关于EMDR在患有PTSD的老年人个性功能方面的可行性
Ellen M J Gielkens1,2, Sjacko Sobczak1,3,4, Nienke Gerrits1
1Clinical center of excellence for older adults with personality disorders, Mondriaan Mental Health Centre, Heerlen-Maastricht, The Netherlands.
Clinical gerontologist
|April 24, 2024
概括
眼动脱敏和再处理 (EMDR) 是一个可行的治疗老年人与创伤后应激障碍 (PTSD). 随着时间的推移,EMDR疗法改善了人格功能,并减少了人格障碍的诊断.
科学领域:
- 老年精神病学是一门精神病学专业.
- 心理创伤学 心理创伤学
- 人格障碍 人格障碍 人格障碍
背景情况:
- 老年人的严重创伤后应激障碍 (PTSD) 与不适应性人格功能和人格障碍 (PD) 有关.
- 新兴证据表明,眼动脱敏化和再处理 (EMDR) 可能改善人格功能,并减少成人PD诊断.
研究的目的:
- 评估EMDR治疗对患有PTSD的老年人个性功能的可行性和影响.
- 评估在这个人群中EMDR治疗后人格障碍诊断的减少.
主要方法:
- 一项多中心可行性研究,涉及24名患有PTSD的老年人,每周接受3,6或9个月的EMDR疗程.
- 线性混合模型分析被用来评估人格功能 (SIPP-SF) 随时间的变化,考虑到PTSD严重程度 (CAPS-5) 和其他治疗方法.
- 计算了PD存在的治疗前和治疗后的百分比.
主要成果:
- 人格功能的改善与PTSD严重程度的降低有关.
- 随着时间的推移,SIPP-SF"身份整合"规模的显著改善 (p=.029).
- 在治疗后,完全的人格障碍诊断的比例下降了31%.
结论:
- 对于患有PTSD的老年人来说,EMDR是一种可行的治疗选择.
- 在老年人中,EMDR疗法显示出改善人格功能和减少PD诊断的潜力.
- 人格功能的改善是由PTSD严重程度的减少调解的.
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