PMID- 17365790
OWN - NLM
STAT- MEDLINE
DCOM- 20070703
LR  - 20151119
IS  - 0803-9488 (Print)
IS  - 0803-9488 (Linking)
VI  - 61
IP  - 1
DP  - 2007
TI  - On treatment with eye movement desensitization and reprocessing of chronic 
      post-traumatic stress disorder in public transportation workers--a randomized 
      controlled trial.
PG  - 54-61
AB  - Previous studies on post-traumatic stress disorder (PTSD) investigated a variety 
      of treatments and included mostly patients victims of sexual and combat assault. 
      This study aimed to determine the short-term efficacy of eye movement 
      desensitization and reprocessing (EMDR) in occupation-based PTSD. Employees of 
      the public transportation system in Stockholm, who had been experiencing a 
      person-under-train accident or had been assaulted at work were recruited. 
      Subjects with trauma exposure since more than 3 months but less than 6 years were 
      included. Twenty-four subjects who fulfilled the DSM-IV criteria for PTSD were 
      randomized to either EMDR therapy (n=13) or waiting list (WL, n=11). They were 
      assessed pre-treatment and shortly after completion of treatment or WL period. 
      The pre-defined primary outcome variable was full PTSD diagnosis. Secondary 
      outcome variables were the results of various psychometric scales. Twelve 
      participants began and completed five sessions of EMDR and nine completed the WL. 
      After therapy, eight subjects in the EMDR group (67%) and one (11%) in WL did not 
      fulfil the criteria for PTSD diagnosis (difference, P=0.02). Among the secondary 
      outcome variables, there were significant differences post-treatment between the 
      groups EMDR/WL in Global Assessment of Function (GAF) score and Hamilton 
      Depression (HAM-D) score. This study indicates that EMDR has a short-term effect 
      on PTSD in public transportation workers exposed to occupational traumatic 
      events. Such intensive and brief therapy might be further validated in larger 
      samples of exposed workers with longer periods of follow-up.
FAU - Hogberg, Goran
AU  - Hogberg G
AD  - Department of Clinical Neuroscience, Section for Psychiatry, Huddinge, Karolinska 
      Institutet, Stockholm, Sweden. goran.hogberg@sll.se
FAU - Pagani, Marco
AU  - Pagani M
FAU - Sundin, Orjan
AU  - Sundin O
FAU - Soares, Joaquim
AU  - Soares J
FAU - Aberg-Wistedt, Anna
AU  - Aberg-Wistedt A
FAU - Tarnell, Berit
AU  - Tarnell B
FAU - Hallstrom, Tore
AU  - Hallstrom T
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Nord J Psychiatry
JT  - Nordic journal of psychiatry
JID - 100927567
SB  - IM
MH  - Adult
MH  - Chronic Disease
MH  - *Desensitization, Psychologic
MH  - *Eye Movements
MH  - Female
MH  - Humans
MH  - Male
MH  - Occupational Diseases/*epidemiology
MH  - Practice Guidelines as Topic
MH  - *Public Sector
MH  - Somatoform Disorders/epidemiology/psychology
MH  - Stress Disorders, Post-Traumatic/epidemiology/*therapy
MH  - Surveys and Questionnaires
MH  - *Transportation
MH  - Treatment Outcome
EDAT- 2007/03/17 09:00
MHDA- 2007/07/04 09:00
CRDT- 2007/03/17 09:00
PHST- 2007/03/17 09:00 [pubmed]
PHST- 2007/07/04 09:00 [medline]
PHST- 2007/03/17 09:00 [entrez]
AID - 770193641 [pii]
AID - 10.1080/08039480601129408 [doi]
PST - ppublish
SO  - Nord J Psychiatry. 2007;61(1):54-61. doi: 10.1080/08039480601129408.