*** Background and aims *** Complex Post Traumatic Stress Disorder (C-PTSD) was introduced in the ICD-11 in 2018 as a new diagnosis [1]. However, this disorder has been described in the clinical and scientific literature for several years [2]. In clinical practice, therapists are confronted with patients who suffering from Complex PTSD or even dissociative disorders. It is important for EMDR therapists to know and to refer to the guidelines in order to support Complex PTSD patients in the safest way.

*** Methods *** The present study is based on literature review method. Guidelines and recommendations have been analyze. This poster is designed as a technical reference sheet for EMDR therapists.

*** Results ***

*** Conclusions *** This poster will be a didactic and efficient support for EMDR therapists working with Complex PTSD patients.

*** Abstract topic *** literature review of guidelines about Complex PTSD and EMDR to help EMDR therapists in clinical practice.

*** 3 Learning objectives ***
First, to present the various international guidelines and recommendations.
Second, to help EMDR therapists structure their care and work with Complex PTSD patients.
Third, to maintain a safe management of Complex PTSD patients throughout the EMDR therapy.

*** Background and aims *** Identification of sustainable interventions for health improvement is one of most recent challenges of public health. In this framework, Practice-Based Evidence (PBE) allows to combine research with clinical practice collecting daily routine data to the effectiveness of clinical practices. Research has already highlighted that EMDR appears to be the most cost-effective intervention for adults with PTSD compared to other therapeutic interventions. The purpose of this study is to show that EMDR approach could be also a convenient structured transdiagnostic clinical for the promotion of psychological well-being and the treatment of psychopathology in first-level health services.

*** Methods *** N = 10 Pre-Intervention -> EMDR Intervention -> Post-Intervention

*** Results *** A paired-samples t-test was conducted to compare CORE-OM subscales in Pre-Intervention and Post-Intervention conditions. There was a significant difference in the scores for all subscales (p<.01). the="" mean="" value="" of="" sessions="" was="" equal="" to="" 8="" (sd="3)." furthermore,="" emdr="" benefits="" led="" 3="" out="" of="" 10="" participants="" to="" discontinue="" pharmacological="" treatment;="" 2="" to="" avoid="" starting="" pharmacological="" treatment="" and="" to="" access="" to="" the="" second-level="" mental="" health="" service="" and="" 1="" participant="" no="" longer="" used="" the="" psychiatric="" drugs="" as="">

*** Conclusions *** The severity of problems occurring in psychological therapy services based in primary care settings may benefit from brief EMDR therapy. This intervention can reduce access to secondary care settings and healthcare costs (including those related to psychiatric drugs).

*** Abstract topic *** EMDR effectiveness

*** 3 Learning objectives ***
Efficacy of EMDR in primary care settings
Cost-effectiveness of EMDR
EMDR as a stand-alone therapy approach

*** Background and aims ***

This presentation will discuss the effectiveness of 5 EMDR-derived protocols in reducing SUDS scores in Ukrainians experiencing wartime psychological distress. The aim of the study was to determine if EMDR-derived protocols could be effective in stabilizing clients who are currently in a conflict zone.

*** Methods ***

The study examined ISP, EMDR, IGTP, G-TEP, and tapping alone. Participants were recruited through EMDR-trained mental health professionals from a mental health counseling center in Ukraine.

*** Results ***

Data revealed that all 5 interventions showed a reduction in SUDS. This gives hope to people in continuous stressful situations that a stable state can be achieved without reaching a state of safety.

*** Conclusions ***

This study demonstrates a new path for mental health care to enter places that were unreachable prior to technological advancements. Professionals during the Russian-Ukrainian war demonstrated that people could be reached in bomb shelters during missile strikes, on the frontlines, and in occupied territories. In these situations, clinicians trained in EMDR brief stabilization and early intervention techniques that can be administered online could serve the mental health needs of clients in the midst of danger and continuous crises.

*** Abstract topic ***

Ukraine War

*** 3 Learning objectives ***

• Participants will identify EMDR-derived protocols that have been tested in conflict zones in Ukraine and have statistically significantly reduced SUDS scores.
• Participants will examine the results of pre- and post-SUDS scores of Ukrainian citizens who received EMDR-derived protocols during the Russian-Ukrainian war.
• Presenters will demonstrate how EMDR-derived protocols can be effectively utilized via telehealth to reach people in conflict zones.

