EMDR-IGTP on the Depression, Anxiety, Post Traumatic Stress, and Self-esteem of Graduate Nursing Students

EMDR 통합 집단치료가 간호대학원생의 우울, 불안, PTSD, 및 자아존중감에 미치는 효과

  • Oh, Kyong-ok (College of Nursing, Chungnam National University) ;
  • Gang, Moon-hee (College of Nursing, Chungnam National University) ;
  • Kim, Sun-Hee (College of Nursing, Chungnam National University)
  • Received : 2018.03.08
  • Accepted : 2018.06.20
  • Published : 2018.06.28


The study aimed to evaluate the effects of the EMDR-IGPT(Eye movement desensitization and reprocessing-integrative group treatment protocol) on the depression, anxiety, post traumatic stress, self-esteem in graduate nursing students. A quasi-experimental study employing a nonequivalent control group and pre-post design was conducted. The participants were graduate nursing students from C university (Experimental group=22, Control group=28). The experimental group participated in the 8 session-EMDR-IGPT for 8 weeks, while control group were treated by waitlist. Data were analyzed using ${\chi}^2-test$, independent t-test, with SPSS 24.0 program. There were significant differences in anxiety(t=-2.50, p<.05) and self-esteem(t=20.78, p<.01) of participants between experimental group and control group after completion of 8 session-EMDR-IGPT. The results indicate that EMDR-IGPT can be used to improve anxiety and self-esteem of graduate nursing students. Furthermore, further study needs to identify the mechanism of the effects of the program.


