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Kathleen Thomaes, Iris M Engelhard, Marit Sijbrandij, Danielle C Cath, Odile A Van den Heuvel
BACKGROUND: Eye movement desensitization and reprocessing (EMDR) is an effective treatment for posttraumatic stress disorder (PTSD). During EMDR, the patient recalls traumatic memories while making eye movements (EMs). Making EMs during recall is associated with decreased vividness and emotionality of traumatic memories, but the underlying mechanism has been unclear. Recent studies support a "working-memory" (WM) theory, which states that the two tasks (recall and EMs) compete for limited capacity of WM resources...
2016: European Journal of Psychotraumatology
Colleen E Martin, Jana K Tran, Sam J Buser
BACKGROUND: Firefighter and Emergency Medical Services (EMS) personnel experience higher rates of lifetime suicidal ideation and attempts than the general population and other protective service professions. Several correlates of suicidality (alcohol use, depression, posttraumatic stress) have been identified in the literature as applicable to firefighter/EMS populations; however, few studies to date have examined the specific correlates of suicidality (lifetime suicidal ideation and/or attempts) in a firefighter/EMS sample...
January 15, 2017: Journal of Affective Disorders
Thanos Karatzias, Sally Jowett, Amelie Begley, Suzanne Deas
BACKGROUND: Although the association between psychological trauma and early maladaptive schemas (EMS) is well established in the literature, no study to date has examined the relationship of EMS to PTSD and psychopathologies beyond depression and anxiety in a sample of adult survivors of interpersonal trauma. This information may be useful in helping our understanding on how to best treat interpersonal trauma. OBJECTIVE: We set out to investigate the association between EMS and common forms of psychopathology in a sample of women with a history of interpersonal trauma (n=82)...
2016: European Journal of Psychotraumatology
Jennifer Yip, Rachel Zeig-Owens, Mayris P Webber, Andrea Kablanian, Charles B Hall, Madeline Vossbrinck, Xiaoxue Liu, Jessica Weakley, Theresa Schwartz, Kerry J Kelly, David J Prezant
OBJECTIVES: To describe the health burden among Fire Department of the City of New York (FDNY) emergency medical service (EMS) workers and examine its association with work at the World Trade Center (WTC) disaster site. METHODS: In this observational cohort study, we used FDNY physician diagnoses to estimate the cumulative incidence of physical health conditions including rhinosinusitis, gastroesophageal reflux disease (GERD), obstructive airways disease (OAD) and cancer among EMS workers and demographically similar firefighters who were active on 11 September 2001 (9/11)...
January 2016: Occupational and Environmental Medicine
Juanita A Haagsma, Akkie N Ringburg, Esther Mm van Lieshout, Ed F van Beeck, Peter Patka, Inger B Schipper, Suzanne Polinder
BACKGROUND: Among trauma patients relatively high prevalence rates of posttraumatic stress disorder (PTSD) have been found. To identify opportunities for prevention and early treatment, predictors and course of PTSD need to be investigated. Long-term follow-up studies of injury patients may help gain more insight into the course of PTSD and subgroups at risk for PTSD. The aim of our long-term prospective cohort study was to assess the prevalence rate and predictors, including pre-hospital trauma care (assistance of physician staffed Emergency Medical Services (EMS) at the scene of the accident), of probable PTSD in a sample of major trauma patients at one and two years after injury...
2012: BMC Psychiatry
Fiona W Jeffries, Paul Davis
BACKGROUND: Controversy continues to exist regarding how EMDR works and whether its mechanisms differ from those at work in standard exposure techniques. AIMS: To investigate first whether eye movement bilateral stimulation is an essential component of EMDR and, second, the current status of its theoretical basis. METHOD: A systematic search for relevant articles was conducted in databases using standard methodology. RESULTS: Clinical research evidence is contradictory as to how essential EMs are in PTSD treatment...
May 2013: Behavioural and Cognitive Psychotherapy
Kevin T Collopy, Sean M Kivlehan, Scott R Snyder
Burnout and PTSD are closely linked and often underreported in EMS. EMS classrooms do little or nothing to prepare providers for the inherent emotional stresses of emergency response and the "thick skin" culture of EMS may make many providers apprehensive about sharing their true feelings. Burnout is triggered by many of the same stresses that lead to the symptoms of PTSD and providers experiencing burnout that doesn't resolve within a few weeks may actually be experiencing PTSD. Be mindful of yourself and your fellow coworkers, particularly after a very traumatic response...
October 2012: EMS World
Marcel A van den Hout, Marleen M Rijkeboer, Iris M Engelhard, Irene Klugkist, Hellen Hornsveld, Marieke J B Toffolo, Danielle C Cath
Eye Movement Desensitization and Reprocessing (EMDR) is an effective treatment for posttraumatic stress disorder (PTSD). During EMDR, patients make eye movements (EMs) while recalling traumatic memories, but recently therapists have replaced EMs by alternating beep tones. There are no outcome studies on the effects of tones. In an earlier analogue study, tones were inferior to EMs in the reduction of vividness of aversive memories. In a first EMDR session, 12 PTSD patients recalled trauma memories in three conditions: recall only, recall + tones, and recall + EMs...
May 2012: Behaviour Research and Therapy
Shalini Mishra, Deborah Goebert, Elizabeth Char, Patricia Dukes, Iqbal Ahmed
BACKGROUND: Exposure to traumatic stressors is potentially an integral part of the job for emergency medical services (EMS) personnel, placing them at risk for psychological distress and mental health problems. STUDY OBJECTIVE: The prevalence of post-traumatic stress disorder (PTSD) and post-traumatic stress symptoms was examined in a sample of EMS personnel in a multiethnic locality in Hawaii. Commonly encountered traumatic incidents at work were also assessed...
September 2010: Emergency Medicine Journal: EMJ
Toshiyuki Ohtani, Toshiyuki Ohta ni, Koji Matsuo, Kiyoto Kasai, Tadafumi Kato, Nobumasa Kato
Eye movement desensitization and reprocessing (EMDR) is an effective psychological intervention for posttraumatic stress disorder (PTSD). Trauma-related recall (Recall) with eye movements (EMs) is thought to reduce distress. However, the neural mechanisms underlying this process remain unknown. Thirteen patients with PTSD received EMDR treatment over the course of 2-10 weeks. We assessed the change in hemoglobin concentration in the lateral prefrontal cortex (PFC) during Recall with and without EM using multi-channel near-infrared spectroscopy (NIRS)...
December 2009: Neuroscience Research
Nicole R Nugent, Norman C Christopher, Douglas L Delahanty
BACKGROUND: The present study investigated the extent to which heart rate (HR) levels soon after a traumatic event predicted posttraumatic stress disorder (PTSD) symptom severity assessed 6 weeks and 6 months later in child trauma victims. METHODS: Participants consisted of 82 children (56 boys, 26 girls) aged 8-18 who were admitted to a Midwestern trauma center. HR data were recorded from emergency medical services (EMS) records, upon admission to the emergency department (ED), for the first 20 minutes following admission, and upon discharge...
September 2006: Journal of Child Psychology and Psychiatry, and Allied Disciplines
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