Integrated and timely intervention during access to the Pediatric DEA of the P.O. Santa Croce di Moncalieri (TO) ASLTO5 and during the following 72 hours of relief and protection hospitalization. Target event: explosion due to gas leak in the adjacent apartment with consequent destruction of the family home during the night's rest. Method: Initial reception of the family system with psychoeducation and explanation of the intervention and the meaning of emergency work. Simultaneous implementation of individualized pathways with the involvement of EMDR psychotherapists for the 2 minor children and 2 parents: detection of reactive symptoms (insomnia with nightmares, anger, lack of appetite, freezing, avoidance, intrusive memories, dissociative aspects…). Psychological intervention with the use of EMDR and Mindfulness techniques aimed at stabilizing the body and starting the process of reprocessing the traumatic event. Specific intervention on the target event with the use of drawing with one of the minors. Results: recognition and greater awareness of bodily and emotional responses reactive to the event, lowering of psychophysiological activation. In the specific case of the youngest child desensitization on the target event. Follow-up after one week: Increased cooperation and acceptance regarding the planned housing and social support plan for them. Sharing and acceptance of the importance of psychological support. Subsequent sending to the territory for monitoring and possible psychological support.

Background and aims:

The EMDR approach is considered the most effective method for the resolution of psychological traumas. In fact, the latter always have an important somatic component: studies have shown that traumatic experiences occurring in childhood contribute significantly to the development of physical disorders in adulthood.

Method:

The text integrates EMDR practice with other proven methodological tools and presents clear and precise guidelines for psychological intervention. It is divided into a theoretical and an operative part in which specific protocols are illustrated according to type of disorder, target, methodology and description of clinical cases.

Results:

The psychophysiological changes that occur during psychotherapy with EMDR consist of the acquisition of new skills and the strengthening of the subject's resources and resilience. These modifications facilitates a better modulation of the stress response by making the body less vulnerable and, at the same time, the EMDR intervention results in an increased sensitivity to stimuli from within the body, which strengthens the integration of mind and body and, therefore, the person's adaptive capacities.

Conclusion:

Obviously, the knowledge of a protocol is not sufficient to guarantee appropriate treatment: psychotherapeutic skills are indispensable, enabling the expert to integrate the technique with the relationship.

Learning objective:

To illustrate EMDR as an effective approach for somatic and organic disorders.
To show guidelines for the conceptualisation of the case and initiation of a treatment protocol.
To know the psychometric tools to support clinical work with somatic and organic disorders

In this poster we will give an overview about finished and ongoing trauma and EMDR research projects in psychiatric patients of the Centro Fórum Research Unit, which was founded in 2017. Since then, we have carried out studies evaluating the prevalence and detailed characterization of psychological trauma in various clinical populations such as people with dual disorders, bipolar disorder, fibromyalgia, and HIV. Furthermore, we have carried out several pilot studies and large randomized controlled trials focused on the effects of EMDR in patients with bipolar disorder, its use in patients with severe mental disorders in a psychiatric unit, in substance abuse and dual disorders, and in patients with a HIV diagnosis. Currently ongoing is a randomized controlled trial in first psychotic episode patients and we are also initiating a pilot trial to evaluate the efficacy of EMDR in combination with transcranial direct current stimulation in patients with fibromyalgia. In a recently published umbrella meta-analysis we found strong evidence that psychological trauma is a transdiagnostic etiological risk factor for different mental disorders, and we are now carrying out a similar review to evaluate the role of psychological trauma as a general risk factor in somatic diseases.

*** Background and aims ***

Self-regulation and affective processing difficulties - possible fragile neuropsychic construct. EMDR-SP as a Phase 2 strategy Evaluate results of Safety Platform protocol adapted for group

*** Methods ***

Pre-post and follow-up study of EMDR-SP for men on leave due to protective measures, randomized by the DV Annex of the Court that allocated the intervention.

*** Results ***

14 men - 8 EMDR SP group sessions. Away from the family due to abuse: Physical (17%), Psychological (33%), Persecution (29%), Property damage (8%) and Sexual (13%); occurrence of 1.67 (1 to 7). Monthly monitoring (judiciary) from April until today found zero recidivism. Opened a new group.

*** Conclusions ***

There were relevant results, deserve further investigation

*** Abstract topic ***

Background
•EMDR-SP proved to be relevant for victims of DV. Now, the objective was to investigate results for the group of perpetrators. Method
•14 men, randomly allocated into a group by the DV Court that allocated the intervention, included by average dangerousness, recurrence, and official acceptance.
•All subjects submitted to ECR-R questionnaire and Palographic test. •Follow-up (8 months) Research Questions
•Can the use of EMDR-SP adapted for groups be bearable for subjects accused of aggressive behavior? •Can the application of the EMDR-SP protocol adapted to a group of DV actors help to decrease the recurrence of aggression complaints?