EMDR-IGPT;Depression;Anxiety;Post Traumatic Stress;Self-esteem


Supported by : College of Nursing, Chungnam National University


  1. J. Y. Han & N. Y. Lee. (2016). Making the decision to enter graduate school among hospital nurses. Journal of Learner-Centrered Curriculum & Instruction, 16(8), 109-122.
  2. K. S. Lee, E. J. Park, H. J. Kim & H. R. Ahn. (2011). An Exploration on the Stress of Korean Graduate Nursing Students-Using of Focus Group Research Method-. Journal of the Korean Acad Psychiatr Mental Health Nurse, 20(3), 302-314.
  3. B. Kimarie, A. Pauline & N. M. Andrea. (2016). Academic-related stress among graduate students in nursing in a Jamaican school of nursing. Nurse Education in Practice, 20, 117-124.
  4. J. W. Han & B. Lee. (2013). The relationship of post-traumatic stress, job stress and turnover intention in emergency department nurses. Journal of Academic Nursing Administration, 19(3), 340-350.
  5. L. Shi, L. Wang, X. Jia, Z. Li, H. Mu, X. Liu, B. Peng, A. Li & L. Fan. (2017). Prevalence and correlate of symptoms of post-traumatic stress disorder among Chinese healthcare workers exposed to physical violence: a cross-sectional study. BMJ Open, 7, e016810.
  6. R. Paul, K. Orawan, R. Nop, H. Suda & C. Pornlert. (2015). Biofeedback intervention for stress, anxiety, and depression among graduate students in public health nursing. Nursing Research and Practice, 2015, Article ID 160746, 5 pages,
  7. S. G. Hoffmann, A. Asnaani, I. J. Vonk., A. Sawyer & A. Fang. (2012). The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses. Journal of Cognitive Therapy and Research, 36, 427-440.
  8. T. Y. Kim & Y. Y. Kim. (2018). The Moderating Effect of Ego Resilience on the Relationship between Post-Traumatic Stress and Anxiety of National Merits of War. Journal of Digital Convergence, 16(3), 477-485.
  9. H. S. Cha. (2012). Research paper : Effects of Stress Relief by Aromatherapy Among the Nurses in Operating Theater. Journal of The Korean Society of Cosmetology, 18(3), 623-632.
  10. W. S. Kim & S. M. Oh. (2018). The Trend of Research on Korean Nurses Stress Program Intervention in Korea. Journal of Korean Clinical Health Science, 5(2), 864-880.
  11. M. S. Joo & Y. H. Song. (2014). The Effects of the EMDR Integrated Play Therapy on Anxiety, Anger and Self-Esteem with ADHD Children. Journal of Korean Association for the Psychological Rehabihitation of Children, 18(2), 54-73.
  12. H. W. Lee, D. H. Kim, H. L. Bea, J. H. Choi, D. H. Oh &Y. C. Park. (2008). Treatment Response and Symptomatic Changes after Eye Movement Desensitization and Reprocessing in Psychiatric Disorders Other than Posttraumatic Stress Disorder. Journal of Korean Academy of Anxiety Disorder, 4(1), 55-61.
  13. F. Shapiro. (1995). Eye Movement Desensitization and Reprocessing(EMDR): Basic Principles, Protocols and Procedures. New York: Guildford.
  14. I. Jarero, L. Artigas, S. Uribe, L. E. Garcia, M. A. Cavazos & M. Givaud'an. (2014). Pilot Research Study on the Provision of the EMDR Integrative Group Treatment Protocol with Female Cancer Patients. Revista Iberoamericana de Psicotraumtologia y Disociaci'on. 6(3), 1-17.
  15. I. Jarero & L. Artigas. (2012). The EMDR Integrative Group Treatment Protocol: EMDR Group Treatment for Early Intervention Following Critical Incidents. European Review of Applied Psychology, 6(2), 219-222.
  16. I. Jarero. (2016). EMDR Integrative Group Treatment Protocol(EMDR-IGPT) & EMDR Protocol for Recent Citical Incidents & Ongoing Traumatic Stress(PRECI). South Korea Workshop.
  17. H. Bae. (2011). Predictors of Treatment Response by EMDR in Patients with PTSD. Doctoral dissertation, Hanyang university. Seoul.
  18. W. W. Zung. (1965). A Self-Rating Depression Scale. Arch Gen Psychiatry, 12, 63-70.
  19. J. H. Lee. (1995). Development of the Korean from of Zung's Self-Rating depression Scale. Yeungnam University J Med, 12, 292-305.
  20. W. W. Zung. (1971). A Self-Rating Instrument for Anxiety Disorder. Psychosomatics, 12, 371-379.
  21. J. H. Lee. (1996). Development of the Korean from of Zung's Self-Rating Anxiety Scale. Yeungnam University J Med, 13, 279-294.
  22. F. C. Weathers, B. T. Litz, D. C. Herman, J. A. Huska & T. M. Keane. (1993). The PTSD Checklist(PCL): Reliability, Validity, and Diagnostic Utility. Paper presented at: The 9th Annual Conference of the ISTSS, San Antonio.
  23. S. Park. et al. (2016). Reliability and Validity of the Korean Version of the Post-Traumatic Stress Disorder Checklist in Public Firefighters and Rescue Workers. Korean Journal of Biological Psychiatry, 23(1), 29-36.
  24. M. Rosenberg. (1965). Society and the Adolescent Self-Image. Princeton, NJ, Princeton University Press.
  25. B. J. Jeon. (1974). Self-Esteem : A Test of its Measurability. Yeonssei Journal, 11(1), 107-130.
  26. E. K. Lee & C. G. Heo. (2017). Convergent interaction effects of six worklife area on relation between nurse's patients related stress and burnout. Journal of the Korea Convergence Society, 8(8), 105-114.
  27. S. J. Lee & J. S. Kim. (2017). Convergence study on relationship among verbal violence experience, verbal violence impact and burnout in operating room nurses. Journal of the Korea Convergence Society, 8(6), 85-96.
  28. S. B. You & J. R. Son. (2018). Effects of Acceptance and Commitment Therapy(ACT) on Complex PTSD Symptoms, Acceptance, and Post-traumatic Growth of College Students with Childhood Emotional Abuse. Journal of Digital Convergence, 16(3), 561-572.