Bloomgarden Andrea, Calogero Rachel M
Private Practice, 2130 Pine Street, Philadelphia, Pennsylvania 19103, USA.
Eat Disord. 2008 Oct-Dec;16(5):418-27. doi: 10.1080/10640260802370598.
Eye Movement Desensitization and Reprocessing (EMDR) therapy is being used by some clinicians to treat eating disorders. Although there is anecdotal and case study data supporting its use, there are no controlled studies examining its effectiveness with this population. This study examined the short and long-term effects of EMDR in a residential eating disorders population. A randomized, experimental design compared 43 women receiving standard residential eating disorders treatment (SRT) to 43 women receiving SRT and EMDR therapy (SRT+EMDR) on measures of negative body image and other clinical outcomes. SRT+EMDR reported less distress about negative body image memories and lower body dissatisfaction at posttreatment, 3-month, and 12-month follow-up, compared to SRT. Additional comparisons revealed no differences between the conditions pre to posttreatment on other measures of body image and clinical outcomes. The empirical evidence reported here suggests that EMDR may be used to treat specific aspects of negative body image in conjunction with SRT, but further research is necessary to determine whether or not EMDR is effective for treating the variety of eating pathology presented by eating disorder inpatients.
一些临床医生正在使用眼动脱敏再处理(EMDR)疗法来治疗饮食失调症。尽管有轶事和案例研究数据支持其使用,但尚无对照研究检验其对这一人群的有效性。本研究考察了EMDR对住院饮食失调人群的短期和长期影响。一项随机实验设计将43名接受标准住院饮食失调治疗(SRT)的女性与43名接受SRT加EMDR疗法(SRT+EMDR)的女性在负面身体意象及其他临床结果指标上进行了比较。与SRT相比,SRT+EMDR组在治疗后、3个月及12个月随访时报告称,对负面身体意象记忆的痛苦程度较低,身体不满程度也较低。进一步比较发现,在治疗前后,两组在其他身体意象和临床结果指标上没有差异。此处报告的实证证据表明,EMDR可与SRT联合用于治疗负面身体意象的特定方面,但还需要进一步研究来确定EMDR是否对治疗饮食失调住院患者出现的各种饮食病理有效。