Effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) Therapy on Selective Attention and Creativity in Children with ADHD
Keywords:
Attention-deficit/hyperactivity disorder, selective attention, Eye Movement Desensitization and Reprocessing, creativityAbstract
Purpose: The present study aimed to examine the effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) therapy on selective attention and creativity in children with ADHD.Methods and Materials: In this randomized controlled clinical trial, 60 children diagnosed with ADHD were randomly assigned to two groups: an EMDR treatment group (n = 30) and a control group (n = 30). The Stroop Color-Word Test (SCWT) and the Children's Creativity Questionnaire as rated by teachers (Saatchi et al., 2011) were administered at both pre-test and post-test stages. The experimental group received 12 sessions of EMDR therapy, each lasting 75–90 minutes, while the control group received no intervention during this period. The data were analyzed with ANCOVA using SPSS.Findings: Findings from the analysis of covariance indicated the effectiveness of the EMDR protocol in both components—selective attention and creativity (P < .001).Conclusion: Based on the results, it can be concluded that EMDR, due to its impact on reducing anxiety and fear-related somatic symptoms, can be effective in improving selective attention and enhancing creativity in children with ADHD.
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Abadi, M. a. G. H. (2010). The effectiveness of therapeutic method of eye movement desensitization and reprocessing on social anxiety. Counseling Culture and Psycotherapy, 1(2), 127-150. https://qccpc.atu.ac.ir/article_5876.html Adler-Tapia, R., & Settle, C. (2008). EMDR and the art of psychotherapy with children: treatment manual. Springer Publishing Company. https://www.ifemdr.fr/wpcontent/uploads/2011/10/Adler-Tapia-Settle-EMDR-and-theart-of-psychotherapy-with-Children-Treatment-Manual.pdf American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders, Text Revision (DSM5-TR). American Psychiatric Association, 2022. . American Psychiatric Association. https://www.psychiatry.org/psychiatrists/practice/dsm Barkley, R. A., Murphy, K. R., Dupaul, G. J., & Bush, T. (2002). Driving in young adults with attention deficit hyperactivity disorder: knowledge, performance, adverse outcomes, and the role of executive functioning. Journal of the International Neuropsychological Society, 8(5), 655-672. https://doi.org/10.1017/S1355617702801345 Bulut, S., Bukhori, B., & Parsakia, K. (2024). Enhancing Selective Attention in Children with Learning Disorders: Efficacy of Executive Functions Training. KMAN Counseling & Psychology Nexus, 1(2), 86-93. https://doi.org/10.61838/kman.psychnexus.1.2.14 Cramond, B. (1994). Attention‐deficit hyperactivity disorder and creativity—What is the connection? The Journal of Creative Behavior, 28(3), 193-210. https://doi.org/10.1002/j.2162- 6057.1994.tb01191.x Darvishi, A., Mirghaemi, T., & Taher, M. (2021). Effectiveness of music therapy on sustained attention and selective attention in children with attention deficit/hyperactivity disorder. Rooyesh-e-Ravanshenasi Journal (RRJ), 10(3), 77-88. https://frooyesh.ir/article-1-2428-en.pdf Davidson, D. (2024). Using Eye Movement Desensitisation Reprocessing Therapy as a Tool to Wean Off ADHD Medication: Two Case Reports. Journal of the New Zealand College of Clinical Psychologists, 34(1), 40-48. https://jnzccp.scholasticahq.com/article/94468-using-eyemovement-desensitisation-reprocessing-therapy-as-a-tool-towean-off-adhd-medication-two-case-reports Gomes, H., Molholm, S., Christodoulou, C., Ritter, W., & Cowan, N. (2000). The development of auditory attention in children. Frontiers in Bioscience, 5(1), 