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眼动脱敏再处理疗法中的眼动是如何起作用的:记忆清晰度和情绪的变化。

How eye movements in EMDR work: changes in memory vividness and emotionality.

作者信息

Leer Arne, Engelhard Iris M, van den Hout Marcel A

机构信息

Department of Clinical & Health Psychology, Utrecht University, P.O. Box 80140, 3508 TC Utrecht, The Netherlands.

Department of Clinical & Health Psychology, Utrecht University, P.O. Box 80140, 3508 TC Utrecht, The Netherlands.

出版信息

J Behav Ther Exp Psychiatry. 2014 Sep;45(3):396-401. doi: 10.1016/j.jbtep.2014.04.004. Epub 2014 Apr 26.

Abstract

BACKGROUND AND OBJECTIVES

Eye movements (EM) during recall of an aversive memory is a treatment element unique to Eye Movement Desensitization and Reprocessing (EMDR). Experimental studies have shown that EM reduce memory vividness and/or emotionality shortly after the intervention. However, it is unclear whether the immediate effects of the intervention reflect actual changes in memory. The aim of this study was to test whether immediate reductions in memory vividness and emotionality persist at a 24 h follow up and whether the magnitude of these effects is related to the duration of the intervention.

METHODS

Seventy-three undergraduates recalled two negative autobiographical memories, one with EM ("recall with EM") and one without ("recall only"). Half of participants recalled each memory for four periods of 24 s, the other half for eight periods of 24 s. Memory vividness/emotionality were self-rated at a pre-test, an immediate post-test, and a 24 h follow-up test.

RESULTS

In both duration groups, recall with EM, but not recall only, caused an immediate decrease in memory vividness. There were no immediate reductions in memory emotionality. Furthermore, only the 'eight periods' group showed that recall with EM, but not recall only, caused a decrease in both memory emotionality and memory vividness from the pre-test to the follow-up.

LIMITATIONS

Only self-report measures were used.

CONCLUSIONS

The findings suggest that recall with EM causes 24-h changes in memory vividness/emotionality, which may explain part of the EMDR treatment effect, and these effects are related to intervention duration.

摘要

背景与目的

在唤起厌恶记忆时的眼球运动(EM)是眼动脱敏再处理疗法(EMDR)独有的治疗要素。实验研究表明,干预后不久,眼球运动可降低记忆的生动性和/或情感强度。然而,尚不清楚干预的即时效果是否反映了记忆的实际变化。本研究的目的是测试记忆生动性和情感强度的即时降低在24小时随访时是否依然存在,以及这些效果的大小是否与干预持续时间有关。

方法

73名本科生回忆两段负面的自传式记忆,一段在眼球运动状态下回忆(“眼球运动状态下回忆”),另一段不在眼球运动状态下回忆(“仅回忆”)。一半参与者对每段记忆回忆4个24秒时段,另一半回忆8个24秒时段。在预测试、即时后测试和24小时随访测试中对记忆生动性/情感强度进行自评。

结果

在两个持续时间组中,眼球运动状态下回忆会导致记忆生动性立即下降,但仅回忆不会。记忆情感强度没有立即下降。此外,只有“8个时段”组显示,从预测试到随访,眼球运动状态下回忆会导致记忆情感强度和记忆生动性均下降,但仅回忆不会。

局限性

仅使用了自我报告测量方法。

结论

研究结果表明,眼球运动状态下回忆会导致记忆生动性/情感强度在24小时内发生变化,这可能解释了眼动脱敏再处理疗法治疗效果的一部分,且这些效果与干预持续时间有关。

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