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两种治疗创伤后应激障碍心理疗法的有效性和效率的对照比较:眼动脱敏再处理疗法与情绪释放疗法

A controlled comparison of the effectiveness and efficiency of two psychological therapies for posttraumatic stress disorder: eye movement desensitization and reprocessing vs. emotional freedom techniques.

作者信息

Karatzias Thanos, Power Kevin, Brown Keith, McGoldrick Theresa, Begum Millia, Young Jenny, Loughran Paul, Chouliara Zoë, Adams Sally

机构信息

Faculty of Health, Life and Social Sciences, Edinburgh Napier University, Edinburgh, UK.

出版信息

J Nerv Ment Dis. 2011 Jun;199(6):372-8. doi: 10.1097/NMD.0b013e31821cd262.

Abstract

The present study reports on the first ever controlled comparison between eye movement desensitization and reprocessing (EMDR) and emotional freedom techniques (EFT) for posttraumatic stress disorder. A total of 46 participants were randomized to either EMDR (n = 23) or EFT (n = 23). The participants were assessed at baseline and then reassessed after an 8-week waiting period. Two further blind assessments were conducted at posttreatment and 3-months follow-up. Overall, the results indicated that both interventions produced significant therapeutic gains at posttreatment and follow-up in an equal number of sessions. Similar treatment effect sizes were observed in both treatment groups. Regarding clinical significant changes, a slightly higher proportion of patients in the EMDR group produced substantial clinical changes compared with the EFT group. Given the speculative nature of the theoretical basis of EFT, a dismantling study on the active ingredients of EFT should be subject to future research.

摘要

本研究首次报告了眼动脱敏再处理疗法(EMDR)与情绪自由技术(EFT)治疗创伤后应激障碍的对照比较。共有46名参与者被随机分为EMDR组(n = 23)或EFT组(n = 23)。参与者在基线时接受评估,然后在8周的等待期后重新评估。在治疗后和3个月随访时又进行了两次盲法评估。总体而言,结果表明两种干预措施在相同的疗程数下,于治疗后和随访时均产生了显著的治疗效果。两个治疗组观察到相似的治疗效应大小。关于临床显著变化,与EFT组相比,EMDR组中产生实质性临床变化的患者比例略高。鉴于EFT理论基础的推测性质,对EFT有效成分的拆解研究应留待未来进行。

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