为患有创伤后应激障碍 (PTSD) 的人提供在线眼动和脱敏疗法 (EMDR):一种多方法评估服务
Daniela Strelchuk1,2, Katrina Turner1,2,3, Sophie Smith1
1Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
European journal of psychotraumatology
|December 11, 2023
概括
对于创伤后应激障碍 (PTSD) 的在线眼动脱敏和再处理 (EMDR) 疗法似乎是安全有效的,与面对面的会议相比. 患者和治疗师发现在线EMDR是可以接受的,具有方便性等好处,尽管注意到隐私问题.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 远程医疗远程医疗
- 创伤研究 创伤研究
背景情况:
- 关于在线眼动脱敏和再处理 (EMDR) 对创伤后应激障碍 (PTSD) 的有效性的证据有限.
- 服务评估对于评估新型治疗交付方法至关重要.
研究的目的:
- 为了比较在线EMDR对PTSD的有效性和可接受性与面对面的EMDR.
- 评估患者和治疗师在线EMDR的经验.
主要方法:
- 一项服务评估,比较在线EMDR与之前在卡迪夫和韦尔大学卫生局的面对面EMDR.
- 使用回归模型分析PTSD分数,会话数,退学率和不良事件.
- 对11名患者和5名治疗师关于他们在线EMDR体验的采访进行主题分析.
主要成果:
- 在线和面对面的EMDR之间没有发现治疗完成,放弃率或不良事件的显著差异.
- 较弱的证据表明,在在线EMDR组完成后,PTSD得分可能较低 (尽管由于非随机化和选择性分析存在潜在偏差).
- 患者和治疗师都普遍认为在线EMDR是安全有效的,理由是方便,但也担心隐私和过渡时间.
结论:
- 在线EMDR是一种安全,可接受和潜在的有效替代体验后应激障碍的EMDR.
- 这些发现支持在线EMDR在临床服务中的整合.
- 随机对照试验的进一步研究是有必要的,以确认有效性.
相关概念视频
01:27Post-traumatic Stress Disorder
35
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
35
01:22Behavior Therapy
52
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
52
01:24Treatment Strategies for Psychological Disorders
137
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
137