*** 3 Learning objectives ***

1.Identify concepts, resources and procedures for affective regulation and readiness for EMDR.
2. To assess how the use of the EMDR-SP for groups.
3. Identify partnerships with public bodies as neutral study spaces and dissemination of EMDR.

Background:

Depressive symptoms represent a serious threat to the quality of life and well-being in people with Multiple Sclerosis (MS). The exploration of new therapeutic strategies to reduce depression, which could also lead to MS symptom improvements, is warranted.

Objective:

(1) to evaluate the feasibility of a specific EMDR protocol for depressed people with MS.
(2) to evaluate the effects on anxiety, depression, and quality of life. Methods: a process-outcome study with quali- and quantitative outcomes, as well as fMRI scans were conducted on 13 depressed people with MS. Data were collected at pre/post-intervention, and at a 3-month follow-up. Following the EMDR sessions, they will complete a treatment diary. Results: Results indicated improvement related to the variables of interest at T2 and T3. The treatment diary indicated the good feasibility of the intervention and a high level of acceptance and awareness. fMRI scans didn’t show significant changes after the intervention. Conclusion: EMDR can reduce the long-lasting effects of distressing memories, developing more adaptive coping mechanisms that can have positive results on depressive symptoms in patients with SM. Future research should explore this interaction between mind and body in the MS field, exploring EMDR effects on MS depressive symptoms (and, therefore, on the physical symptoms) in larger samples.

*** Conclusions ***

EMDR treatment can reduce the long-lasting effects of distressing memories, developing more adaptive coping mechanisms that can have positive results on depressive symptoms in patients with SM. Future research should explore this interaction between mind and body in the MS field, exploring EMDR effects on MS depressive symptoms (and, therefore, on the physical symptoms) in larger samples.

*** Abstract topic ***

EMDR for depression in comorbidity with Multiple Sclerosis.

*** 3 Learning objectives ***

EMDR treatment can be conducted in patients with MS and depression; EMDR seem to be an effective treatment for depression reduction; EMDR treatment don't seem to be related to significant neural changes.

*** Background and aims ***

When adverse events occur in the perinatal period, parents, other family members, operators themselves are exposed to a strong emotional activation. Intrauterine death (MEU) is in effect a complicated mourning, it breaks what is expected and vital in a sudden, unexpected way.

*** Methods ***

It is necessary to address first of all the traumatic aspects often representative of the first target of processing through EMDR. EMDR treatment, together with an integrated approach based on the body and mindfulness, can be a valid help to re-establish a connection with one's emotions, in recognizing and differentiating them, in welcoming them, especially when implemented in a timely manner. For years he has been followed in the obstetrics departments of the PP.OO. of ASLTO5 a diagnostic therapeutic care path (PDTA) hospital that provides for the presence of the psychologist from the early stages of taking care of the woman and her partner; during the hospitalization it continues until discharge with targeted stabilization interviews and attention also to the operators involved.

*** Results ***

After discharge, dedicated psychotherapeutic paths are activated with the use of EMDR aimed at processing traumatic mourning and promoting mind-body heart integration aimed at the possible start of a new conscious and non-substitutive parental planning. Remission of posttraumatic symptoms regarding the experience of MEU and opening of mental and physical space to accommodate new parental projects.

*** Conclusions ***

An intervention model dedicated to the identification of specific targets related to MEU trauma will be described

*** Abstract topic ***

Utero death, emdr, hospital

*** 3 Learning objectives ***

utero death
Hospital psychology
Ginecology

Background and aims:

This study is part of a larger experimental design entitled "Comparison of EMDR with CBT for the treatment of anorexia nervosa" conducted at the Eating Disorders Clinic of San Paolo Hospital in Milan. Specifically, it is a lexical analysis of the Adult Attachment Interview (AAI) based on the transcripts of a sample of female patients with anorexia nervosa, with the aim of defining the State of Mind and describing the linguistic profile at baseline and after the EMDR intervention.

Methods:

Based on the traditional AAI coding method, but also using the Linguistic Inquiry Word Count (LIWC), the present study examines participants' linguistic behavior, particularly with regard to the use of psychologically significant words in the AAI that are semantically related to attachment issues.

Results:

As expected, the results at baseline show a prevalence of a dismissing state of mind (DS), but a deeper linguistic analysis reveals a profile that is quite different from the DS characteristics. In particular, the linguistic behavior of the patients seems to indicate a considerable amount of entangled (E) features. Given these particular aspects, it is more accurate to describe their functioning using the avoidant/ambivalent (A/C) classification described by Crittenden in the dynamic maturation model. After the EMDR intervention, more Free (F) features were registered in the AAI narratives.

