Effectiveness of Cognitive Behavior Therapy Combined with Eye Movement Desensitization and Reprocessing on Psychological Problems and Life Quality in Patients' Postfacial Trauma

Overview

Journal Comput Math Methods Med

Publisher Hindawi

Specialty Medical Informatics

Date 2022 Sep 19

PMID 36118833

Authors

Yue Lin

Wang Lv

Jun Xu

Yingying Jiang

Zheyan Chen

Affiliations

Soon will be listed here.

Abstract

Objective: To investigate the effectiveness of cognitive behavior therapy (CBT) combined with eye movement desensitization and reprocessing (EMDR) on the esteem, anxiety, depression, posttrauma stress disorder (PTSD), and posttraumatic growth in patients with facial trauma.

Methods: A total of 92 facial trauma patients in Wenzhou People's Hospital from January 2017 to December 2019 were enrolled in this study. The patients were randomly divided into control group ( = 46) and intervention group ( = 46). Both of the control group and the intervention group received routine treatment, while the intervention group further received CBT combined with EMDR. Questionnaires were used to explore and record the general patient information. The Self-Esteem Scale (SES), Self-Anxiety Scale (SAS), Self-Depression Scale (SDS), Posttraumatic Stress Disorder Checklist Civilian Version (PCL-C), Posttraumatic Growth Inventory (PTGI), and World Health Organization Quality of Life-brief (WHOQOL-BREF) scores between the two groups were compared.

Results: After CBT combined with EMDR intervention, the SDS and SAS scores in the intervention group were significantly decreased compared with the scores before intervention with statistically significance ( < 0.001). Furthermore, the PCL-C score in the intervention group showed significant decrease in comparison with the control group ( < 0.001), while the PTGI score in the intervention group was significantly higher than the control group ( < 0.001). The WHOQOL-BREF scores were increased after treatment in the two groups compared with the scores before treatment, and the scores in the intervention group were higher than those in the control group after treatment ( < 0.01).

Conclusion: Psychological intervention therapy can effectively alleviate the anxiety, depression, and PTSD and improve the life quality and the recovery of facial trauma patients.

Citing Articles

Retracted: Effectiveness of Cognitive Behavior Therapy Combined with Eye Movement Desensitization and Reprocessing on Psychological Problems and Life Quality in Patients' Postfacial Trauma.

Methods In Medicine C Comput Math Methods Med. 2023; 2023:9891078.

PMID: 38124905 PMC: 10732844. DOI: 10.1155/2023/9891078.

References

. Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychol Med. 1998; 28(3):551-8. DOI: 10.1017/s0033291798006667. View

Tedeschi R, Calhoun L . The Posttraumatic Growth Inventory: measuring the positive legacy of trauma. J Trauma Stress. 1996; 9(3):455-71. DOI: 10.1007/BF02103658. View

Bisson J, Roberts N, Andrew M, Cooper R, Lewis C . Psychological therapies for chronic post-traumatic stress disorder (PTSD) in adults. Cochrane Database Syst Rev. 2013; (12):CD003388. PMC: 6991463. DOI: 10.1002/14651858.CD003388.pub4. View

Cai J, Zheng Y, Li P, Ye B, Liu H, Ge L . The Effect of Romantic Relationships on the Evaluation of the Attractiveness of One's Own Face. Iperception. 2018; 9(2):2041669518765542. PMC: 5937628. DOI: 10.1177/2041669518765542. View

Bryant R, Kenny L, Rawson N, Cahill C, Joscelyne A, Garber B . Efficacy of exposure-based cognitive behaviour therapy for post-traumatic stress disorder in emergency service personnel: a randomised clinical trial. Psychol Med. 2018; 49(9):1565-1573. DOI: 10.1017/S0033291718002234. View

Marsden Z, Lovell K, Blore D, Ali S, Delgadillo J . A randomized controlled trial comparing EMDR and CBT for obsessive-compulsive disorder. Clin Psychol Psychother. 2017; 25(1):e10-e18. DOI: 10.1002/cpp.2120. View

