在患有人格障碍的患者中使用EMDR治疗. 我们应该担心症状恶化吗?
Laurian Hafkemeijer1, Ad de Jongh2,3,4,5,6, Annemieke Starrenburg1
1GGZ Delfland, Delft, The Netherlands.
European journal of psychotraumatology
|October 15, 2024
概括
以创伤为重点的EMDR治疗对人格障碍患者来说是安全的,与等候名单条件相比,患有抑郁症或自杀念头恶化的发作较少. 大多数患者在暂时恶化后继续治疗后得到改善.
科学领域:
- 精神病学是一个精神病学.
- 心理治疗 心理治疗
- 临床心理学 临床心理学
背景情况:
- 临床医生犹不决使用创伤为重点治疗人格障碍 (PDs) 由于担心病理恶化.
- 这项研究涉及EMDR治疗在没有PTSD的PD患者的安全性和有效性.
研究的目的:
- 探索EMDR治疗期间PD患者的心理痛苦和自杀念头的变化与等待名单.
- 为了确定个别的恶化和治疗反应的变化模式.
主要方法:
- 一项随机对照试验将5次EMDR治疗与97名门诊患者 (不包括急性自杀病例) 的等候名单 (WL) 进行了比较.
- 测量了每周的心理痛苦和自杀性得分,并通过描述性和集群分析分析数据.
- 曼 - 惠特尼U和奇平方测试探索了在已识别的集群中患者的特征.
主要成果:
- 观察到患者的整体改善,在EMDR治疗期间没有集群恶化.
- 在EMDR和WL两组中都发生了会话间的恶化,但在EMDR组中心理困扰的频率较低.
- 在治疗后,与EMDR组相比,WL组的患者比例更高,表现出心理困扰和自杀念头增加.
结论:
- 在痛苦和自杀念头的个体恶化是可能的,但EMDR治疗的可能性低于没有治疗.
- 在恶化后继续EMDR治疗导致大多数患者的痛苦和自杀念头减少.
- 对于患有PD的人来说,EMDR疗法似乎是一种安全有效的治疗选择,即使可能出现暂时恶化.
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