Conclusions:

We believe that these results, although not definitive, represent an interesting contribution for both researchers and clinicians, as they help in planning effective EMDR treatments.

Abstract Topic:

Anorexia nervosa and EMDR.

Learning Objectives:

Participants will learn the preliminary findings of the study to better understand therapeutic pathways in light of attachment theory.

Background and aims

EMDR practitioners know that there can be no EMDR therapy without a thorough history taking and a rigorous treatment plan [1]. However, for patients with C-PTSD [2] it is often difficult. We end up with a long trauma history, and the target plans become very complicated to carry out. In this poster, we will present a versatile tool, combining phase 1 “history taking” and phase 2 “preparation” Designed as a conceptualisation tool for complex traumas, "VILLA" will help emdr practitioners to approach repeatedly traumatised patients securely.

Methods

The "VILLA" tool allows us to conceptualize patient, to define our priority objectives by articulating the different "life parts" of patient. Each of them can be the object of a partitioned target plan and can be worked on independently. This tool will also be useful for phase 2, by promoting the patient's shifting. This is essential for patients with repeated trauma who have developmental impairment in emotional regulation and executive functions. These impairments will have an impact on their shifting.

Results

The "VILLA" tool, through its usability, allows to partition the story taking and to develop the shifting of the patient during phase 2. A clinical vignette will allow us to report on the work done with a patient according to the different life parts we have constructed.

Conclusion

We provide to practitioners with a turnkey tool to guide them in their progressive and controlled treatment.

Abstract topic

Clinical practice.

3 learning objectives

o Partition the history taking
o Formulate a containing target plan
o Grow patients' shifting

Background and aims

Literature suggests that EMDR may be an effective treatment for psychological distress in cancer patients. Zabora [1] showed higher levels of psychological distress in patients brain cancer which is often increased by the occurrence of the seizures and sometimes lead to a very high-level of anxiety in anticipation, or even a PTSD. Given the high incidence of epilepsy in patients with brain tumors and the precautions necessary for the use of EMDR with epilepsy, this is a relevant topic for study. Despite this relevance studies conducted have several methodological limitations and heterogeneous results.

Methods

We report here the case of a 24 years-old female suffering from left central glioma (WHO grade II). Two weeks before surgery a semi-structured interview collected demographic data, explored her State-and-Trait anxiety and psychological profile. She had multiple daily focal seizures before surgery resulting in PTSD, major anxiety about new seizures and a high-level of psychological distress. Given the location and clinical manifestations, awake resection was performed. Two weeks after, we started a 5-sessions EMDR focusing on pre-operative traumatic seizures, post-operative seizures and the risk of seizures.

Results

EMDR effectively and rapidly reduced anxiety symptoms and improved the emotional and social functioning of the patient. Application of the standard EMDR protocol also showed a significant reduction in the frequency of seizures.

Conclusion

We describe here the relevance of EMDR for PTSD and anxiety related to seizures as an effective, safe and rapid psychological treatment for patients with epilepsy. We now want to replicate these results through well-controlled clinical trials.

Abstract topic

EMDR and brain tumor / EMDR and epilepsy

3 learning objectives

reduce PTSD and anxiety in brain damaged patients
safe use of emdr despite brain injury and epilepsy
reduce the frequency of epileptic seizures

Considering EMDR evidence-based effectiveness not only on directly trauma-related pathologies, we think time has come to reflect on the fundamental principles of the new approach which evolved from the work on trauma. This work and the research which followed led, at first, to develop a trauma resolution technique, but later the work undertaken on trauma, using this technique, which proved effective, produced know-how, providing us with a set of data and tools allowing to cope with traumatic origin exceeding pathologies. Using historical and clinical data, we have explored this set of data and have identified three basic principles and some features of the EMDR approach, which will be described and thoroughly explored in their clinical impact. 1) We intend to release EMDR from exclusive focus on trauma, which has led to understandable criticism and overcome the belief that EMDR is only to be reduced to a set of isolated interventions on the targeted pathology, rather than a psychotherapeutic approach with its specific neurobiologically based method.
2) The identified basic principles will be used as a reference point to train the therapist to remain in the present totally respectful of the patient actual developing brain process.
3) we want to clarify and organize the EMDR intervention in order to provide the EMDR therapist with more confidence.

Background and aims

Cancer represents an internal and external stressor that is extended over time. People diagnosed with cancer may be at risk of developing post traumatic stress disorder (PTSD), anxiety and depression symptoms that adversely impact mental health and may lead to worse survival outcome. The aim of this work is to evaluate the effectiveness of the EMDR-IGTP Therapy in reducing the symptoms related to the diagnosis and treatment of non-metastastic breast cancer and to verify the maintenance of the achieved outcome over time.

