Kemp Michael, Drummond Peter, McDermott Brett
Murdoch University, Australia.
Clin Child Psychol Psychiatry. 2010 Jan;15(1):5-25. doi: 10.1177/1359104509339086. Epub 2009 Nov 18.
The present study investigated the efficacy of four EMDR sessions in comparison to a six-week wait-list control condition in the treatment of 27 children (aged 6 to 12 years) suffering from persistent PTSD symptoms after a motor vehicle accident. An effect for EMDR was identified on primary outcome and process measures including the Child Post-Traumatic Stress-Reaction Index, clinician rated diagnostic criteria for PTSD, Subjective Units of Disturbance and Validity of Cognition scales. All participants initially met two or more PTSD criteria. After EMDR treatment, this decreased to 25% in the EMDR group but remained at 100% in the wait-list group. Parent ratings of their child's PTSD symptoms showed no improvement, nor did a range of non-trauma child self-report and parent-reported symptoms. Treatment gains were maintained at three and 12 month follow-up. These findings support the use of EMDR for treating symptoms of PTSD in children, although further replication and comparison studies are required.
本研究调查了与为期六周的等待名单对照条件相比，四次眼动脱敏再处理（EMDR）治疗对27名儿童（6至12岁）的疗效，这些儿童在机动车事故后患有持续性创伤后应激障碍（PTSD）症状。在主要结局和过程指标上发现了眼动脱敏再处理的效果，这些指标包括儿童创伤后应激反应指数、临床医生评定的创伤后应激障碍诊断标准、主观困扰单位和认知有效性量表。所有参与者最初均符合两项或更多创伤后应激障碍标准。眼动脱敏再处理治疗后，眼动脱敏再处理组这一比例降至25%，而等待名单组仍为100%。家长对其孩子创伤后应激障碍症状的评定没有改善，一系列非创伤性儿童自我报告症状和家长报告症状也没有改善。治疗效果在3个月和12个月随访时得以维持。这些发现支持使用眼动脱敏再处理治疗儿童创伤后应激障碍症状，不过仍需要进一步的重复研究和对比研究。
