EMDR treatment-program for women with posttraumatic stress disorder
after childbirth: a prospective cohort study
Abstract
Objective To describe the implementation and outcomes of an Eye Movement
and Desensitisation Reprocessing (EMDR)-treatment-program for women with
Posttraumatic stress disorder (PTSD) after childbirth. Design
Prospective cohort-study with pre- and post measurements. Setting A
large university hospital in the Netherlands. Population Women who gave
birth to a living child at least 4 weeks ago, with a PTSD diagnosis, or
severe PTSD-symptoms combined with another DSM-5 diagnosis, who provided
written informed consent. Methods The intervention applied was EMDR, an
evidence-based psychotherapy for patients with PTSD. Main Outcome
Measures The PTSD Checklist for DSM-5 (PCL-5) was administered before
and after treatment. Trauma history was assessed before treatment with
the Life Events Checklist for the DSM-5 (LEC-5), the Childhood Trauma
Questionnaire (CTQ-SF) and the Childbirth Perception Scale (CPS).
Results Forty-four women were referred, 26 met the inclusion criteria.
After treatment, none of the women met the criteria for diagnosis of
PTSD anymore after on average 5 weekly sessions of EMDR-treatment. These
outcomes are extra promising, as they were achieved in quite a complex
group of women with relatively high psychiatric comorbidity (64%) and
high rates of previous mental health treatment (80%). Conclusions
Implementing an EMDR-therapy treatment program for women with after
childbirth PTSD in the context of a large academic hospital is feasible
and effective. Key factors for success include a close collaboration
between the relevant hospital departments and a thorough case
conceptualisation addressing the aetiology of the PTSD. Funding No
external funding. Keywords Posttraumatic Stress Disorder after
childbirth, EMDR-therapy, Psychiatry, Implementation.