Methods

Breast cancer pts treated at Manzoni Hospital are planned to undergo six group sessions of EMDR during adjuvant or neoadjuvant chemotherapy. PTSQ, PDI-R, BDI-II and Resilience scale RS-14 are submitted pre, post and one month after EMDR-IGTP. The Core Outcome Measure (CORE-OM) is administered pre- and post EMDR-IGTP treatment as an outcome measure for evaluation of change. Group sessions are preceded by an individual intake interview. EMDR-IGT is then administered for three group sessions to the same patients post chemotherapy treatment using the same self report measurements.

Results

The intervention is ongoing. Results will be presented in a complete way during the Conference.

Learning objectives

Implementation of EMDR-IGTP therapy in psychoncology
Use of self report scales pre-post EMDR-IGTP Therapy and follow up
Take care of psychopathology reported by patients with breast cancer

*** Background and aims ***

Post-traumatic stress disorder is the psychological complication to be feared aftee child sexual assault. The aim of our study was to demonstrate the effectiveness of EMDR in the prevention and treatement of post-traumatic stress disorder.

*** Methods ***

We conducted a prospective descriptive and analytical longitudinal study over a 6months period at the Vonjy center of Mahajanga in CHU Pzaga, and compared 14 cases or child sexual assault victims treated with EMDR, versus 13 waiting list cases as a control group.

*** Results ***

A total or n=27 cases or victims were retained, or which n=14 cases treated with EMDR (with n=7 cases of PTSD and n=7 cases of ASD); and n=13 cases of waiting list group with only social support , with n=7 cases of PTSD and n=6 cases or acute stress disorder. Most of the children came from rural areas, with a low socio-economic level. Post-treatement CPSS scores in the EMDR-treated group were significantly lower Ethan those in the control group who received only social support.

*** Conclusions ***

EMDR is a new therapy that is well accepted by malagasy people, and therefore promotes both prevention and treatement of PTSD.

*** Abstract topic ***

The first experience of EMDR among malagasy children is to prevent and tre a PTSD, including the cultural beliefs.

*** 3 Learning objectives ***

-To make an effiscient early intervention among children victims of sexual assault
- to diminish as possible psychological sad effects with EMDR therapy according to malagasy cultural apects.
- to contribute in well-being of children.

*** Background and aims ***

EMDR has been most applied as individual therapy. However, this delivery may not represent the most cost- and time-effective approach as the demand for mental health services is rapidly increasing, outstripping the resources of mental health providers. Group EMDR protocols are one way to increase the capacity to provide more time-effective care 1. Our goal is to introduce more EMDR therapists to this form of EMDR. The presentation will have comprehensive content with a wide range of protocols and the application of Group EMDR to different populations2,3. This will give a good presentation and guidance for clinicians on how they can take the information from the talk to their practice.

*** Methods ***

Group EMDR applications were developed for early interventions following disasters. Recently, the application of group EMDR is expanding to on-going trauma and other applications which we will discuss. The more innovative uses will be acknowledged. Risks to group members will be discussed.

*** Results ***



*** Conclusions ***

The presentation will cover; history of Group EMDR, the need for Group EMDR, is it EMDR? Or EMDR derived?, group EMDR protocols and advantages

*** Abstract topic ***

From preparation to protocol selection (protocol selection, training, assessment, referral, issues and populations which Group EMDR can be applied to and no-go incidents, cultural awareness, therapist’s anxiety, recruitment of the team)

*** 3 Learning objectives ***

Identify the history and principles of Group EMDR
Offer a comprehensive procedural step to consider when applying Group EMDR
Recognize the components of the Group EMDR team; therapist, knowledge and skills, systematic use of protocols.

*** Background and aims ***

Many studies documented high rates of trauma in patients with eating disorders (ED).Trauma could lead to worse treatment outcomes, such as uncomplete remissions or relapses. For these reasons, international guidelines recommend to be alert to signs of prior trauma during assessment and treatment. Specific treatments of trauma could improve patients’ outcomes. However, no RCT targeting traumatic events have been conducted in patients with ED so far.

*** Methods ***

The aim of the study is to evaluate the effectiveness of EMDR plus CBT-Eb versus CBT-Eb alone in patients with ED. The primary outcome is the change of the EDE score. For this purpose, we are recruiting patients from Centre for ED in Verona Hospital. Patients are randomly assigned to one of the two treatments: CBT-Eb plus EMDR or CBT-Eb alone. Randomization is stratified according to BMI (≤17.5 vs >17.5 kg/m2) and presence of trauma (yes vs no). All patients are assessed at the baseline, at the end of treatment and after 6 months of follow-up.

