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事件相关电位与眼动脱敏再处理疗法对创伤后应激障碍的治疗

Event-related potentials and EMDR treatment of post-traumatic stress disorder.

作者信息

Lamprecht Friedhelm, Köhnke Christine, Lempa Wolfgang, Sack Martin, Matzke Mike, Münte Thomas F

机构信息

Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hannover, Germany.

出版信息

Neurosci Res. 2004 Jun;49(2):267-72. doi: 10.1016/j.neures.2004.02.013.

Abstract

Ten patients suffering from post-traumatic stress disorder (PTSD) following a severe traumatic event, were assessed with event-related brain potentials (ERPs) in a modified oddball paradigm containing auditory standard, target, and novel tones. ERPs were assessed before and after a treatment session using the eye movement desensitization and reprocessing method. Compared to a control group that underwent sham treatment, ERPs of the patients showed a reduction of the P3a component in the post-treatment recording, suggesting a reduced orienting to novel stimuli and reduced arousal level after the treatment. Moreover, psychometric assessment revealed a marked improvement of the PTSD symptoms after treatment.

摘要

十名在经历严重创伤事件后患有创伤后应激障碍(PTSD)的患者,在一种改良的oddball范式中接受了事件相关脑电位(ERP)评估,该范式包含听觉标准音、目标音和新异音。在使用眼动脱敏再处理方法进行一次治疗前后对ERP进行了评估。与接受假治疗的对照组相比,患者的ERP在治疗后记录中显示P3a成分减少,表明治疗后对新异刺激的定向减少且唤醒水平降低。此外,心理测量评估显示治疗后PTSD症状有显著改善。

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