Arnout, B. (2024). The efficacy of a psychotherapy program based on Eye Movement Desensitization and Reprocessing (EMDR) in alleviating postpartum post-traumatic disorder in women with prior childbirth experience. , 2024(1), 394-449. doi: 10.37653/juah.2024.146979.1272
Boshra Arnout. "The efficacy of a psychotherapy program based on Eye Movement Desensitization and Reprocessing (EMDR) in alleviating postpartum post-traumatic disorder in women with prior childbirth experience". , 2024, 1, 2024, 394-449. doi: 10.37653/juah.2024.146979.1272
Arnout, B. (2024). 'The efficacy of a psychotherapy program based on Eye Movement Desensitization and Reprocessing (EMDR) in alleviating postpartum post-traumatic disorder in women with prior childbirth experience', , 2024(1), pp. 394-449. doi: 10.37653/juah.2024.146979.1272
Arnout, B. The efficacy of a psychotherapy program based on Eye Movement Desensitization and Reprocessing (EMDR) in alleviating postpartum post-traumatic disorder in women with prior childbirth experience. , 2024; 2024(1): 394-449. doi: 10.37653/juah.2024.146979.1272

The efficacy of a psychotherapy program based on Eye Movement Desensitization and Reprocessing (EMDR) in alleviating postpartum post-traumatic disorder in women with prior childbirth experience

Journal of University of Anbar for Humanities
Article 16, Volume 2024, Issue 1, March 2024, Pages 394-449    PDF (2.1 M)
Document Type: Research Paper
DOI: 10.37653/juah.2024.146979.1272
Author
Boshra Arnout*
King Khalid University
Abstract
The current study aimed to verify the effectiveness of a psychological therapy program based on Eye Movement Desensitization and Reprocessing (EMDR) in reducing symptoms of postpartum post-traumatic disorder and its persistence during the follow-up period one month after the program's completion. The study utilized a quasi-experimental design with control and experimental groups, as well as pre-test, post-test, and follow-up measurements. A purposive sample of 20 women who had experienced childbirth in the year 2023 and scored high on a postpartum post-traumatic disorder scale, with ages ranging from 25 to 43 years and a mean age of 32.80 years, was randomly divided into two groups: experimental and control. The study tools comprised a demographic data collection form, a postpartum post-traumatic disorder scale developed by the researcher, and a 12-session EMDR therapeutic program. The findings revealed statistically significant differences at a 0.05 level between the mean scores of the control and experimental groups in the post-test assessments of postpartum post-traumatic disorder (total score and dimensions), with notable differences also observed in the pre-test and post-test scores within the experimental group. The EMDR program's effect size was significant, demonstrating its efficacy in alleviating symptoms of postpartum post-traumatic disorder. There were no statistically significant differences in the means of the experimental group's scores in dimensional and follow-up assessments of postpartum post-traumatic disorder. The t-test values (1.46, 1.18, 1.50, 2.386) for the dimensions and total score, respectively, underscore the sustained impact of the EMDR-based therapy program in mitigating postpartum post-traumatic disorder and its symptoms during the one-month follow-up after the program concluded. Consequently, several recommendations were proposed, including Early screening and effective therapy of postpartum post-traumatic disorder are crucial, the integration of EMDR therapy into women-focused therapy programs, especially those with prior pregnancy complications, and the training of healthcare providers in maternity hospitals on the EMDR technique.
Keywords
اضطراب ما بعد الصدمة المرتبط بولادة طفل; إزالة الحساسية بتحريك العينين وإعادة المعالجة; العلاج النفسي الموجه للنساء; التحفيز الثنائي
References
  • Allon, M. (2015). EMDR Group Therapy with Women Who Were Sexually Assaulted in the Congo. Journal of EMDR Practice and Research, 9 (1), 28-34.
  • American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Arlington, VA, USA: American Psychiatric Publishing; 2013.
  • Andersen, L., Melvaer, L., Videbech, P., Lamont, R. & Joergensen, J. (2012). Risk factors for developing post-traumatic stress disorder following childbirth: a systematic review: L.B. Acta Obstet Gynecol Scand, 91 (11), 1261-1272.
  • Anderson, C.A. (2017). The trauma of birth. Health Care Women Int, 38, 999–1010.
