EMDR as Treatment Option for Conditions Other Than PTSD: A Systematic Review.

Charles Scelles, Luis Carlo Bulnes
Author Information
  1. Charles Scelles: Adult Psychiatry Department, Université Catholique de Louvain - Saint Luc University Hospital, Brussels, Belgium.
  2. Luis Carlo Bulnes: Brain, Body and Cognition Research Group, Vrije Universiteit Brussel, Brussels, Belgium.

Abstract

Eye Movement Desensitisation and Reprocessing (EMDR) is a treatment for post-traumatic stress disorder (PTSD). The technique is known to facilitate reprocessing of maladaptive memories that are thought to be central to this pathology. Here we investigate if EMDR therapy can be used in other conditions. We conducted a systematic literature search on PubMed, ScienceDirect, Scopus, and Web of Science. We searched for published empirical findings on EMDR, excluding those centred on trauma and PTSD, published up to 2020. The results were classified by psychiatric categories. Ninety articles met our research criteria. A positive effect was reported in numerous pathological situations, namely in addictions, somatoform disorders, sexual dysfunction, eating disorders, disorders of adult personality, mood disorders, reaction to severe stress, anxiety disorders, performance anxiety, Obsessive-Compulsive Disorder (OCD), pain, neurodegenerative disorders, mental disorders of childhood and adolescence, and sleep. Some studies reported that EMDR was successful in usually uncooperative (e.g., Dementia) or unproductive cases (e.g., aphasia). Moreover, in some severe medical conditions, when psychological distress was an obstacle, EMDR allowed the continuation of treatment-as-usual. Furthermore, the effects observed in non-pathological situations invite for translational research. Despite a generally positive outlook of EMDR as an alternative treatment option, more methodologically rigorous studies are needed. We discuss the advantages and limitations and possible implications for the hypothesised mechanisms of action.

