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一项关于眼动脱敏再处理疗法(EMDR)治疗产后创伤后应激障碍的试点研究。

A pilot study of eye movement desensitisation and reprocessing treatment (EMDR) for post-traumatic stress after childbirth.

作者信息

Sandström Marianne, Wiberg Britt, Wikman Marianne, Willman Anna-Klara, Högberg Ulf

机构信息

Private Practice, Umeå Utveckling AB, Sweden.

出版信息

Midwifery. 2008 Mar;24(1):62-73. doi: 10.1016/j.midw.2006.07.008. Epub 2007 Jan 12.

Abstract

OBJECTIVE

to explore the possibility of using eye movement desensitisation and reprocessing (EMDR) to treat women who have experienced post-traumatic stress after childbirth.

DESIGN

the pilot study consisted of a 'before and after' treatment design combined with follow-up measurements 1-3 years after EMDR treatment. Quantitative data from questionnaires (Traumatic Event Scale [TES]) were collected. In addition, qualitative data from individual interviews with the participants were collected as well as data from the psychotherapist's treatment notes of the EMDR treatment sessions.

SETTING

the north of Sweden.

PARTICIPANTS

four women with post-traumatic stress disorder (PTSD) after childbirth (one pregnant and three non-pregnant).

FINDINGS

all participants reported reduction of post-traumatic stress after treatment. After 1-3 years, the beneficial effects of EMDR treatment remained for three of the four women. Symptoms of intrusive thoughts and avoidance seemed most sensitive for treatment.

IMPLICATIONS FOR PRACTICE

EMDR might be a useful tool in the treatment of non-pregnant women severely traumatised by childbirth; however, further research is required.

摘要

目的

探讨使用眼动脱敏再处理疗法(EMDR)治疗分娩后经历创伤后应激障碍的女性的可能性。

设计

该初步研究采用“治疗前后”设计,并在EMDR治疗后1至3年进行随访测量。收集了问卷(创伤事件量表[TES])的定量数据。此外,还收集了参与者个人访谈的定性数据以及心理治疗师对EMDR治疗疗程的治疗记录数据。

地点

瑞典北部。

参与者

四名分娩后患有创伤后应激障碍(PTSD)的女性(一名孕妇和三名非孕妇)。

结果

所有参与者均报告治疗后创伤后应激有所减轻。1至3年后,四名女性中有三名仍保留EMDR治疗的有益效果。侵入性思维和回避症状似乎对治疗最为敏感。

实践意义

EMDR可能是治疗因分娩而严重受创的非孕妇的有用工具;然而,仍需进一步研究。

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