  • Arkowitz, H. (2012, August 01). EMDR: Taking a Closer Look. Retrieved from https://www.scientificamerican.com/article/emdr-taking-a-closer-look/
  • Artigas, I., Jarero, I, Mauer, M., Lopez Cano, T. & Alcala, N. (2000, September). EMDR and traumatic stress after natural disasters: Integrative treatment protocol and the butterfly hug. Poster presented at the EMDRIA Conference, Toronto, Ontario, Canada.
  • Ayers, S., Bond, R., Bertullies, S., & Wijma, K. (2016). The etiology of post-traumatic stress following childbirth: a meta-analysis and theoretical framework. Psychol Med, 46, 1121–1134.
  • Baas, M. A., Stramrood, C. A., Dijksman, L. M., de Jongh, A., & van Pampus, M. G. (2017). The OptiMUM-study: EMDR therapy in pregnant women with posttraumatic stress disorder after previous childbirth and pregnant women with fear of childbirth: design of a multicentre randomized controlled trial. European Journal of Psych traumatology, 8(1), 1293315.
  • Beck, C. & Watson, S. (2008). Impact of birth trauma on breast-feeding: a tale of two pathways. Nurs Res, 57 (4), 228-236.
  • Beck, C. (2004). Post-traumatic stress disorder due to childbirth: the aftermath. Nurs Res, 53, 216–224.
  • Bell, A. & Andersson, E. (2016). The birth experience and women’s postnatal depression: a systematic review. Midwifery, 39, 112- 123.
  • Bisson, J. & Andrew, M. (2009). Psychological treatment of post-traumatic stress disorder (PTSD). Cochrane Database of Systematic Reviews, (3), CD003388.
  • Courtois, C. (2000). Complex trauma, complex reactions: assessment and treatment. Psychological Trauma: Theory, Research, Practice, and Policy, (1), 86–100
  • Davidson, J. R. T., Book, S. W. & Colket, J. T. (1995). Davidson Self-Rating PTSD Scale. Available from Multi-Health Systems, Inc., 908 Niagara Falls Boulevard, North Tonawanda, NY 14120.
  • de Graaff, L.F., Honig, A., van Pampus, M.G., & Stramrood, C.A. (2018). Preventing post-traumatic stress disorder following childbirth and traumatic birth experiences: a systematic review. Acta Obstet Gynecol Scand, 97, 648–656.
  • Delicate, A., Ayers, S., Easter, A., & McMullen, S. (2018). The impact of childbirth-related post-traumatic stress on a couple’s relationship: a systematic review and meta-synthesis. J Reprod Infant Psychol, 36,: 102–115.
  • Dencker, A., Nilsson, C., Begley, C., Jangsten, E., Mollberg, M., Patel, H., Wigert, H., Hessman, E., Sjöblom, H., & Sparud-Lunding, C. (2019). Causes and outcomes in studies of fear of childbirth: a systematic review. Women Birth, 32 (2), 99-111.
  • Elmir, R., Schmied, V., Wilkes, L., & Jackson, D. (2010). Women’s perceptions and experiences of a traumatic birth: a meta-ethnography: Women’s perceptions and experiences of a traumatic birth. J Adv Nurs, 66 (10), 2142-2153.
  • Grekin, R., & O’Hara, M.W. (2014). Prevalence and risk factors of postpartum posttraumatic stress disorder: a meta-analysis. Clin Psychol Rev, 34, 389–401.
  • Haagen, J.F., Moerbeek, M., Olde, E., van der Hart, O., & Kleber, R.J. (2015). PTSD after childbirth: A predictive etiological model for symptom development. J Affect Disord, 185, 135–143.
  • Hollander, M., van Hastenberg, E., van Dillen, J., van Pampus, D., de Miranda, M; C. & Stramrood, C. (2017). Preventing traumatic childbirth experiences 2192 women’s perceptions and views. Arch Womens Ment Health, 20 (4), 515-523
  • Horsch, A. (2019). Stuijfzand S. Intergenerational transfer of perinatal trauma-related consequences. J Reprod Infant Psychol, 37, 221–223.
  • Hosseini, T., Tabaghdehi, M., Kolahdozan, S., Keramat, A., Shahhossein, Z., Moosazadeh, M. & Motaghi, Z. (2020). Prevalence and factors affecting the negative childbirth experiences: a systematic review. J Matern Fetal Neonatal Med, 33 (22), 3849- 3856.
