Eye Movement Desensitization and Reprocessing (EMDR) in a forensic patient with Posttraumatic Stress Disorder (PTSD) resulting from homicide: a case study

Fleurkens, Pascal; Hendriks, Lex; Minnen, Agnes van

doi:10.1080/14789949.2018.1459786

Cited by 12 publications

(15 citation statements)

References 48 publications

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“…One of the included controlled studies commented that the assessor had been blinded and therefore this study was rated higher on this domain in comparison to others (Rogers et al, 1999). In all other papers, blinding was not possible or was not reported (Cerone, 2001;Fleurkens et al, 2018;Köhler et al, 2017;Kratzer et al, 2017;Oh & Kim., 2014;Proudlock & Peris, 2020;Silver et al, 1995;Yaşar et al, 2018;Zimmermann et al, 2007). None of the included studies were able to blind the patient to the intervention status and the self-reported PTSD outcomes may have been affected by this, increasing the chance of reported bias.…”

Section: Study Qualitymentioning

confidence: 99%

EMDR Therapy for Posttraumatic Stress Disorder Symptoms in Adult Inpatient Mental Health Settings

et al. 2022

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Most research evaluating eye movement desensitization and reprocessing (EMDR) therapy has taken place in community settings, leaving the impact for service users within inpatient environments less clear. This systematic review sought to identify, summarize, and critically evaluate studies that investigated the impact of EMDR on symptoms of posttraumatic stress disorder (PTSD) within adult inpatient mental health settings. Seven databases were systematically searched to identify published and unpublished articles eligible for inclusion. Eleven studies, published between 1995 and 2020, were included within this review. All studies showed that EMDR improved PTSD symptoms, across a variety of study populations. However, these findings are limited by the (a) preponderance of case study designs (preventing causal attribution); (b) provision of synchronous treatments; (c) poor methodological quality; and (d) high heterogeneity across studies. Prior research has shown EMDR’s effectiveness and safety for vulnerable populations. While the evidence is beginning to support its use with those experiencing PTSD symptoms within adult inpatient settings, it is premature to strongly recommend it as a routine intervention. Future research within this area is recommended.

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Section: Study Qualitymentioning

confidence: 99%

EMDR Therapy for Posttraumatic Stress Disorder Symptoms in Adult Inpatient Mental Health Settings

et al. 2022

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“…Dat middelenafhankelijkheid en schizofrenie het vaakst voorkomt in de literatuur over middelengebruik en crimineel gedrag is relevant omdat dit ook vaak binnen de Tbs voorkomt (Drieschner et al, 2020). Ook is het veel voorkomen van onderzoek naar middelengebruik en crimineel gedrag bij PTSS relevant omdat dit behandeling op andere vlakken in de weg kan staan en geassocieerd wordt met een verhoogd risico op toekomstige woede, agressief gedrag en crimineele recidive (Fleurkens et al, 2018). Het blijkt dat PTSS veel voorkomt bij patiënten met een cluster Bpersoonlijkheidsproblematiek maar dit in eerste instantie vaak op de achtergrond blijft door de aanwezigheid van veel verschillende en fikse problematiek (Kullberg, 2021).…”

Section: Discussieunclassified

“…Aangezien blijkt dat er bij ongeveer 40% van de Tbs-patiënten sprake is van Cluster Bpersoonlijkheidsstoornis (Nieuwenhuizen et al, 2011) is het relatief veel voorkomen van PTSS in onderzoek naar middelengebruik en crimineel gedrag relevant. Ook omdat aangeraden wordt PTSS te behandelen alvorens middelengebruik en/of crimineel gedrag te behandelen (Fleurkens et al, 2018;Brackenridge & Morrissey, 2010) Hoewel de bipolaire stoornis en angststoornis relatief veel voorkomen in onderzoek naar middelengebruik en crimineel gedrag zijn deze vormen van psychopathologie minder terug te zien binnen Tbs. Als gevolg is dit gedeelte van gedaan onderzoek naar middelengebruik en crimineel bij een kleiner gedeelte van de Tbs-populatie van toepassing.…”

