Rodenburg Roos, Benjamin Anja, Meijer Anne Marie, Jongeneel Ruud
Epilepsy Institute in The Netherlands Foundation, Heemstede, The Netherlands.
Epilepsy Behav. 2009 Sep;16(1):175-80. doi: 10.1016/j.yebeh.2009.07.015. Epub 2009 Aug 6.
Intellectual disability is a comorbid condition in epilepsy. People with epilepsy and intellectual disability are at high risk of developing behavioral problems. Among the many contributors to behavioral problems in people with epilepsy and intellectual disability are those of traumatic experiences. As such, behavioral problems can be seen as a reflection of these traumatic experiences. Among established trauma therapies, eye movement desensitization and reprocessing (EMDR) is an emerging treatment that is effective in adults and also seems to be effective in children. This article is a case report of EMDR in an adolescent with epilepsy and mild intellectual disability, in whom the EMDR children's protocol was used. The aim was to assess whether clinical trauma status significantly diminished to nonclinical status posttreatment. Change in trauma symptoms was evaluated with the Reliable Change Index (RCI). Results showed a significant decrease in trauma symptoms toward nonclinical status from pretreatment to posttreatment. EMDR consequences for epilepsy and intellectual disability are discussed.
智力障碍是癫痫的一种共病情况。癫痫患者和智力障碍患者出现行为问题的风险很高。在导致癫痫和智力障碍患者出现行为问题的众多因素中，创伤经历是其中之一。因此，行为问题可被视为这些创伤经历的一种反映。在已确立的创伤治疗方法中，眼动脱敏再处理疗法（EMDR）是一种新兴的治疗方法，它在成人中有效，在儿童中似乎也有效。本文是一篇关于一名患有癫痫和轻度智力障碍青少年的EMDR治疗案例报告，该案例采用了EMDR儿童治疗方案。目的是评估治疗后临床创伤状态是否显著降低至非临床状态。使用可靠变化指数（RCI）评估创伤症状的变化。结果显示，从治疗前到治疗后，创伤症状显著降低至非临床状态。本文还讨论了EMDR对癫痫和智力障碍的影响。
