J Consult Clin Psychol 1998 Feb;66(1):193-8 This study examined the efficacy of eye movement desensitization and reprocessing (EMDR) and One example of why EMDR has not been shown to be better than CBT for phobias.
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Treating phobic children: effects of EMDR versus exposure.
Muris P, Merckelbach H, Holdrinet I, Sijsenaar M
Department of Psychology,
Universiteit Maastricht, The Netherlands.
P.Muris@Psychology.unimaas.nl
exposure in the treatment of a specific phobia. Twenty-six spider phobic children were treated
during 2 treatment phases. During the first phase, which lasted 2.5 hr, children were randomly
assigned to either (a) an EMDR group (n = 9), (b) an exposure in vivo group (n = 9), or (c) a
computerized exposure (control) group (n = 8). During the 2nd phase, all groups received a
1.5-hr session of exposure in vivo. Therapy outcome measures (i.e., self-reported fear and
behavioral avoidance) were obtained before treatment, after Treatment Phase 1, and after
Treatment Phase 2. Results showed that the 2.5-hr exposure in vivo session produced significant
improvement on all outcome measures. In contrast, EMDR yielded a significant improvement on
only self-reported spider fear. Computerized exposure produced nonsignificant improvement.
Furthermore, no evidence was found to suggest that EMDR potentiates the efficacy of a
subsequent exposure in vivo treatment. Exposure in vivo remains the treatment of choice for
childhood spider phobia.
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