Section: Discussieunclassified

(Poly)Substance use and Criminal Behavior: A Scoping Review

Suurmond¹

2021

Preprint

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Substance use and delinquent behavior like theft, violence and unacceptable sexual behavior is often mentioned in the same breath. The prevalence of substance use is higher in forensic populations and Tbs-populations (a Dutch forensic psychiatric hospital) compared to the general population. Nevertheless, there is still much unknown about the relation between substance use and criminal behavior and the literature at hand seems to be insufficient for a complex Tbs-population. The main goal of the study is to give an overview of existing literature about (poly)substance use and criminal behavior exposing gaps in knowledge. A scoping review is conducted in this context.After setting inclusion and exclusion criteria literature was screened in three steps; based on title, abstract and full-text. This resulted in 299 articles relevant for further synthesis.Results show that partner violence, property, violent, and unspecified crimes are the most researched criminal behavior in the literature. Most common substances are alcohol, cannabis, cocaine and heroin. Polysubstance use is found in a quarter of the studies and is often unspecified, if specified it mainly contains combinations of alcohol with other substances.There seem to be different reasons for existing knowledge gaps; some substances are more logic with criminal behavior.; some criminal behavior is less common. It turns out that the that the majority of the literature is about alcohol and cannabis what possibly comes at the cost of research about other substances.

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“…Despite strong evidence for high rates of PTSD in forensic populations [1], there are no trials testing EMDR compared with a control group in the forensic setting. There are, however, favorable case reports of EMDR being used in forensic settings, with at least six case studies demonstrating reductions in offence-related PTSD symptoms [17–22].…”

Section: Introductionmentioning

confidence: 99%

Eye movement desensitization and reprocessing (EMDR) therapy for posttraumatic stress disorder in adults with serious mental illness within forensic and rehabilitation services: a study protocol for a randomized controlled trial

Every‐Palmer

Flewett

Dean

et al. 2019

Trials

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BackgroundEye movement desensitization and reprocessing (EMDR) is an evidenced-based treatment for posttraumatic stress disorder (PTSD). Forensic mental health services provide assessment and treatment of people with mental illness and a history of criminal offending, or those who are at risk of offending. Forensic mental health services include high, medium, and low-security inpatient settings as well as prison in-reach and community outpatient services. There is a high prevalence of PTSD in forensic settings and posttraumatic experiences can arise in people who violently offend in the context of serious mental illness (SMI). Successful treatment of PTSD may reduce the risk of relapse and improve clinical outcomes for this population. This study aims to assess the efficacy, risk of harm, and acceptability of EMDR within forensic and rehabilitation mental health services, as compared to treatment as usual (routine care).MethodsThis is a single-blind, randomized controlled trial comparing EMDR therapy to the waiting list (routine care). Adult forensic mental health service users (n = 46) with SMI and meeting the criteria for PTSD will be included in the study. Participants will be randomized after baseline assessment to either treatment as usual plus waiting list for EMDR or to treatment as usual plus EMDR. The EMDR condition comprises nine sessions, around 60 min in length delivered weekly, the first of which is a case conceptualization session. The primary outcomes are clinician and participant-rated symptoms of PTSD, and adverse events. Secondary outcomes include psychotic symptoms, social functioning, level of disability, self-esteem, depressive symptoms, post-trauma cognitions, and broad domains of complex posttraumatic difficulties. A trained assessor blinded to the treatment condition will assess outcomes at baseline, 10 weeks, and 6 months. Additionally, grounded theory qualitative methods will be used to explore participant experience of EMDR for a subset of participants.DiscussionThis study will contribute to the currently limited evidence base for EMDR for PTSD in forensic settings. It is the first randomized clinical trial to assess the efficacy, risk of harm, and acceptability of EMDR for PTSD in people with SMI in either forensic, mental health inpatient, or custodial settings.Trial registrationAustralia and New Zealand Clinical Trials Network, ACTRN12618000683235. Registered prospectively on 24 April 2018.

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Eye Movement Desensitization and Reprocessing (EMDR) in a forensic patient with Posttraumatic Stress Disorder (PTSD) resulting from homicide: a case study

Cited by 12 publications

References 48 publications

EMDR Therapy for Posttraumatic Stress Disorder Symptoms in Adult Inpatient Mental Health Settings

EMDR Therapy for Posttraumatic Stress Disorder Symptoms in Adult Inpatient Mental Health Settings

(Poly)Substance use and Criminal Behavior: A Scoping Review

Eye movement desensitization and reprocessing (EMDR) therapy for posttraumatic stress disorder in adults with serious mental illness within forensic and rehabilitation services: a study protocol for a randomized controlled trial

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