随机对照试验调查基于网络的,治疗师为有自杀念头的成年人提供眼动脱敏和再处理
Lisa Burback1,2,3, Sidney Yap1, Scot E Purdon1
1Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Frontiers in psychiatry
|March 4, 2024
概括
基于网络的眼动脱敏和再处理 (EMDR) 疗法在减少成人自杀念头 (SI) 和相关症状方面显示出有前途. 这种方法可以为那些有复杂心理健康需求的人提供安全有效的治疗选择.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 心理治疗研究 心理治疗研究
- 数字健康干预措施 数字健康干预措施
背景情况:
- 自杀念头 (SI) 是心理健康治疗中的一个关键问题.
- 眼动脱敏和再处理 (EMDR) 在减少SI方面取得了初步成功.
- 基于网络的EMDR对SI的数据有限,特别是在安全性和有效性方面.
研究的目的:
- 研究基于网络的,由治疗师提供的EMDR对自杀念头的影响.
- 评估EMDR对抑郁,焦虑,PTSD,情绪失调和分离的影响.
- 评估基于网络的EMDR对SI的安全性和磨损率.
主要方法:
- 一个随机对照试验 (NCT04181047),比较基于网络的EMDR与通常的治疗 (TAU).
- 患有SI的成人门诊患者接受了最多12次基于网络的EMDR会议或TAU.
- 在COVID-19大流行期间 (2021-2023) 收集的数据.
主要成果:
- 从基线到随访,EMDR组 (n=20) 显示SI,抑郁,焦虑和PTSD症状的减少.
- 在TAU组 (n=22) 显示SI和PTSD症状的减少.
- 在EMDR组中观察到的不良事件和学的人数较少.
结论:
- 基于网络的EMDR似乎是治疗自杀念头的可行方法.
- 简短的EMDR疗程与复杂人群的症状减少有关.
- 需要进一步的研究来证实这些初步发现.
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