*** Results ***

Eighty patients were prospectively enrolled. We expect that EMDR plus CBT-Eb will reduce the severity of the ED as compared to CBT-Eb alone, in particular in patients with trauma history. In addition, we expect that a combination of CBT-Eb and EMDR would enhance also the remission rates.

*** Conclusions ***

This study may serve as a basis for a larger RCT with stronger outcomes. This approach may be particularly promising for those patients resistant to treatment partly due to the presence of traumatic experiences.

*** Background and aims ***

highly trained and elite cyclists. Self-criticism was perceived by some cyclist’s as a positive strategy on performance but there were cyclists who perceived self-criticism as negative and felt that it impacted on their cycling preparation and performance. There were cyclists that found that having a crash affected their performance times and it also created hesitation in performance. In phase two, a pilot study of six to twelve highly trained and elite cyclists who reported intrusive images of crashes which are continuing in the present and whose symptoms reached a subclinical level received five to six hourly sessions of virtual EMDR Therapy.

*** Methods ***

The effect of EMDR was examined using a multiple baseline across subject’s design.

*** Results ***

There were six to twelve highly trained and elite cyclists within the pilot study and findings of study and follow up will be provided.

*** Conclusions ***

The phase two pilot study research is continuing, and the findings will be provided and progress with phase three.

*** Abstract topic ***

The study has completed phase one exploring anxiety in highly trained and elite cyclists and is now in phase two considering if a psychological therapy such as EMDR, could be a suitable therapy for highly trained and elite cyclists who report intrusive images of crashes.

*** 3 Learning objectives ***

1). To consider the research evidence in phase one
2). To consider the research evidence in phase two of a pilot study of EMDR for highly trained and elite cyclists who have experienced or witnessed crashes
3). To consider how this will informed phase three

*** Background and aims ***

Investigate the effectiveness of EMDR focused intervention program for increasing self-regulated learning of university students with past traumatic experience related to academic life.

*** Methods ***

This study was conducted as experimental and control group pre and post test design. Experimental Group received 15-week EMDR focused intervention program for increasing self-regulated learning which was developed for this study. In order to investigate the effectiveness of the program Self-Regulated Learning Scale (Eryılmaz and Mamadov, 2017, s. 93) and Impact of Events Scale Revised (Çorapçıoğlu, Yargıç, Geyran, Kocabaşoğlu, 2006, s. 16) were used. The effectiveness of the program for experimental and control groups were analyzed utilizing ANCOVA and Wilcoxon Signed Rank Tests.

*** Results ***

Experimental group post-test scores are significantly higer than the pre-test scores on subscales named as forethought (Z=-2,124, p0,05). On the other hand, there is statistically significant difference between the post-tests of experimental and control groups on performance (F1;11= 5.081 p.05). In terms of Impacts of Event Scale re-experiencing (F1;11= 133.648, p.05).

*** Conclusions ***

Newly developed EMDR focused intervention program for increasing self-regulated learning of university students seems to be effective to increase the level of performance and self-reflection sub stages of self regulated learning in experimental group. It seems that the programme also effective to decrease post-traumatic stress symptoms for the experimental group.

*** Abstract topic ***

Self-regulated learning, Trauma

*** 3 Learning objectives ***

Description of EMDR Group Intervention
Results of Group EMDR Intervention
Presentation of Efficacy of Group EMDR Intervention

*** Background and aims ***

The program is carried out within the framework of the Association "Innocence in Danger" Colombia. Adverse Child Experiences, ACEs, are associated with a wide range of diseases and unsafe behavior. The aim of this study was to evaluate the mental health outcomes of a multimodal program designed for adolescents with multiple ACEs.

*** Methods ***

Forty-four adolescents (mean ACE score > 5) were randomized to an intervention group. Treatment includes: Emotional stabilization and mind-strengthening practices (Siegel, 2014), mindfulness for adolescents (Eline Snel 2012), guided meditations to develop compassion (Nah Than 2009) and the EMDR Integrative Group Treatment Protocol, EMDR-IGTP (Jarero, 2012). We used questionnaires for adolescents to assess trauma and attention/awareness at baseline (T1), post-intervention (T2) and two-months post-discharge (T3). It was also explored genome-wide DNA methylation changes following the program.

