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Improving Infant Mental Health: A Pilot Study on the Effectiveness, Acceptability and Feasibility of Eye Movement
Eva S Potharst1,2, Petra Holtkamp3,4, Lily Walliser2
1Academic Outpatient (Child and Adolescent) Treatment Center of the University of Amsterdam, The Netherlands.
Insights
Eye Movement Desensitization and Reprocessing (EMDR) Storytelling is a feasible and acceptable treatment for infants with post-traumatic stress disorder (PTSD) symptoms. Four of six infants showed reduced PTSD symptoms, indicating potential effectiveness.
Area of Science:
- Psychology
- Pediatrics
- Trauma Studies
Background:
- Post-traumatic stress disorder (PTSD) symptoms are prevalent in infants, yet research on effective treatments is limited.
- Interventions for PTSD are crucial for infants, mirroring the importance seen in older age groups.
- Eye Movement Desensitization and Reprocessing (EMDR) Storytelling is a trauma-focused therapy utilized by clinicians for infants exhibiting PTSD symptoms.
Purpose of the Study:
- To evaluate the feasibility and acceptability of EMDR Storytelling for infants aged 3-24 months.
- To assess initial indications of effectiveness for EMDR Storytelling in infants experiencing PTSD symptoms post-medical procedures.
- To explore potential underlying cognitive and interactional mechanisms contributing to treatment benefits.
Main Methods:
- A study involving 6 infants aged 3-24 months with PTSD symptoms following medical procedures.
- Personalized assessments administered daily during baseline, intervention, and follow-up phases to track PTSD symptoms.
- Measurement of PTSD classification and symptom severity at multiple time points, with both visual and quantitative data analysis.
Main Results:
- EMDR Storytelling was found to be feasible and acceptable for all participating families.
- Parent and therapist reports indicated a significant reduction in PTSD classification and symptoms for four out of six infants.
- Two infants showed mixed results, suggesting variability in treatment response.
Conclusions:
- EMDR Storytelling demonstrates feasibility, acceptability, and promising initial effectiveness for infants with PTSD symptoms.
- Further investigation into cognitive (language) and interactional (infant-parent) factors is warranted to understand treatment mechanisms.
- The findings support EMDR Storytelling as a potential therapeutic option for early childhood trauma.
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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