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眼动脱敏再处理疗法对创伤后应激障碍儿童的治疗:一项随机对照试验的结果

EMDR treatment for children with PTSD: results of a randomized controlled trial.

作者信息

Ahmad Abdulbaghi, Larsson Bo, Sundelin-Wahlsten Viveka

机构信息

Child Center for Trauma and Exposure (Maskrosen), Department of Child and Adolescent Psychiatry, Uppsala University Hospital, Sweden.

出版信息

Nord J Psychiatry. 2007;61(5):349-54. doi: 10.1080/08039480701643464.

Abstract

The objective of the study was to examine the efficacy of EMDR treatment for children with post-traumatic stress disorder (PTSD) compared with untreated children in a waiting list control group (WLC) participating in a randomized controlled superiority trial (RCT). Thirty-three 6-16-year-old children with a DSM-IV diagnosis of PTSD were randomly assigned to eight weekly EMDR sessions or the WLC group. The Posttraumatic Stress Symptom Scale for Children (PTSS-C scale) was used in interviews with children to evaluate their symptoms and outcome. Post-treatment scores of the EMDR group were significantly lower than the WLC indicating improvement in total PTSS-C scores, PTSD-related symptom scale, and the subscales re-experiencing and avoidance among subjects in the EMDR group, while untreated children improved in PTSD-non-related symptom scale. The improvement in re-experiencing symptoms proved to be the most significant between-group difference over time. The results of the present exploratory study including a limited number of children with PTSD are encouraging and warrant further controlled studies of larger samples of children suffering from PTSD.

摘要

该研究的目的是,在一项随机对照优势试验(RCT)中,将眼动脱敏再处理疗法(EMDR)对创伤后应激障碍(PTSD)儿童的疗效与未接受治疗、处于等待名单对照组(WLC)的儿童进行比较。33名被诊断患有DSM-IV标准PTSD的6至16岁儿童被随机分配至接受为期八周的EMDR治疗组或WLC组。通过使用儿童创伤后应激症状量表(PTSS-C量表)对儿童进行访谈,以评估其症状和治疗结果。EMDR组的治疗后得分显著低于WLC组,这表明EMDR组受试者的PTSS-C总分、PTSD相关症状量表以及再体验和回避分量表均有所改善,而未接受治疗的儿童在PTSD非相关症状量表方面有所改善。随着时间的推移,再体验症状的改善被证明是两组之间最显著的差异。这项包括有限数量PTSD儿童的探索性研究结果令人鼓舞,值得对更多患有PTSD的儿童样本进行进一步的对照研究。

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