Keywords

References

  1. Science. 2020 Dec 11;370(6522): [PMID: 33303583]
  2. J Behav Ther Exp Psychiatry. 2013 Dec;44(4):477-83 [PMID: 23892070]
  3. J Behav Ther Exp Psychiatry. 1994 Jun;25(2):121-9 [PMID: 7983221]
  4. J Consult Clin Psychol. 2000 Dec;68(6):947-56 [PMID: 11142547]
  5. Front Psychol. 2018 Feb 13;9:74 [PMID: 29487548]
  6. Int J Rehabil Res. 2017 Sep;40(3):209-214 [PMID: 28368869]
  7. Riv Psichiatr. 2012 Mar-Apr;47(2 Suppl):19-25 [PMID: 22622275]
  8. Pediatr Rheumatol Online J. 2018 Feb 13;16(1):11 [PMID: 29433504]
  9. Fortschr Neurol Psychiatr. 2017 Oct;85(10):584-591 [PMID: 29017196]
  10. Perspect Psychiatr Care. 2019 Oct;55(4):652-660 [PMID: 31037733]
  11. Conscious Cogn. 2005 Mar;14(1):30-80 [PMID: 15766890]
  12. PLoS One. 2021 Jul 22;16(7):e0254778 [PMID: 34292978]
  13. Ann Clin Psychiatry. 2016 Aug;28(3):197-208 [PMID: 27490836]
  14. Schmerz. 2017 Oct;31(5):456-462 [PMID: 28656479]
  15. Front Behav Neurosci. 2014 Jan 03;7:210 [PMID: 24427125]
  16. J Behav Ther Exp Psychiatry. 1996 Mar;27(1):21-32 [PMID: 8814518]
  17. Indian J Orthop. 2007 Jan;41(1):11-5 [PMID: 21124676]
  18. Ital J Pediatr. 2019 Jun 26;45(1):74 [PMID: 31242942]
  19. Psychol Res Behav Manag. 2020 Jan 08;13:11-17 [PMID: 32021505]
  20. Br J Clin Psychol. 1997 May;36(2):209-23 [PMID: 9167862]
  21. Acta Psychiatr Scand. 2004 Aug;110(2):158; author reply 159 [PMID: 15233717]
  22. Int J Psychiatry Clin Pract. 2011 Nov;15(4):270-4 [PMID: 22122001]
  23. Behav Res Ther. 1997 Jun;35(6):559-62 [PMID: 9159980]
  24. Neuropsychiatr Dis Treat. 2019 Aug 27;15:2459-2466 [PMID: 31695382]
  25. Cochrane Database Syst Rev. 2014 Apr 29;(4):MR000034 [PMID: 24782322]
  26. Front Psychol. 2018 Aug 13;9:1395 [PMID: 30166975]
  27. J Nerv Ment Dis. 2015 Jun;203(6):443-51 [PMID: 25974059]
  28. Cogn Behav Ther. 2020 May;49(3):165-180 [PMID: 32043428]
  29. Eur J Psychotraumatol. 2010;1: [PMID: 22893797]
  30. Turk Psikiyatri Derg. 2010 Fall;21(3):243-8 [PMID: 20818512]
  31. Front Psychol. 2017 Sep 26;8:1668 [PMID: 29018388]
  32. Neurobiol Aging. 2009 Sep;30(9):1413-9 [PMID: 18258339]
  33. Eur J Psychotraumatol. 2018 Sep 11;9(1):1512248 [PMID: 30220982]
  34. Pain Med. 2014 Feb;15(2):247-63 [PMID: 24308821]
  35. Psychol Psychother. 2021 Mar;94(1):81-100 [PMID: 31965734]
  36. Proc Natl Acad Sci U S A. 2002 Jan 8;99(1):449-54 [PMID: 11773628]
  37. Lancet Psychiatry. 2019 Sep;6(9):726 [PMID: 31448753]
  38. Psychiatry Res. 2017 Jan;247:296-304 [PMID: 27940325]
  39. Clin Psychol Psychother. 2018 Jan;25(1):e10-e18 [PMID: 28752580]
  40. Brain Behav. 2014 May;4(3):348-55 [PMID: 24944864]
  41. Glob J Health Sci. 2015 Apr 19;7(6):258-62 [PMID: 26153191]
  42. Front Psychol. 2017 Oct 10;8:1750 [PMID: 29066991]
  43. J Behav Ther Exp Psychiatry. 1995 Dec;26(4):321-9 [PMID: 8675719]
  44. Neuroscientist. 2006 Oct;12(5):410-24 [PMID: 16957003]
  45. Prog Neuropsychopharmacol Biol Psychiatry. 2016 Oct 3;70:162-9 [PMID: 26827636]
  46. JAMA Psychiatry. 2015 Apr;72(4):334-41 [PMID: 25671328]
  47. Tijdschr Psychiatr. 2010;52(8):589-93 [PMID: 20697999]
  48. Pain Med. 2008 Jan-Feb;9(1):76-82 [PMID: 18254770]
  49. Eur J Psychotraumatol. 2020 Nov 19;11(1):1838777 [PMID: 33425243]
  50. J Consult Clin Psychol. 2001 Apr;69(2):305-16 [PMID: 11393607]
  51. Lancet Psychiatry. 2020 May;7(5):449-462 [PMID: 32004444]
  52. Psychiatry Investig. 2008 Mar;5(1):60-5 [PMID: 20046410]
  53. Front Psychol. 2018 May 22;9:785 [PMID: 29892240]
  54. J Consult Clin Psychol. 1998 Feb;66(1):193-8 [PMID: 9489274]
  55. PLoS One. 2012;7(9):e45753 [PMID: 23049852]
  56. J Clin Psychol. 2002 Dec;58(12):1505-20 [PMID: 12455018]
  57. Epilepsy Behav. 2004 Oct;5(5):784-7 [PMID: 15380136]
  58. J Pain Res. 2018 Sep 28;11:2107-2113 [PMID: 30319285]
  59. J Gambl Stud. 2015 Mar;31(1):331-42 [PMID: 24293014]
  60. Pain Manag Nurs. 2014 Mar;15(1):349-64 [PMID: 24602439]
  61. Pain Res Manag. 2010 Mar-Apr;15(2):65-71 [PMID: 20458374]
  62. Front Psychiatry. 2021 Aug 06;12:700458 [PMID: 34421681]
  63. Brain Behav. 2015 Jun;5(6):e00342 [PMID: 26085967]
  64. Nature. 2019 Feb;566(7744):339-343 [PMID: 30760920]
  65. Proc Natl Acad Sci U S A. 2017 Mar 7;114(10):E2016-E2025 [PMID: 28202735]
  66. BMJ. 2004 Jun 19;328(7454):1490 [PMID: 15205295]
  67. J Adv Nurs. 2016 Sep;72(9):2207-17 [PMID: 27134066]
  68. Ment Illn. 2012 Feb 03;4(1):e3 [PMID: 25478106]
  69. Innov Clin Neurosci. 2018 Feb 1;15(1-2):45-48 [PMID: 29497580]
  70. Eur J Psychotraumatol. 2021 Apr 9;12(1):1894736 [PMID: 33889310]
  71. Int J Eat Disord. 1998 Jan;23(1):1-5 [PMID: 9429913]
  72. J Am Psychiatr Nurses Assoc. 2016 May/Jun;22(3):192-214 [PMID: 27048429]
  73. JAMA Netw Open. 2018 Nov 2;1(7):e184493 [PMID: 30646356]
  74. Front Psychiatry. 2019 Sep 18;10:637 [PMID: 31620028]
  75. Span J Psychol. 2010 May;13(1):396-405 [PMID: 20480706]
  76. Asian Pac J Cancer Prev. 2019 Jul 01;20(7):1967-1971 [PMID: 31350952]
  77. Complement Ther Nurs Midwifery. 2004 Nov;10(4):245-9 [PMID: 15519943]
  78. Psychiatry Res. 2019 Mar;273:567-574 [PMID: 30711853]
  79. Psychooncology. 2019 Mar;28(3):647-649 [PMID: 30664291]
  80. Alcohol Clin Exp Res. 2020 Jan;44(1):272-283 [PMID: 31758556]
  81. PLoS One. 2016 Oct 12;11(10):e0162735 [PMID: 27732592]
  82. Iran J Psychiatry. 2018 Jan;13(1):80-83 [PMID: 29892320]
  83. J Anxiety Disord. 2008 May;22(4):622-34 [PMID: 17604948]
  84. J Anxiety Disord. 2011 Jan;25(1):1-11 [PMID: 20709492]
  85. Psychol Med. 2006 Nov;36(11):1515-22 [PMID: 16740177]
  86. Psychiatr Danub. 2019 Sep;31(3):358-359 [PMID: 31596830]
  87. J Psychiatr Res. 2020 Apr;123:102-113 [PMID: 32058073]
  88. Perm J. 2014 Winter;18(1):71-7 [PMID: 24626074]
  89. J Anxiety Disord. 1999 Jan-Apr;13(1-2):101-18 [PMID: 10225503]
  90. Laryngoscope. 2019 Oct;129(10):2384-2390 [PMID: 30693546]

