Eye Movement Desensitization and Reprocessing and Slow Wave Sleep :: A Putative Mechanism of Action

Marco Pagani; Benedikt L. Amann; Ramon Landin-Romero; Sara Carletto

doi:10.3389/fpsyg.2017.01935

Eye Movement Desensitization and Reprocessing and Slow Wave Sleep : A Putative Mechanism of Action

Marco Pagani, Benedikt L. Amann, Ramon Landin-Romero, Sara Carletto

Departamento de Psiquiatría y Medicina Legal

Producción científica: Contribución a una revista › Artículo › Investigación › revisión exhaustiva

51 Citas (Scopus)

Resumen

La desensibilización y reprocesamiento por movimientos oculares (EMDR) se considera altamente eficaz para el tratamiento del trastorno de estrés postraumático y ha demostrado ser un enfoque de tratamiento válido con una amplia gama de aplicaciones. Sin embargo, los mecanismos de acción de EMDR aún no se comprenden completamente. Esta es un área activa de investigación clínica y neurofisiológica, y se han propuesto varias hipótesis diferentes. Este documento discute una conjetura que se enfoca en la similitud entre las ondas delta registradas por electroencefalografía durante el sueño de onda lenta (SWS) y aquellas registradas tras estimulación bilateral EMDR típica (movimientos oculares o golpes alternos) durante recuerdos angustiosos recurrentes de un evento emocionalmente traumático. El SWS parece tener un papel clave en la consolidación de la memoria y en la reorganización de redes funcionales distantes, así como los movimientos oculares parecen reducir el recuerdo episódico traumático y favorecer la re-consolidación de nueva información asociada. La hipótesis del SWS puede presentar una explicación de cómo funciona EMDR, y también se discute a la luz de otras teorías y hallazgos neurobiológicos.

Idioma original	Inglés
Publicación	Frontiers in Psychology
Volumen	8
DOI	https://doi.org/10.3389/fpsyg.2017.01935
Estado	Publicada - 2017

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title = "Eye Movement Desensitization and Reprocessing and Slow Wave Sleep :: A Putative Mechanism of Action",

abstract = "Eye Movement Desensitization and Reprocessing (EMDR) is considered highly efficacious for the treatment of Post-traumatic Stress Disorder and has proved to be a valid treatment approach with a wide range of applications. However, EMDR's mechanisms of action is not yet fully understood. This is an active area of clinical and neurophysiological research, and several different hypotheses have been proposed. This paper discusses a conjecture which focuses on the similarity between the delta waves recorded by electroencephalography during Slow Wave Sleep (SWS) and those registered upon typical EMDR bilateral stimulation (eye movements or alternate tapping) during recurrent distressing memories of an emotionally traumatic event. SWS appears to have a key role in memory consolidation and in the reorganization of distant functional networks, as well as Eye Movements seem to reduce traumatic episodic memory and favor the reconsolidation of new associated information. The SWS hypothesis may put forward an explanation of how EMDR works, and is discussed also in light of other theories and neurobiological findings.",

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N2 - Eye Movement Desensitization and Reprocessing (EMDR) is considered highly efficacious for the treatment of Post-traumatic Stress Disorder and has proved to be a valid treatment approach with a wide range of applications. However, EMDR's mechanisms of action is not yet fully understood. This is an active area of clinical and neurophysiological research, and several different hypotheses have been proposed. This paper discusses a conjecture which focuses on the similarity between the delta waves recorded by electroencephalography during Slow Wave Sleep (SWS) and those registered upon typical EMDR bilateral stimulation (eye movements or alternate tapping) during recurrent distressing memories of an emotionally traumatic event. SWS appears to have a key role in memory consolidation and in the reorganization of distant functional networks, as well as Eye Movements seem to reduce traumatic episodic memory and favor the reconsolidation of new associated information. The SWS hypothesis may put forward an explanation of how EMDR works, and is discussed also in light of other theories and neurobiological findings.

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KW - EMDR

KW - Mechanism of action

KW - Eye movements

KW - Sleep

KW - Slow wave sleep

KW - REM

KW - Orienting response

KW - Working memory

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Eye Movement Desensitization and Reprocessing and Slow Wave Sleep : A Putative Mechanism of Action

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