  • Jarero, I & Artigas, I. (2010). The EMDR integrative group treatment protocol: Application with adults during ongoing geopolitical crisis. Journal of EMDR Practice and Research, 4(4), 148–155.
  • Jarero, I., Artigas, L. & Hartung, J. (2006). EMDR integrative group treatment protocol: A post-disaster trauma intervention for children and adults. Traumatology, 12(2), 121–129.
  • Jarero, I., Artigas, L. & Montero, M. (2008). The EMDR integrative group treatment protocol: Application with child victims of mass disaster. Journal of EMDR Practice and Research, 2(2), 97–105.
  • Jarero, I., Artigas, L., Uribe, S. & Miranda, A. (2014). EMDR therapy humanitarian trauma recovery interventions in Latin America and the Caribbean. Journal of EMDR Practice and Research, 8(4), 260–268.
  • Kästner, R. (2016). Psychosomatische Geburtshilfe. In: Berberich H, Siedentopf F, editors. Psychosomatics Urologie und Gynäkologie. Munic, Basel: UTB Ernst Reinhardt; 2016. pp. 235–245.
  • Kopmeiners, E., Hollander, M., van Voorst, N. & Stramrood, A. (2023) Effect of early postpartum EMDR on reducing psychological complaints in women with a traumatic childbirth experience. Journal of Psychosomatic Obstetrics & Gynecology, 44,1, DOI: 10.1080/0167482X.2023.2229010
  • Kranenburg, L., Bijma, H., Eggink, J., Knijff, E. & Lambregtse-van den Berg, M.P. (2022) Implementing an eye movement and desensitization reprocessing treatment program for women with posttraumatic stress disorder after childbirth. Psychol. 12M797901. doi: 10.3389/fpsyg.2021.797901
  • Kullack, C., & Laugharne, J. (2016). Standard EMDR protocol for alcohol and substance dependence comorbid with posttraumatic stress disorder: Four cases with 12-month follow-up.  Journal of EMDR Practice and Research, 10(1), 33-46.
  • MacKinnon, A.L., Houazene, S., Robins, S., Feeley, N., & Zelkowitz, P. (2018). Maternal Attachment Style, Interpersonal Trauma History, and Childbirth-Related Post-traumatic Stress. Front Psychol, 9, 2379.
  • Modarres, M., Afrasiabi, S., Rahnama, P., & Montazeri, A. (2012). Prevalence and risk factors of childbirth-related post-traumatic stress symptoms. BMC pregnancy and childbirth, 12, 88. https://doi.org/10.1186/1471-2393-12-88
  • Nesca, M., & Dalby, J. T. (2011). Maternal neonaticide following traumatic childbirth: a case study. Int J Offender Ther Comp Criminol, 55,1166–1178.
  • Pagani, M., Di Lorenzo, G., Monaco, L., Niolu, C., Siracusano, A., Verardo, A.R., & Ammaniti, M. (2011). Pretreatment, intratreatment, and posttreatment EEG imaging of EMDR: Methodology and preliminary results from a single case. Journal of EMDR Practice and Research, 5(2), 42-56.
  • Parfitt, Y.M, & Ayers, S. (2009). The effect of post‐natal symptoms of post‐traumatic stress and depression on the couple’s relationship and parent–baby bond. J Reprod Infant Psychol, 27, 127–142.
  • Proudlock, S. & Peris, J. (2020). Using EMDR therapy with patients in an acute mental health crisis. BMC Psychiatry,20, 14. https://doi.org/10.1186/s12888-019-2426-7
  • Rost, C., Hofmann, A., & Wheeler, K. (2009). EMDR treatment of workplace trauma: A case series. Journal of EMDR Practice and Research, 3(2), 80-90.
  • Rothbaum, B.O. (1997). A controlled study of eye movement desensitization and reprocessing in the treatment of posttraumatic stress disordered sexual assault victims. Bulletin of the Menninger Clinic, 61(3), 317–334.
  • Rothbaum, B.O., Astin, M.C. & Marsteller, F. (2005). Prolonged exposure versus eye movement desensitization and reprocessing (EMDR) for PTSD rape victims. Journal of Traumatic Stress, 18(6), 607–616.
