title: Reducing acute stress in a 16-year old using trauma-focused cognitive behaviour therapy and eye movement desensitization and reprocessing.
abstract: OBJECTIVE
  To assess the effects of trauma-focused cognitive behaviour therapy (TF-CBT) and Eye Movement Desensitization and Reprocessing (EMDR) for the treatment of acute stress in an adolescent.
  
  
  METHODS
  A combination of TF-CBT and EMDR was provided to a 16-year-old girl with distressing memories, anxiety and flashbacks. For measurement of the efficacy of the treatment package, the Children's Revised Impact of Event Scale (CRIES-13) was used.
  
  
  RESULTS
  Acute stress reactions decreased considerably after treatment and remained stable. CRIES-13 scores showed substantial reduction in stress scores. The girl reported no more flashbacks of the injury, sleeping difficulties or recurrent and distressing memories.
  
  
  CONCLUSIONS
  This case study illustrates the potential efficacy of a combination of TF-CBT and EMDR for patients with acute stress reactions. Future studies should examine the efficacy of this treatment package in a large sample of children.
authors.affiliation: Psychosocial Department, Emma Children's Hospital Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. m.b.bronner@amc.nl
authors.forename: Madelon Brigitte
authors.initials: MB
authors.lastname: Bronner
authors.forename: Renée
authors.initials: R
authors.lastname: Beer
authors.forename: Margreet
authors.initials: M
authors.lastname: Jozine van Zelm van Eldik
authors.forename: Martha Alexandra
authors.initials: MA
authors.lastname: Grootenhuis
authors.forename: Bob Fred
authors.initials: BF
authors.lastname: Last
mesh_terms: D000293:Adolescent; D001007:Anxiety / Q000523:psychology / Q000628:therapy*; D003071:Cognition; D015928:Cognitive Behavioral Therapy; D003887:Desensitization, Psychologic; D005133:Eye Movements; D005260:Female; D006801:Humans; D008016:Life Change Events; D008568:Memory; D011569:Psychiatric Status Rating Scales; D013315:Stress, Psychological / Q000150:complications* / Q000628:therapy*; D016896:Treatment Outcome