108-120. https://doi.org/10.2741/A500 Gonzalez-Carpio, G., Serrano, J. P., & Nieto, M. (2017). Creativity in children with attention deficit hyperactivity disorder (ADHD). Psychology, 8(03), 319. https://doi.org/10.4236/psych.2017.83019 Gray, S. A., Dueck, K., Rogers, M., & Tannock, R. (2017). Qualitative review synthesis: The relationship between inattention and academic achievement. Educational Research, 59(1), 17-35. https://doi.org/10.1080/00131881.2016.1274235 Guidetti, C., Brogna, P., Chieffo, D. P. R., Turrini, I., Arcangeli, V., Rausa, A., Bianchetti, M., Rolleri, E., Santomassimo, C., & Di Cesare, G. (2023). Eye Movement Desensitization and Reprocessing (EMDR) as a Possible Evidence-Based Rehabilitation Treatment Option for a Patient with ADHD and History of Adverse Childhood Experiences: A Case Report Study. Journal of Personalized Medicine, 13(2), 200. https://doi.org/10.3390/jpm13020200 Holbrook, J. R., Cuffe, S. P., Cai, B., Visser, S. N., Forthofer, M. S., Bottai, M., Ortaglia, A., & McKeown, R. E. (2016). Persistence of parent-reported ADHD symptoms from childhood through adolescence in a community sample. Journal of Attention Disorders, 20(1), 11-20. https://doi.org/10.1177/1087054714539997 Jauk, E., Benedek, M., & Neubauer, A. C. (2014). The road to creative achievement: A latent variable model of ability and personality predictors. European Journal of Personality, 28(1), 95-105. https://doi.org/10.1002/per.1941 Karagiorgos, V. (2024). Online EMDR Training: Building SelfEfficacy and Competency in Novice Therapists. https://www.academia.edu/124138277/Online_EMDR_Train ing_Building_Self_Efficacy_and Khanjani, Z., Hashemi, T., & Vatani, F. (2017). The effectiveness of eye movement desensitization and reprocessing on reducing the symptoms of specific phobia. https://www.sid.ir/paper/186566/en Levy, O., Hackmon, S. L., Zvilichovsky, Y., Korisky, A., BidetCaulet, A., Schweitzer, J. B., & Golumbic, E. Z. (2025). Selective attention and sensitivity to auditory disturbances in a virtually-real Classroom: Comparison of adults with and without AD (H) D. bioRxiv, 2024.2004. 2017.590012. https://doi.org/10.7554/eLife.103235.2 Li, N., Zhao, J., & Zhou, F. (2025). The burden of attention deficit hyperactivity disorder and incidence rate forecast in China from 1990 to 2021. Frontiers in Psychiatry, 16, 1532156. https://doi.org/10.3389/fpsyt.2025.1532156 Li, Y., Yan, X., Li, Q., Li, Q., Xu, G., Lu, J., & Yang, W. (2023). Prevalence and trends in diagnosed ADHD among US children and adolescents, 2017-2022. JAMA Network Open, 6(10), e2336872-e2336872. https://doi.org/10.1001/jamanetworkopen.2023.36872 Mi-Seon, J., & Young-Hye, S. (2014). The effects of the EMDR integrated play therapy on anxiety, anger and self-esteem with ADHD children. J Play Ther, 18, 54-73. Miraka, O., & Tritsaroli, V. (2019). Stress and Creativity: The mediating role of Anxiety and Depression. In. Mirsky, A. F., Anthony, B. J., Duncan, C. C., Ahearn, M. B., & Kellam, S. G. (1991). Analysis of the elements of attention: A neuropsychological approach. Neuropsychology Review, 2, 109-145. https://doi.org/10.1007/BF01109051 Paek, S. H., Abdulla, A. M., & Cramond, B. (2016). A metaanalysis of the relationship between three common psychopathologies—ADHD, anxiety, and depression—and indicators of little-c creativity. Gifted Child Quarterly, 60(2), 117-133. https://doi.org/10.1177/0016986216630600 Petersen, S. E., & Posner, M. I. (2012). The attention system of the human brain: 20 years after. Annual Review of Neuroscience, 35(1), 73-89. https://doi.org/10.1146/annurev-neuro-062111- 150525 Plucker, J. A., Beghetto, R. A., & Dow, G. T. (2004). Why isn't creativity more important to educational psychologists? Potentials, pitfalls, and future directions in creativity