EFFECTIVENESS STABILIZATION TECHNIQUE AND EMDR (EYE MOVEMENT DESENSITIZATION AND REPROCESSING) IN PATIENTS WITH DEPRESSIVE SYMPTOMS AND PSYCHIATRIC NON-SUICIDAL SELF-INJURY, NAKHON RATCHASIMA RAJANAGARINDRA PSYCHIATRIC HOSPITAL
Keywords:
non-suicidal self-injury, depressive symptoms, Stabilization technique, Eye Movement Desensitization and ReprocessingAbstract
Objectives: To study about the Effectiveness of Stabilization technique and EMDR (Eye movement desensitization and reprocessing) in patients with depressive symptoms and Psychiatric Non-Suicidal Self–Injury (NSSI) at Nakhon Ratchasima Rajanagarindra Psychiatric Hospital.
Material and Methods: This study is a quasi-experiment research, comparing patients with depressive symptoms and NSSI before and after using Stabilization technique and EMDR therapy from September 1st, 2021 to October 30th, 2022. Patients were invited for evaluation by Patients Health Questionnaires-9 (PHQ-9) and researcher’s questionnaires. Percentage, mean, standard deviation (SD), Paired T-Test, and Wilcoxon Signed Ranks Test were used as statistical analysis.
Results: In this study total 14 subjects of female patient were recruited. Then 4 patients were excluded from the trial (3 patients preferred treatment at other hospitals in their area, and 1 had psychotic symptoms). The remains of 10 patients were treated by Stabilization technique and EMDR therapy. We found that Stabilization technique significantly reduced depression scores at 0 - 1 week (p-values < 0.001). Then EMDR was used after Stabilization technique and depression scores significantly decreased at 2nd week (p-values = 0.007). We compared depression scores and non–suicidal self-injury behavior before and after using Stabilization technique and EMDR therapy at 1 month after discharge. We found that therapeutic course can reduce depression scores and recurrent self-injury behavior significantly (p-values of 0.001 and 0.004).
Conclusion: Stabilization technique and EMDR therapy are effective in reducing depressive symptoms and NSSI.
References
Zavaschi MLS, Graeff ME, Menegassi MT, Mardini V, Pires DWS, de Carvalho RH, et al. Adult mood disorders and childhood psychological trauma. Braz J Psychiatry 2006; 28(3): 184-90.
Belik SL, Stein MB, Asmundson GJG, Sareen J. Relation between traumatic events and suicide attempts in Canadian military personnel. Can J Psychiatry 2009; 54(2): 93-104.
Sorsdahl K, Stein DJ, Williams DR, Nock MK. Associations between traumatic events and suicidal behavior in South Africa. J Nerv Ment Dis 2011; 199(12): 928-33.
Mosquera D, Ross CA, Application of EMDR therapy to self-harming behaviors, J EMDR Pract Res 2016; 10(2): 119-28.
Piyavhatkul N, Paholpak S, Boonpromma W, Effectiveness of trauma therapy and EMDR in patients with psychiatric illness in northeastern Thailand. Int J Med Sci Public Health 2018, 7(12): 7-17.
ศจีมาจ ณ วิเชียร. การกำหนดขนาดกลุ่มตัวอย่างในการวิจัยโดยใช้โปรแกรมสำเร็จรูป. [ออนไลน์]. เข้าถึงได้จาก: http://www.priv.nrct.go.th/ewt_dl.php?nid=1217 [1 มีนาคม 2565].
Fereidouni Z, Behnammoghadam M, Jahanfar A, Dehghan A. The effect of Eye Movement Desensitization and Reprocessing (EMDR) on the severity of suicidal thoughts in patients with major depressive disorder: a randomized controlled trial. Neuropsychiatr Dis Treat 2019; 15: 2459-66.
McLaughlin DF, McGowan IW, Paterson MC, Miller PW. Cessation of deliberate self-harm following eye movement desensitization and reprocessing: a case report. Cases J 2008; 1(1): 177.
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