*** Results ***

The program significantly decreased symptoms related to Post-Traumatic Stress Disorder (PTSD) and improved attention-related outcomes (Lopez Roque, 2021). Data confirm the results of our previous uncontrolled studies using this multimodal program in children and adolescents with a history of sexual and physical abuse (Jarero, 2013). The program leads to changes in DNA methylation at the genome level, and these modifications have been annotated to genes whose biological processes are related to early childhood adversity - neural pathways.

*** Conclusions ***

This intervention as a promising integrative/complementary short-term program for reducing the psychological burden in adolescents with a history of multiple ACEs.

*** Abstract topic ***

Children mental health

*** 3 Learning objectives ***

Intensive program
Associations ACE scores and DNA methylation
Therapy different populations children.

*** Background and aims ***

The psychological intervention was carried out by the team of the Hospital Psychology Outpatient Department of the P.O. Santa Croce of the ASLTO5 Moncalieri (TO) and was divided into two phases. Target Event: Sudden deterioration and subsequent death of a premature infant of 28 weeks gestational age.

*** Methods ***

It was possible to carry out the intervention in a timely manner with an integrated work with the ward team since the psychologist is present continuously in the NICU. The first phase of the intervention was aimed at operators who were in the NICU at the time before the neonatal death who presented a strong psychophysiological activation. The presence of two psychotherapists trained in psychotraumatology allowed simultaneous and different interventions with the EMDR procedure for immediate stabilization (ISP). After the death, the operators were completely frozen and unable to do any activity. Through the EMDR techniques there was a rapid decrease in traumatic reactions and an emotional stabilization which allowed them to resume their work and complete the clinical and assistance procedures foreseen post-mortem both on the newborn and on the family members.

*** Results ***

One week after the traumatic event, a debriefing was carried out with all the operators in the department, in order to be able to lower the levels of arousal and to be able to share one's emerging psychoemotional aspects in a non-judgmental and welcoming environment.

*** Abstract topic ***

neonatal death, NICU, debriefing

*** 3 Learning objectives ***

hospital psychology
NICU

*** Background and aims ***

The psychological intervention was carried out by the team of the Hospital Psychology Outpatient Department of the P.O. Santa Croce of the ASLTO5 Moncalieri (TO) and was divided into three distinct moments:

*** Methods ***

- Following the request for advice from the Intensive Care Unit, an initial clinical psychological interview was carried out with the family members (brother, wife and son of the braindead patient), during which EMDR techniques were used in order to stabilize the peritraumatic symptoms reactive. The reduction in reactive symptoms has allowed family members to respond to doctors' requests regarding the donation of the patient's organs in a lucid and conscious way by choosing to allow the removal of organs and tissue. - Subsequently, the department reported hyperarousal and the general climate of emotional fatigue among the intensive care operators. A debriefing intervention was therefore proposed to all the operators in the department and carried out after a few days, aimed at promoting communication of the psycho-emotional aspects and lowering the levels of arousal. - Finally, at the request of the coordinator of the Operating Rooms, a third debriefing intervention was carried out with the operators involved in all the phases of explantation of both organs and tissues.

*** Conclusions ***

The EMDR intervention was fundamental both for the family members and for all the operators involved as it made it possible to create a welcoming environment allowing for the humanization of care.

*** Abstract topic ***

brain death, organ donation, Intensive care unit

*** 3 Learning objectives ***

hospital psychology
brain death
Intensive care unit

*** Background and aims ***

In 2022, 274 million people need humanitarian assistance due to emergencies. Needs in prevention and treatment of PTSD are extremely important. But EMDR deployment comes up against various obstacles, especially in LMIC where mental health professionals are rare. Developing AIP-based group interventions by paraprofessionals might be an option for scaling up.

*** Methods ***

Experience of integration of AIP-based treatment in an INGO, including researches to compare effectiveness of EMDR and TF-CBT protocols in conflict zones is completed by a learning process and capacity building plan.

*** Results ***

Both treatments are effective. Challenges and successes faced, cultural and contextual adaptations in the trainings of paraprofessionals and in the EMDR protocols will be discussed.

*** Conclusions ***

Findings open the possibility to scale up Group EMDR interventions within the humanitarian programs.

*** Abstract topic ***

The presentation illustrates the integration and deployment of EMDR treatment in humanitarian contexts within an NGO and how to overcome barriers and difficulties to treat more people.

*** 3 Learning objectives ***

Know how to implement brief group protocols (G-TEP) for populations in emergency situations and train national paraprofessionals. Contextual and cultural adaptations will be discussed as well as necessary safeguards for populations and teams.
- Know key elements for trainings and supervision of paraprofessionals that will implement effective group EMDR based treatment in humanitarian context
- Be more familiar with the humanitarian system and better understand how to contribute and integrate the humanitarian system with EMDR treatment. They will understand more how they might coordinate with other partners and ensure more sustainability by their strategical approach.

