Eye movement desensitization and reprocessing for mental health problems: a systematic review and meta-analysis

ABSTRACT

There is no comprehensive meta-analysis of randomised trials examining the effects of Eye Movement Desensitization and Reprocessing (EMDR) on post-traumatic stress disorder (PTSD) and no systematic review at all of the effects of EMDR on other mental health problems. We conducted a systematic review and meta-analysis of 76 trials. Most trials examined the effects on PTSD (62%). The effect size of EMDR compared to control conditions was g = 0.93 (95% CI: 0.67–.18), with high heterogeneity (I²= 72%). Only four of 27 studies had low risk of bias, and there were indications for publication bias. EMDR was more effective than other therapies (g = 0.36; 95% CI: 0.14–0.57), but not in studies with low risk of bias. Significant results were also found for EMDR in phobias and test anxiety, but the number of studies was small and risk of bias was high. EMDR was examined in several other mental health problems, but for none of these problems, sufficient studies were available to pool outcomes. EMDR may be effective in the treatment of PTSD in the short term, but the quality of studies is too low to draw definite conclusions. There is not enough evidence to advise it for the use in other mental health problems.     

Modeling Updating of Perceived Detection Risk: The Role of Personal Experience,Peers, Deterrence Policies,and Impulsivity

ABSTRACT

We investigate how changes in deviant personal experiences, vicarious information, perceptions of deterrence policies, and impulsivity as a conditioning factor affect the perceived detection risk (PDR). We examine this by using the example of plagiarism by German university students using panel data (N = 1,684). Results show, for example, that gaining experience with plagiarism lowered the PDRs, while detection increased the PDRs. Vicarious information indicating low detection risks lowered the PDR of non-plagiarists only. An increase in the estimated use of computer-assisted plagiarism-checks, affected predominantly the PDR of plagiarists. Moreover, more impulsive plagiarists gave less weight to announcements of the use of plagiarism checks.     

Very pre‐term infants' behaviour at 1 and 2 years of age and parental stress following basic developmental care

This study explored the effects of basic developmental care on the behaviour of very pre‐term infants and parental stress at 1 and 2 years of corrected age. A randomized controlled trial was done to compare basic Developmental Care (standardized nests and incubator covers) and controls (standard care). Parents of infants born <32 weeks of gestation completed questionnaires measuring child behaviour and parental stress at 1 year (N = 139) and 2 years (N = 133) of the child's age. Parental stress was measured using the Nijmegen Parenting Stress Index and child behaviour was measured using the Infant–Toddler Social and Emotional Assessment (ITSEA) and the Child Behaviour Checklist 2–3. At 1 year of age, children in the basic developmental care group had significantly higher behaviour scores on the total competence domain (p = .009) and the competence subscale mastery motivation (p = .002) of the ITSEA questionnaire, meaning that the infants showed more curiosity, persistence, obedience and enjoyment with small accomplishments. No significant effects were found on problem behaviour or parenting stress. We conclude that introducing a basic form of developmental care in the neonatal intensive care unit has a positive influence on the child's competence behaviour at 1 year of age.