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眼动脱敏再处理疗法对经历莫拉克台风的台湾青少年心理障碍的治疗效果

Eye movement desensitization and reprocessing for treating psychological disturbances in Taiwanese adolescents who experienced Typhoon Morakot.

作者信息

Tang Tze-Chun, Yang Pinchen, Yen Cheng-Fang, Liu Tai-Ling

机构信息

Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung City, Taiwan.

Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung City, Taiwan; Department of Psychiatry, Faculty of Medicine, and Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung City, Taiwan.

出版信息

Kaohsiung J Med Sci. 2015 Jul;31(7):363-9. doi: 10.1016/j.kjms.2015.04.013. Epub 2015 Jun 6.

Abstract

In this case-control study, we aimed to assess the intervention effects of four-session eye movement desensitization and reprocessing (EMDR) on reducing the severity of disaster-related anxiety, general anxiety, and depressive symptoms in Taiwanese adolescents who experienced Typhoon Morakot. A total of 83 adolescents with posttraumatic stress disorder related to Typhoon Morakot, major depressive disorder, or current moderate or high suicide risk after experiencing Typhoon Morakot were allocated to a four-session course of EMDR (N = 41) or to treatment as usual (TAU; N = 42). A multivariate analysis of covariance was performed to examine the effects of EMDR in reducing the severity of disaster-related anxiety, general anxiety, and depressive symptoms in adolescents by using preintervention severity values as covariates. The multivariate analysis of covariance results indicated that the EMDR group exhibited significantly lower preintervention severity values of general anxiety and depression than did the TAU group. In addition, the preintervention severity value of disaster-related anxiety in the EMDR group was lower than that in the TAU group (p = 0.05). The results of this study support that EMDR could alleviate general anxiety and depressive symptoms and reduce disaster-related anxiety in adolescents experiencing major traumatic disasters.

摘要

在这项病例对照研究中,我们旨在评估四节眼动脱敏再处理疗法(EMDR)对减轻经历莫拉克台风的台湾青少年与灾难相关的焦虑、一般焦虑和抑郁症状严重程度的干预效果。共有83名经历莫拉克台风后患有创伤后应激障碍、重度抑郁症或当前有中度或高度自杀风险的青少年被分配到四节EMDR课程组(N = 41)或常规治疗组(TAU;N = 42)。通过将干预前的严重程度值作为协变量,进行多变量协方差分析,以检验EMDR对减轻青少年与灾难相关的焦虑、一般焦虑和抑郁症状严重程度的效果。多变量协方差分析结果表明,EMDR组的一般焦虑和抑郁的干预前严重程度值显著低于TAU组。此外,EMDR组与灾难相关的焦虑的干预前严重程度值低于TAU组(p = 0.05)。本研究结果支持EMDR可以缓解经历重大创伤性灾难的青少年的一般焦虑和抑郁症状,并减少与灾难相关的焦虑。

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