Objective: The purpose of this study was to investigate the efficacy of EMDR in combination with medication in treating depressed adolescents.

Methods: A total of 30 adolescent patients with depression were recruited and randomly divided into two groups: EMDR co-treated with an SSRI medication or an SSRI medication used alone. The intervention group received standardised EMDR treatment. The primary outcome indicators were the 17-item Hamilton Depression Scale (HAMD-17) and the Impact of Events Scale (IES-R), while the secondary outcomes were the Ruminative Responses Scale (RRS) and the Rosenberg Self-Esteem Scale (SES).

Results: In the end, 30 people completed the experiment, 15 from each of the intervention and control groups. The intervention group received EMDR treatment three times a week for 2 weeks, with a total of 6 sessions, each lasting 60 min. Repeated measures ANOVA revealed a significant interaction between time and group on children’s HAMD-17, IES-R, and RRS scores (all p < .05). Linear mixed models revealed that increasing the IES-R score was associated with an increase in depression levels (estimate value = 0.104, p = .019), while increasing the SES score was associated with a decrease in the depression levels (estimate value = −0.298, p = .021).

Conclusions: Incorporating EMDR add-on therapy to medication for adolescent depressed patients with stressful life events can effectively reduce the degree of impact of stressful life events on patients, as well as reduce depressive symptoms and rumination thinking.

Highlights

• EMDR can reduce the impact of stressful sexual life events on adolescents.
• EMDR can reduce rumination thinking in adolescents with depression.
• EMDR is an effective treatment for adolescent depression with stressful life events.”