眼动脱敏和再处理与或没有辩证行为疗法用于创伤后应激障碍和并发性边缘性人格障碍症状:一个随机对照试验
Aishah Cecile Snoek1,2, Arne van den End1,2, Aartjan T F Beekman1
1Amsterdam UMC, Psychiatry, Amsterdam, The Netherlands.
Psychotherapy and psychosomatics
|February 27, 2025
概括
眼动脱敏和再处理 (EMDR) 单独有效治疗创伤后应激障碍 (PTSD) 和边缘性人格障碍 (BPD) 症状. 同时的EMDR和辩证行为疗法 (DBT) 没有显示出优异的结果,并且学率更高.
科学领域:
- 精神病学和临床心理学
- 创伤和人格障碍 研究 研究 创伤和人格障碍
- 基于证据的心理治疗评估
背景情况:
- 在创伤后应激障碍 (PTSD) 和边缘性人格障碍 (BPD) 之间存在很高的并发症率.
- 现有的基于证据的PTSD和BPD治疗方法经常面临不响应和患者退学等挑战.
- 对于患有并发性PTSD和BPD的人来说,需要有效的治疗策略至关重要.
研究的目的:
- 调查与EMDR单独相比,同时进行眼动脱敏和再处理 (EMDR) 和辩证行为疗法 (DBT) 的疗效,用于并发性PTSD和BPD.
- 以PTSD症状减轻,BPD症状严重程度,全球功能和生活质量来评估治疗结果.
主要方法:
- 随机对照试验涉及被诊断患有PTSD并表现出至少四个BPD症状的患者.
- 在一年的时间内,参与者被分配到独立的EMDR或组合EMDR-DBT治疗中.
- 使用标准化措施评估症状变化,包括DSM-5临床医生管理的PTSD尺度,BPD症状评估和全球功能/生活质量尺度.
主要成果:
- 无论是独立的EMDR还是联合的EMDR-DBT都显著减少了PTSD症状,一年后两组之间没有统计学上显著的差异.
- 在这两种治疗条件下,BPD症状和生活质量得到了相似的改善.
- 结合EMDR-DBT组的退学率是EMDR-DBT组的两倍;整体运作显示了各个措施的混合结果.
结论:
- 独立EMDR是一种安全有效的单一疗法,可缓解PTSD和BPD症状,并改善并发症患者的生活质量.
- 这些发现表明,将DBT添加到EMDR中并不为PTSD和BPD症状减少提供额外的好处,并且可能会增加退学率.
- 对于患有PTSD和并发性BPD的人来说,EMDR是一种可行的治疗选择,尽管长期结果需要进一步调查.
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