眼动脱敏和再处理 (EMDR) 疗法与常见的治疗相比,创伤后应激障碍在法医环境中的成年人精神病:随机对照试验
Susanna Every-Palmer1, Tom Flewett1, Shaystah Dean1
1Department of Psychological Medicine, University of Otago.
Psychological trauma : theory, research, practice and policy
|January 16, 2024
概括
眼动脱敏和再处理 (EMDR) 疗法有效地减少了在法医环境中患有精神病的人的创伤后应激障碍 (PTSD) 症状. 这项研究证明了EMDR.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 创伤和法医心理学
背景情况:
- 对于治疗精神分裂症,法医病史或并发症患者的创伤后应激障碍 (PTSD) 的证据有限.
- 法医环境,包括住院和监护环境,通常会遇到高PTSD率.
研究的目的:
- 在法医护理中评估眼动脱敏和再处理 (EMDR) 疗法的有效性和安全性,用于患有精神疾病和PTSD的成年人.
- 评估EMDR对PTSD症状,精神病症状,社会功能和不良事件的影响.
主要方法:
- 一个单盲随机对照试验将EMDR治疗与等候名单对照组 (常规护理) 相比较.
- 参与者是患有精神病和PTSD的成年人,接受了法医治疗.
- 结局,包括临床医生评估的PTSD症状,在基线,10周和6个月评估.
主要成果:
- 与对照组相比,EMDR治疗在6个月内显著降低了临床医生评估的PTSD症状 (p = .028).
- 在EMDR组中观察到自尊,抑郁症状和残疾水平的改善.
- 在精神病症状或不良事件中没有发现显著差异,尽管趋势有利于EMDR.
结论:
- 这项试验提供了EMDR在法医心理健康,住院和监护环境中的有效性的第一个证据.
- 在这些复杂的患者群体中,EMDR是一种安全有效的PTSD治疗方法,可以改善PTSD和相关的症状.
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