Department of Neuropsychiatry, Hanyang University Guri Hospital, Guri, Korea.
Psychiatry Investig. 2008 Mar;5(1):60-5. doi: 10.4306/pi.2008.5.1.60. Epub 2008 Mar 31.
While cognitive behavior therapy is considered to be the first-line therapy for adolescent depression, there are limited data on whether other psychotherapeutic techniques are also effective in treating adolescents with depression. This report suggests the potential application of eye movement desensitization and reprocessing (EMDR) for treatment of depressive disorder related, not to trauma, but to stressful life events. At present, EMDR has only been empirically validated for only trauma-related disorders such as posttraumatic stress disorder. Two teenagers with major depressive disorder (MDD) underwent three and seven sessions of EMDR aimed at memories of stressful life events. After treatment, their depressive symptoms decreased to the level of full remission, and the therapeutic gains were maintained after two and three months of follow up. The effectiveness of EMDR for depression is explained by the model of adaptive information processing. Given the powerful effects observed within a brief period of time, the authors suggest that further investigation of EMDR for depressive disorders is warranted.
虽然认知行为疗法被认为是治疗青少年抑郁症的一线疗法，但关于其他心理治疗技术是否也能有效治疗抑郁症患者的数据有限。本报告提出了眼动脱敏再处理（EMDR）治疗与创伤无关但与生活应激事件相关的抑郁障碍的潜在应用。目前，EMDR 仅在创伤相关障碍（如创伤后应激障碍）方面得到了经验验证。两名患有重度抑郁症（MDD）的青少年接受了三到七次旨在治疗生活应激事件记忆的 EMDR。治疗后，他们的抑郁症状减轻到完全缓解的程度，在随访两个月和三个月后，治疗效果仍保持。EMDR 治疗抑郁症的有效性可以用适应性信息处理模型来解释。鉴于在短时间内观察到的强大效果，作者建议进一步研究 EMDR 治疗抑郁障碍。
