EMDR THERAPY IN CRISIS CONTEXTS: UKRAINIAN AND INTERNATIONAL EXPERIENCE
Keywords:
EMDR, post-traumatic stress disorder, adaptive information processing, trauma, psychotherapy, group and remote protocolsAbstract
This article presents a comprehensive analysis of the effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) therapy in addressing post-traumatic conditions in war-affected contexts. The study is based on a review of contemporary Ukrainian and international scientific literature, as well as data from a randomized controlled trial among Ukrainian psychotherapists working in active combat zones. Special attention is given to adapted group and remote EMDR protocols, particularly EMDR-IGTP-OTS-R, which enable safe and effective interventions with traumatized individuals under crisis conditions and ensure access to psychotherapy for a larger number of participants. The article discusses the conceptual foundations of EMDR, including the Adaptive Information Processing (AIP) model, key constructs of traumatic memories, negative cognitions, and affective and physiological activation. It presents the main EMDR protocols, their group modifications, and adaptations for remote implementation in contexts of limited access to therapists. Research findings demonstrate significant reductions in post-traumatic stress disorder symptoms, development of adaptive stress-coping strategies, and increased psychological resilience, while effects on overall well-being and life satisfaction are less pronounced. Based on the literature review and practical data, recommendations are provided for implementing EMDR in Ukrainian psychotherapeutic practice, including the use of group and remote formats, adaptation of protocols to Ukrainian conditions, and increasing access to therapy for war-affected populations. The article confirms the effectiveness of EMDR in crisis and culturally specific settings and highlights prospects for the broader implementation of adapted EMDR protocols in psychotherapy practice.
References
Chorna V., Makhniuk V., Pshuk N., Gumeniuk N., Shevchuk Y., Khliestova S. Burnout in mental health professionals and the measures to prevent it. Georgian Med News. 2021. № 3 (10). Р. 113–118.
Cieslak R., Anderson V., Bock J., Moore B.A., Peterson A.L., Benight C.C. Secondary traumatic stress among mental health providers working with the military: Prevalence and its work- and exposure-related correlates. J Nerv Ment Dis. 2013. № 201 (11). Р. 917–25. DOI: 10.1097/NMD.0000000000000034
Javanbakht A. Addressing war trauma in Ukrainian refugees before it’s too late. European Journal of Psychotraumatology. 2022. Vol. 13. № 2. https://doi.org/10.1080/20008066.2022.2104009
Jarero I., Artigas L. The EMDR Integrative Group Treatment Protocol: Application with child victims of a mass disaster. Journal of EMDR Practice and Research. 2008. № 2 (2). Р. 97–105. DOI: 10.1891/1933-3196.2.2.97
Kaptan S.K., Dursun B.O., Knowles M., Husain N., Varese F. Group eye movement desensitization and reprocessing interventions in adults and children: A systematic review of randomized and nonrandomized trials. Clinical Psychological Psychotherapy. 2020. Vol. 28. № 4. P. 784–806. https://doi.org/10.1002/cpp.2549
Kiro L., Zaporozhets O. Intervention Impact on Quality of Life in Ukrainians with Post-Traumatic Stress Disorder. Journal of Traumatic Stress. 2024. № 37 (3). Р. 145–156.
Marsden Z., Lovell K., Blore D., Ali S., Delgadillo J. A randomized controlled trial comparing EMDR and CBT for obsessive–compulsive disorder. Clinical Psychology and Psychotherapy. 2018. Vol. 25. № 1. P. e10 – e18. https://doi.org/10.1002/cpp.2120
Meinhausen R., Jarero I. Group EMDR for ongoing traumatic stress: Evidence and practice. Psychotherapy Research. 2025. Vol. 35 (2). P. 140–158.
Quaranta-Leech A., Zaporozhets O., Jarero I., Holland D. Randomized Controlled Trial on the Provision of EMDR-IGTP-OTS-R for Reduction of Posttraumatic Stress Disorder Symptomology with Mental Health Professionals in Ukraine during the War. Journal of EMDR Practice and Research. 2025. Vol. 19 (1). P. 1–15. https://doi.org/10.34133/jemdr.0007
Russell M. C. Treating combat-related stress disorders: A multiple case study utilizing eye movement desensitization and reprocessing (EMDR) with battlefield casualties from the Iraqi War. Military Psychology. 2006. Vol. 18 (1). P. 1–18. https://doi.org/10.1207/s15327876mp1801_1
Schwarz J.E., Baber D., Barter A., Dorfman K. A Mixed Methods Evaluation of EMDR for Treating Female Survivors of Sexual and Domestic Violence. Counseling Outcome Research and Evaluation. 2020. Vol. 11 (1). P. 4–18. https://doi.org/10.1080/21501378.2018.1561146
Shapiro F. Efficacy of the eye movement desensitization procedure in the treatment of traumatic memories. Journal of Traumatic Stress. 1989. Vol. 2 (2). P. 199–223. https://doi.org/10.1002/jts.2490020207
Silver S.M., Rogers S., Russell M. Eye movement desensitization and reprocessing (EMDR) in the treatment of war veterans. Journal of Clinical Psychology. 2008. Vol. 64 (8). P. 947–957. https://doi.org/10.1002/jclp.20510
Solomon R.M., Shapiro F. EMDR and the Adaptive Information Processing Model: Potential Mechanisms of Change. Journal of EMDR Practice and Research. 2008. Vol. 2 (4). P. 315–325. https://doi.org/10.1891/1933-3196.2.4.315
Walsh S.F. The EMDR Integrative Group Treatment Protocol for Ongoing Traumatic Stress : A Case Study. Journal of EMDR Practice and Research. 2020. Vol. 14 (2). P. 80–89. https://doi.org/10.1891/1933-3196.14.2.80