research. Educational Psychologist, 39(2), 83-96. https://doi.org/10.1207/s15326985ep3902_1 Runco, M. A. (2014). Creativity: Theories and themes. Research, development, and practice, 152. https://www.researchgate.net/publication/260420828_Creativ ity_Theories_and_Themes_Research_Development_and_Pra ctice Salari, N., Ghasemi, H., Abdoli, N., Rahmani, A., Shiri, M. H., Hashemian, A. H., Akbari, H., & Mohammadi, M. (2023). The global prevalence of ADHD in children and adolescents: a systematic review and meta-analysis. Italian Journal of Pediatrics, 49(1), 48. https://doi.org/10.1186/s13052-023- 01456-1 Salum, G. A., Sergeant, J., Sonuga-Barke, E., Vandekerckhove, J., Gadelha, A., Pan, P. M., Moriyama, T. S., Graeff-Martins, A., de Alvarenga, P. G., & Do Rosario, M. (2014). Specificity of basic information processing and inhibitory control in attention deficit hyperactivity disorder. Psychological medicine, 44(3), 617-631. https://doi.org/10.1017/S0033291713000639 Sarichloo, M. E., Taremian, F., Dolatshahee, B., & Haji Seyed Javadi, S. A. (2020). Effectiveness of exposure/response prevention plus eye movement desensitization and reprocessing in reducing anxiety and obsessive-compulsive symptoms associated with stressful life experiences: A randomized controlled trial. Iranian journal of psychiatry and behavioral sciences, 14(3). https://doi.org/10.5812/ijpbs.101535 Shafiullah, S., & Dhaneshwar, S. (2025). Current perspectives on attention-deficit hyperactivity disorder. Current Molecular Medicine, 25(3), 289-304. https://doi.org/10.2174/1566524023666230522145950 Sibley, M. H., Flores, S., Murphy, M., Basu, H., Stein, M. A., Evans, S. W., Zhao, X., Manzano, M., & van Dreel, S. (2025). Research Review: Pharmacological and non‐pharmacological treatments for adolescents with attention deficit/hyperactivity disorder–a systematic review of the literature. Journal of Child Psychology and Psychiatry, 66(1), 132-149. https://doi.org/10.1111/jcpp.14056 Simonton, D. K. (2004). Creativity in science: Chance, logic, genius, and zeitgeist. Cambridge University Press. https://doi.org/10.1017/CBO9781139165358 Staring, A., Van den Berg, D., Cath, D., Schoorl, M., Engelhard, I., & Korrelboom, C. (2016). Self-esteem treatment in anxiety: A randomized controlled crossover trial of Eye Movement Desensitization and Reprocessing (EMDR) versus Competitive Memory Training (COMET) in patients with anxiety disorders. Behaviour Research and Therapy, 82, 11- 20. https://doi.org/10.1016/j.brat.2016.04.002 Sternberg, R., & Lubart, T. (1996). Investing in creativity. American psychologist, 57(7), 677-688. https://doi.org/10.1037//0003-066X.51.7.677 Sternberg, R. J., & Kaufman, J. C. (2010). Constraints on creativity. The Cambridge handbook of creativity, 24, 467-482. https://doi.org/10.1017/CBO9780511763205.029 Strauss, G. P., & Allen, D. N. (2009). Positive and negative emotions uniquely capture attention. Applied Neuropsychology, 16(2), 144-149. https://doi.org/10.1080/09084280802636413 Swinden, C. (2018). The child-centered EMDR approach: A case study investigating a young girl’s treatment for sexual abuse. Journal of EMDR Practice and Research, 12(4), 282-296. https://doi.org/10.1891/1933-3196.12.4.282 Thomas, R., Sanders, S., Doust, J., Beller, E., & Glasziou, P. (2015). Prevalence of attention-deficit/hyperactivity disorder: a systematic review and meta-analysis. Pediatrics, 135(4), e994-e1001. https://doi.org/10.1542/peds.2014-3482 Wang, T., Liu, K., Li, Z., Xu, Y., Liu, Y., Shi, W., & Chen, L. (2017). Prevalence of attention deficit/hyperactivity disorder among children and adolescents in China: a systematic review and meta-analysis. BMC psychiatry, 17, 1-11. https://doi.org/10.1186/s12888-016-1187-9
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