eye movement desensitisation and reprocessing (emdr) for Dsm 5 post-traumatic stress disorder (ptsd) in adults with intellectual disabilities: A case study review
2016
Objective: People with intellectual disabilities may be at a greater risk for exposure to traumatic events
and consequently develop posttraumatic stress disorder (PTSD). Although eye movement desensitization
and reprocessing (EMDR) is an established treatment for PTSD in the general population, research on
people with intellectual disabilities is limited. This review aims to critically appraise for the 1st time case
studies published in this area, because no controlled investigations are available at present. Method: An
in-depth literature review was conducted, and 6 case studies were identified from peer-reviewed journals
describing EMDR therapy for psychological trauma in 14 adults with a mild to severe intellectual
disability. These case studies were reviewed in terms of methods of assessing PTSD and trauma histories
and delivery of EMDR therapy in order to establish the usefulness and acceptability of this intervention
for people with intellectual disabilities. Results: All cases demonstrated improvement in symptoms
following EMDR therapy, with around half of the cases stating no disturbance at posttreatment and at
follow-up assessments. No adverse effects were reported, demonstrating that EMDR is well tolerated by
people with intellectual disabilities. Conclusions: EMDR is a safe and acceptable intervention for people
with intellectual disabilities, and there is now sufficient evidence to conduct a randomized control trial
to establish its effectiveness for DSM–5 PTSD in this population group.
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