  • Rousseau, D. (2018) Module 4 Pathways to Recovery: Understanding Approaches to Trauma Treatment.  Retrieved from Boston University
  • Schwab, W., Marth, C. & Bergant, A. (2012). Post-traumatic Stress Disorder Post Partum, the Impact of Birth on the Prevalence of Post-traumatic stress disorder (PTSD) in Multiparous Women. Geburtshilfe Frauenheilkd, 72(1), 56–63.
  • Schytt, E. & Waldenström, U. (2007). Risk factors for poor self-rated health in women at 2 months and 1 year after childbirth. J Womens Health (Larchmt), 16 (3), 390-405.
  • Shapiro, F. & Forrest, M.S. (1997). EMDR: The breakthrough therapy for overcoming anxiety, stress, and trauma. New York, NY: Basic Books.
  • Shapiro, F. (1989). Efficacy of the eye movement desensitization procedure in the treatment of traumatic memories. Journal of Traumatic Stress, 2, 199–223.
  • Shapiro, F. (2002). Paradigms, processing, and personality development. In: Shapiro F, editor. EMDR as an Integrative Psychotherapy Approach: Experts of Diverse Orientations Explore the Paradigm Prism. Washington, DC, USA: American Psychological Association, 3–26.
  • Shapiro, F. (2014). The Role of Eye Movement Desensitization and Reprocessing (EMDR) Therapy in Medicine: Addressing the Psychological and Physical Symptoms Stemming from Adverse Life Experiences. Perm J; 18(1), 71–77.
  • Shapiro, F. (2017). Eye movement desensitization and reprocessing (EMDR) therapy: Basic principles, protocols and procedures. (3rd ed.). New York, NY: Guilford Press.
  • Shorey, S; Yang, Y & Ang, E. (2018). The impact of negative childbirth experience on future reproductive decisions: a quantitative systematic review. J Adv Nurs, 74 (6), 1236-1244.
  • Simkin, P. (1991). Just another day in a woman’s life? Women’s long-term perceptions of their first birth experience. Part I Birth, 18 (4), 203-210.
  • Soet, J. E, Brack, G. A, & Dilorio, C. (2003). Prevalence and predictors of women's experience of psychological trauma during childbirth. Birth, 30, 30–46.
  • Sommerlad, S., Schermelleh-Engel, K., La Rosa, V. L., Louwen, F., & Oddo-Sommerfeld, S. (2021). Trait anxiety and unplanned delivery mode enhance the risk for childbirth-related post-traumatic stress disorder symptoms in women with and without risk of preterm birth: A multi-sample path analysis. PloS one, 16(8), e0256681. https://doi.org/10.1371/journal.pone.0256681
  • Stickgold, R. (2008). Sleep-dependent memory processing and EMDR action. Journal of EMDR Practice and Research, 2(4):289–99.
  • Van der Kolk, B. A. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. New York: Viking Penguin
  • Van Der Kolk, B.A, Pelcovitz, D., Roth, S., Mandel, F.S., McFarlane, A., & Herman, J.L. (1996). Dissociation, somatization, and affect dysregulation: the complexity of adaptation to trauma. American Journal of Psychiatry, 153(7):83–93.
  • Van Rood, Y.R. & de Roos, C. (2009). EMDR in the treatment of medically unexplained symptoms: A systematic review. Journal of EMDR Practice and Research, 3, 248–263.
  • Viirman, F., Hess Engström, A., Sjömark, J., Hesselman, S., Sundström Poromaa, I., Ljungman, L., Svanberg, A. S., & Wikman, A. (2023). Negative childbirth experience in relation to mode of birth and events during labour: A mixed methods study. European Journal of Obstetrics & Gynecology, 282, 146–154.
  • Yildiz, P. D., Ayers, S., Phillips, L. (2017). The prevalence of posttraumatic stress disorder in pregnancy and after birth: A systematic review and meta-analysis. J Affect Disord, 208, 634–645.
  • Zolghadr, N., Khoshnazar, A., MoradiBaglooei, M., & Alimoradi, Z. (2019). The Effect of EMDR on Childbirth Anxiety of women with previous stillbirth. Journal of EMDR Practice and Research, 13(1), 10–19.
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