2024-10-23 DOI:10.1177/01632787241268176
Eva S Potharst, Petra Holtkamp, Lily Walliser, Agnes H Dommerholt, Maartje E N van den Heuvel, Indra Spierts, Marija Maric
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Abstract

Although the prevalence of symptoms of post-traumatic stress disorder (PTSD) in infants and young children is similar as in older age groups, and PTSD intervention is as important in this age group, research on PTSD-treatment in infants is very scarce. Eye Movement Desensitization and Reprocessing (EMDR) Storytelling is a trauma-focused treatment that is being used by clinicians for infants with PTSD-symptoms. The aim was to assess the feasibility, acceptability and initial indications of effectiveness of EMDR Storytelling for infants aged 3-24 months with PTSD-symptoms after medical procedures. We included 6 infants and administered personalized items to assess PTSD-symptoms during the baseline, intervention and follow-up phase on a day-to-day basis. Furthermore, we measured PTSD-classification and symptoms at three and four measurement points, respectively. The data was analysed visually and quantitatively. EMDR Storytelling was shown to be feasible and acceptable for all participating families. Parent- and therapist-report showed that four out of the six infants included in the current study showed a clear reduction over time in PTSD-classification, -symptoms, and daily measured PTSD-symptoms. The results concerning the other two infants were mixed. Attention should be paid to cognitive (language) as well as interactional (infant-parent) mechanisms potentially underlying the benefits of EMDR Storytelling.

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改善婴儿心理健康:关于眼动脱敏和再处理(EMDR)讲故事对医疗程序后创伤后心理压力婴儿的有效性、可接受性和可行性的试点研究。
虽然创伤后应激障碍(PTSD)症状在婴幼儿中的发病率与较大年龄组相似,而且创伤后应激障碍干预对这一年龄组也同样重要,但有关婴幼儿创伤后应激障碍治疗的研究却非常少。眼动脱敏和再处理(EMDR)讲故事是一种以创伤为重点的治疗方法,目前正被临床医生用于治疗有创伤后应激障碍症状的婴儿。我们的目的是评估 EMDR 讲故事疗法的可行性、可接受性以及对 3-24 个月大患有创伤后应激障碍症状的婴儿的初步疗效。我们纳入了 6 名婴儿,并在基线、干预和随访阶段每天对创伤后应激障碍症状进行个性化评估。此外,我们还分别在三个和四个测量点对创伤后应激障碍分类和症状进行了测量。我们对数据进行了直观和定量分析。结果表明,EMDR 讲故事对所有参与家庭来说都是可行和可接受的。家长和治疗师的报告显示,参与本次研究的六名婴儿中,有四名婴儿的创伤后应激障碍分类、症状和每日测量的创伤后应激障碍症状随着时间的推移明显减少。另外两名婴儿的结果则参差不齐。应注意认知(语言)和互动(婴儿-父母)机制可能是 EMDR 讲故事带来益处的基础。
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来源期刊
CiteScore
5.30
自引率
0.00%
发文量
31
审稿时长
>12 weeks
期刊介绍: Evaluation & the Health Professions is a peer-reviewed, quarterly journal that provides health-related professionals with state-of-the-art methodological, measurement, and statistical tools for conceptualizing the etiology of health promotion and problems, and developing, implementing, and evaluating health programs, teaching and training services, and products that pertain to a myriad of health dimensions. This journal is a member of the Committee on Publication Ethics (COPE). Average time from submission to first decision: 31 days
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