The impact of eye movement desensitization and reprocessing and schema therapy on addiction severity among a sample of French women suffering from PTSD and SUD

Description

Aims:
The purpose of the study is to examine the effects of eye movement desensitization and reprocessing (EMDR) associated with Schema Therapy (ST) on the improvement in symptoms of posttraumatic stress disorder (PTSD), attachment disorder (AD) and substance use disorder (SUD) among women in outpatient substance abuse treatment. Hypothesis: PTSD and AD severity reductions with EMDR-ST focused on addictivememorywere likely to be associated with substance use improvement.

Methods:
This study investigated in the treatment of SUD among 7 women with SUD and PTSD comorbidity. We proposed a 3-phase-protocol therapy: (a) 8 EMDR sessions focused on reprocessing traumatic memory; (b) 8 EMDR sessions (traumatic memory) associated with ST (traumatic attachment) and (c) 8 EMDR sessions (addictive memory) associated with ST. We evaluated PTSD symptoms (PCL-S), Early Maladaptive Schemas-EMS (YSQ-S2) and addiction severity (ASI) before and after treatment (t-tests).

Results:
The first phases of treatment protocol reduced PTSD symptoms (a and b) and EMS (b) but not the addiction severity (AS). AS and craving started significantly decreasing only after the last 8 additional sessions (EMDR-ST) focused on addictive memory (c).

Conclusions:
In a previous studyweshowed that 6womenwith SUD-PTSD and assigned to eight sessions ofEMDR(traumaticmemory) showed a significant reduction in PTSD symptoms but not in addiction symptoms compared to 6 control patients (treatment as usual). The present study suggests that reprocessing both traumatic and addiction memories using EMDR procedure associated with ST reduces not only PTSD and EMS but also AS. Results support importance of coping with PTSD symptoms and of providing integrative therapies for improving substance use outcomes especially in female patients because of the high frequency of stress-induced craving among women.

Format

Journal

Language

English

Author(s)

Beatrice Perez-Dandieu
Hugo Lenoir
Erika Othily
Geraldine Tapia
Myriam Cassen
Jean-Michel Delile

Original Work Citation

Perez-Dandieu, B., Lenoir, H., Othily, E., Tapia. G., Cassen, M., & Delile, J.-M. (2015). The impact of eye movement desensitization and reprocessing and schema therapy on addiction severity among a sample of French women suffering from PTSD and SUD. Drug and Alcohol Dependence, 146, e68-69

Collection

Citation

“The impact of eye movement desensitization and reprocessing and schema therapy on addiction severity among a sample of French women suffering from PTSD and SUD,” Francine Shapiro Library, accessed August 3, 2020, https://emdria.omeka.net/items/show/23261.

Output Formats