Davidson P R, Parker K C
Department of Psychiatry, Queen's University, Kingston, Ontario, Canada.
J Consult Clin Psychol. 2001 Apr;69(2):305-16. doi: 10.1037//0022-006x.69.2.305.
Eye movement desensitization and reprocessing (EMDR), a controversial treatment suggested for posttraumatic stress disorder (PTSD) and other conditions, was evaluated in a meta-analysis of 34 studies that examined EMDR with a variety of populations and measures. Process and outcome measures were examined separately. and EMDR showed an effect on both when compared with no treatment and with therapies not using exposure to anxiety-provoking stimuli and in pre post EMDR comparisons. However, no significant effect was found when EMDR was compared with other exposure techniques. No incremental effect of eye movements was noted when EMDR was compared with the same procedure without them. R. J. DeRubeis and P. Crits-Christoph (1998) noted that EMDR is a potentially effective treatment for noncombat PTSD. but studies that examined such patient groups did not give clear support to this. In sum, EMDR appears to be no more effective than other exposure techniques, and evidence suggests that the eye movements integral to the treatment, and to its name, are unnecessary.
眼动脱敏再处理疗法(EMDR)是一种针对创伤后应激障碍(PTSD)和其他病症提出的、颇具争议的治疗方法。在一项对34项研究的荟萃分析中对其进行了评估,这些研究针对不同人群并采用多种测量方法对EMDR进行了检验。分别对过程和结果测量指标进行了考察。与未治疗组以及未采用暴露于引发焦虑刺激疗法的治疗组相比,同时在EMDR治疗前后的比较中,EMDR在这两方面均显示出效果。然而,当将EMDR与其他暴露技术进行比较时,未发现显著效果。当将EMDR与不进行眼动的相同程序进行比较时,未观察到眼动的增量效应。R. J. 德鲁比斯和P. 克里茨 - 克里斯托夫(1998年)指出,EMDR对于非战斗性PTSD可能是一种有效的治疗方法,但对这类患者群体进行检验的研究并未为此提供明确支持。总之,EMDR似乎并不比其他暴露技术更有效,而且有证据表明,该治疗方法及其名称中所包含的眼动并非必要。