Word Cloud

Created with Highcharts 10.0.0EMDRdisorderstreatmentstressPTSDreprocessingconditionssystematicpublishedtraumaresearchpositivereportedsituationssevereanxietymentalstudiesegEyeMovementDesensitisationReprocessingpost-traumaticdisordertechniqueknownfacilitatemaladaptivememoriesthoughtcentralpathologyinvestigatetherapycanusedconductedliteraturesearchPubMedScienceDirectScopusWebSciencesearchedempiricalfindingsexcludingcentred2020resultsclassifiedpsychiatriccategoriesNinetyarticlesmetcriteriaeffectnumerouspathologicalnamelyaddictionssomatoformsexualdysfunctioneatingadultpersonalitymoodreactionperformanceObsessive-CompulsiveDisorderOCDpainneurodegenerativechildhoodadolescencesleepsuccessfulusuallyuncooperativeDementiaunproductivecasesaphasiaMoreovermedicalpsychologicaldistressobstacleallowedcontinuationtreatment-as-usualFurthermoreeffectsobservednon-pathologicalinvitetranslationalDespitegenerallyoutlookalternativeoptionmethodologicallyrigorousneededdiscussadvantageslimitationspossibleimplicationshypothesisedmechanismsactionTreatmentOptionConditionsPTSD:SystematicRevieweyemovementsdesensitisationhealthreview

Similar Articles

Cited By