Shiraz F, Rahtz E, Bhui K, Hutchison I, Korszun A . Quality of life, psychological wellbeing and treatment needs of trauma and head and neck cancer patients. Br J Oral Maxillofac Surg. 2014; 52(6):513-7. DOI: 10.1016/j.bjoms.2014.03.019. View

OCallaghan P, McMullen J, Shannon C, Rafferty H, Black A . A randomized controlled trial of trauma-focused cognitive behavioral therapy for sexually exploited, war-affected Congolese girls. J Am Acad Child Adolesc Psychiatry. 2013; 52(4):359-69. DOI: 10.1016/j.jaac.2013.01.013. View

Tol W, Barbui C, van Ommeren M . Management of acute stress, PTSD, and bereavement: WHO recommendations. JAMA. 2013; 310(5):477-8. DOI: 10.1001/jama.2013.166723. View

10.

Benzeval M, Green M, Macintyre S . Does perceived physical attractiveness in adolescence predict better socioeconomic position in adulthood? Evidence from 20 years of follow up in a population cohort study. PLoS One. 2013; 8(5):e63975. PMC: 3661660. DOI: 10.1371/journal.pone.0063975. View

11.

Van Loey N, van Son M . Psychopathology and psychological problems in patients with burn scars: epidemiology and management. Am J Clin Dermatol. 2003; 4(4):245-72. DOI: 10.2165/00128071-200304040-00004. View

12.

Shapiro F . 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. 2014; 18(1):71-7. PMC: 3951033. DOI: 10.7812/TPP/13-098. View

13.

Khan A, Dar S, Ahmed R, Bachu R, Adnan M, Kotapati V . Cognitive Behavioral Therapy versus Eye Movement Desensitization and Reprocessing in Patients with Post-traumatic Stress Disorder: Systematic Review and Meta-analysis of Randomized Clinical Trials. Cureus. 2018; 10(9):e3250. PMC: 6217870. DOI: 10.7759/cureus.3250. View

14.

Sin J, Spain D, Furuta M, Murrells T, Norman I . Psychological interventions for post-traumatic stress disorder (PTSD) in people with severe mental illness. Cochrane Database Syst Rev. 2017; 1:CD011464. PMC: 6464771. DOI: 10.1002/14651858.CD011464.pub2. View

15.

Santarnecchi E, Bossini L, Vatti G, Fagiolini A, La Porta P, Di Lorenzo G . Psychological and Brain Connectivity Changes Following Trauma-Focused CBT and EMDR Treatment in Single-Episode PTSD Patients. Front Psychol. 2019; 10:129. PMC: 6397860. DOI: 10.3389/fpsyg.2019.00129. View

16.

Jensen T, Holt T, Ormhaug S, Egeland K, Granly L, Hoaas L . A randomized effectiveness study comparing trauma-focused cognitive behavioral therapy with therapy as usual for youth. J Clin Child Adolesc Psychol. 2013; 43(3):356-69. PMC: 4037845. DOI: 10.1080/15374416.2013.822307. View

17.

Sahni V . Psychological Impact of Facial Trauma. Craniomaxillofac Trauma Reconstr. 2018; 11(1):15-20. PMC: 5790551. DOI: 10.1055/s-0037-1603464. View

18.

Cusack K, Jonas D, Forneris C, Wines C, Sonis J, Middleton J . Psychological treatments for adults with posttraumatic stress disorder: A systematic review and meta-analysis. Clin Psychol Rev. 2015; 43:128-41. DOI: 10.1016/j.cpr.2015.10.003. View

19.

Bisson J, Shepherd J, Dhutia M . Psychological sequelae of facial trauma. J Trauma. 1997; 43(3):496-500. DOI: 10.1097/00005373-199709000-00018. View

20.

Gibson J, Ackling E, Bisson J, Dobbs T, Whitaker I . The association of affective disorders and facial scarring: Systematic review and meta-analysis. J Affect Disord. 2018; 239:1-10. DOI: 10.1016/j.jad.2018.06.013. View