Lansing Karen, Amen Daniel G, Hanks Chris, Rudy Lisa
Department of Research and Information Systems, Amen Clinic, Newport Beach, CA, USA.
J Neuropsychiatry Clin Neurosci. 2005 Fall;17(4):526-32. doi: 10.1176/jnp.17.4.526.
Eye movement desensitization and reprocessing (EMDR) has been shown to be an effective treatment for posttraumatic stress disorder (PTSD). In this study, the authors evaluated the effectiveness and physiological effects of EMDR in police officers involved with on-duty shootings and who had PTSD. Six police officers involved with on-duty shootings and subsequent delayed-onset PTSD were evaluated with standard measures, the Posttraumatic Stress Diagnostic Scale, and high-resolution brain single photon emission computed tomography (SPECT) imaging before and after treatment. All police officers showed clinical improvement and marked reductions in the Posttraumatic Stress Diagnostic Scale Score (PDS). In addition, there were decreases in the left and right occipital lobe, left parietal lobe, and right precentral frontal lobe as well as significant increased perfusion in the left inferior frontal gyrus. In our study EMDR was an effective treatment for PTSD in this police officer group, showing both clinical and brain imaging changes.
眼动脱敏再处理疗法(EMDR)已被证明是治疗创伤后应激障碍(PTSD)的有效方法。在本研究中,作者评估了EMDR对涉及执勤枪击且患有PTSD的警察的有效性和生理影响。对6名涉及执勤枪击及随后出现延迟性PTSD的警察,在治疗前后采用标准测量方法、创伤后应激诊断量表以及高分辨率脑单光子发射计算机断层扫描(SPECT)成像进行评估。所有警察均显示出临床改善,且创伤后应激诊断量表评分(PDS)显著降低。此外,左右枕叶、左顶叶和右中央前回额叶灌注减少,同时左额下回灌注显著增加。在我们的研究中,EMDR对该警察群体的PTSD是一种有效的治疗方法,显示出临床和脑成像方面的变化。