*** Background and aims ***

Giftedness constitutes an area of ​​recent clinical interest, for which the world of scientific research is currently able to produce the refinement of evaluation procedures and the implementation of interventions aimed at promoting the enhancement of potential, both at an individual level and at a family level. Concretely, it consists in possessing an above-average cognitive ability, very often in a specific field or in sectoral interests, associated with a greater sensitivity both in neurovegetative and relational terms (Gardner, 2005; Pfeiffer, 2007; 2013, 2015). This makes feelings of hopelessness, low self-esteem, poor acceptance of rules and a deeper and more prolonged experimentation with emotions likely. In this direction the EMDR method can be used in the identification and elaboration of traumatic experiences at an individual and parental level.

*** Methods ***

1.Case conceptualization 2. Treatment plan Work with parents: Big T's (if any) 1. Communication of the fact that the child is gifted 2. TRIGGER: The moment I scold my child 3. School failures 4. Work or relationship difficulties 5. Situations of exclusion or self-labeling FUTURE: management of difficult moments Work with child (ages 11-14): Big T's (if any) 1. The moment of communication of the presence of giftedness 2. Trigger - the moment when adults scold 3. Any incidents of conflict with peers, bullying, suffered or acted upon FUTURE: crisis management The case of L. (11 years, IQ 135): he comes to consultation due to repeated conflicts with classmates, culminating in suspensions and arguments with teachers. This is a child who is easily irritated, frequently distracted but with excellent grades. He also demonstrates a low tolerance for frustration at home, often rejects the rules that are imposed on him and likes to spend his time with older people. He has always been a precocious child, at the same time extremely sensitive and with frequent tantrums arising mainly following episodes of injustice. No comorbid diagnoses were found. Work with Louis: Big T: the death of the maternal grandmother 1. Return of results: what it means to be gifted 2. The Italian teacher tells me to shut up and don't ask questions 3. I see my partner who is slower to read and I make fun of her: they take me to the Executive FUTURE: Next time I get scolded Work with mom: Big T: the death of the parents 1. News of Louis's giftedness 2. The moment I scold my child 3. I have difficulty working in a team, they tell me I'm too impulsive 4. My husband tells me I'm not good at being a mother FUTURE: next time the professors call me *** Results *** Results: 4 months after the start of treatment, Loius shows greater awareness of his own emotional reactivity and greater self-control skills. The mother's difficulties in understanding her son's characteristics were linked to her own traumatic experiences, which reactivated whenever the son's reactions were disproportionate to the events.

*** Conclusions ***

In working with gifted children and their parents, it is essential to recognize and identify their peculiarities and proceed in working with EMDR in order to promote the emergence of potential, the enhancement of resources and a more harmonious development.

*** Abstract topic ***

EMDR and cognitive giftedness

*** 3 Learning objectives ***

1. provide an intervention model for gifted
2. raise awareness of the issue
3. identify the most important points of the work with EMDR.

*** Background and aims ***

Residential nursing homes were particularly badly affected by the first wave of COVID-19, with large numbers of their frail person getting infected with COVID-19 and dying. It was reported data showing the effectiveness of the EMDR treatment provided to support them during this Pandemic.

*** Methods ***

A total of 58 interventions were carried out with groups of 2–5 participants. Each intervention was conducted by a qualified EMDR therapist external to the nursing home. All the meetings were conducted on a digital conferencing platform. The assessment protocol was based on two self-report questionnaires: IES-R and The Emotion Thermometer.

*** Results ***

The IES-R scores obtained by participants were significantly lower on the intrusiveness, avoidance and arousal scales. The pre and post-treatment emotion thermometer scores also showed a significant decrease in levels of stress, anxiety, depressed mood, anger, difficulty sleeping, and perceived need for help.

*** Conclusions ***

COVID-19 had a significant impact on the wellbeing of healthcare workers that need for mental health protection, support, and treatment. This study demonstrated that interventions with EMDR for this population had a positive effect to significantly decrease symptoms such as stress, depressed mood, anxiety, anger, sleep problems, and need for help.

*** Abstract topic ***

nursing home, EMDR, PTSD, COVID-19, Italy

*** 3 Learning objectives ***

•Provide a snapshot of one of the populations most exposed to physical and emotional distress during the most critical time of the COVID-19 pandemic.
•Describe how EMDR treatments helped reprocess traumas experienced during the emergency by giving participants somewhere share what was happening to them.
•Illustrate the effectiveness of the EMDR online group protocol.