智力障碍患者的EMDR治疗:关于困难和适应的系统审查
Simone M Schipper-Eindhoven1,2, Nanda C de Knegt1, Liesbeth Mevissen3
1Zodiak, Prinsenstichting, Purmerend, Netherlands.
Frontiers in psychiatry
|January 26, 2024
概括
由于沟通和认知差异,智力残疾人 (ID) 面临眼动脱敏和再处理 (EMDR) 治疗的挑战. 在EMDR治疗中进行调整,支持参与和治疗关系对于有效治疗至关重要.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
背景情况:
- 智力障碍 (ID) 患者患创伤后应激障碍 (PTSD) 的风险更高.
- 眼动脱敏和再处理 (EMDR) 疗法对这一群体有希望,但由于潜在的沟通,认知和监管挑战,需要进行适应.
研究的目的:
- 系统地识别和分类应用EMDR治疗对患有智障的个体时遇到的困难.
- 记录治疗师为应对这些挑战而开发的适应方法.
主要方法:
- 在2023年5月进行了全面的文献搜索.
- 文章是根据预先定义的包含/排除标准进行选择的,并经过质量评估.
- 最终审查中包括了13篇相关文章.
主要成果:
- 报告说,在将标准EMDR协议应用于ID患者时,存在重大困难.
- 治疗师的适应变化很大,包括对EMDR交付的修改 (例如,调整步伐,简化语言),涉及支持人员,并专注于治疗关系.
- 与儿童和青少年的修改协议相比,使用标准成人EMDR协议时,调整更详细.
结论:
- 针对儿童和青少年的现有EMDR协议可以作为适应EMDR针对ID患者的基础.
- 未来的研究应该从EMDR中对ID患者的依恋角度探索信任个人的作用和治疗关系.
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