School of Health and Related Research, The University of Sheffield, UK.
Sheffield Health and Social Care NHS FT, UK.
Psychol Psychother. 2018 Mar;91(1):63-78. doi: 10.1111/papt.12145. Epub 2017 Aug 18.
Current treatments for long-term depression - medication and psychotherapy - are effective for some but not all clients. New approaches need to be developed to complement the ones already available. This study was designed to test the feasibility of using an effective post-traumatic stress disorder treatment for people with long-term depression.
A single-case experimental design with replications was undertaken as a feasibility study of eye movement desensitization and reprocessing (EMDR) in treating long-term depression.
Thirteen people with recurrent and/or long-term depression were recruited from primary care mental health services and given standard protocol EMDR for a maximum of 20 sessions. Levels of depression were measured before and after treatment and at follow-up, clients also rated their mood each day.
Eight people engaged with the treatment; seven of these had clinically significant and statistically reliable improvement on the Hamilton Rating Scale for Depression. Daily mood ratings were highly variable both during baseline and intervention.
EMDR is a feasible treatment for recurrent and/or long-term depression. Research on treatment efficacy and effectiveness is now required.
EMDR may be an effective treatment for depression. EMDR could be considered if first-line approaches (CBT and counselling) have been tried and failed. EMDR may be particularly helpful for service users with a history of trauma.
目前针对长期抑郁症的治疗方法——药物治疗和心理治疗——对一些患者有效，但对另一些患者则无效。需要开发新的方法来补充现有的方法。本研究旨在测试将创伤后应激障碍的有效治疗方法应用于长期抑郁症患者的可行性。
作为眼动脱敏再处理 (EMDR) 治疗长期抑郁症的可行性研究，采用了单病例实验设计并进行了重复。
从初级保健心理健康服务机构招募了 13 名患有复发性和/或长期抑郁症的患者，并为他们提供最多 20 次标准协议的 EMDR 治疗。在治疗前、治疗后和随访时测量抑郁程度，患者还每天对自己的情绪进行评分。
8 人参与了治疗；其中 7 人在汉密尔顿抑郁评定量表上有显著的临床改善和统计学上的可靠改善。在基线和干预期间，日常情绪评分都非常不稳定。
EMDR 是一种针对复发性和/或长期抑郁症的可行治疗方法。现在需要研究治疗效果和有效性。
EMDR 可能是一种有效的抑郁症治疗方法。如果已经尝试过一线方法（CBT 和咨询）但失败了，可以考虑 EMDR。对于有创伤史的服务使用者，EMDR 可能特别有帮助。
