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Eye Movement Desensitization and Reprocessing Therapy in Persons With Personality Disorders: A Randomized Clinical

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Eye movement desensitization and reprocessing (EMDR) therapy significantly reduced personality disorder (PD) symptoms in a randomized trial. Nearly half of patients receiving EMDR achieved remission, suggesting its effectiveness for PD treatment.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Trauma Studies

Background:

  • Adverse childhood experiences are linked to personality disorders (PDs).
  • Trauma-focused interventions show promise for PTSD but less established for PD symptoms.

Purpose of the Study:

  • To assess the effectiveness of eye movement desensitization and reprocessing (EMDR) therapy in reducing PD symptoms.
  • To compare EMDR therapy to a waiting list control, irrespective of PTSD status.

Main Methods:

  • A 2-arm, multicenter, single-blind, randomized clinical trial involving 159 patients with PD.
  • Participants received 10 EMDR sessions over 5 weeks or were on a waiting list.
  • Assessments included the Assessment of DSM-IV Personality Disorders (ADP-IV) and Structured Clinical Interview for DSM-5 Personality Disorders (SCID-5-PD).

Main Results:

  • EMDR therapy significantly reduced PD symptoms compared to the waiting list on ADP-IV, SCID-5-PD, LPFS, and DERS.
  • PD remission rates were higher in the EMDR group: 38.3% (ADP-IV) and 33.3% (SCID-5-PD) post-treatment, and 45.4% (ADP-IV) and 44.1% (SCID-5-PD) at follow-up.
  • No adverse events were reported in the EMDR group.

Conclusions:

  • EMDR therapy demonstrated significant efficacy in reducing personality disorder symptoms.
  • A substantial proportion of patients (44.1%) achieved remission with EMDR therapy.
  • Findings support EMDR as a potential treatment for PDs, warranting further research.