Valiente-Gómez Alicia, Moreno-Alcázar Ana, Treen Devi, Cedrón Carlos, Colom Francesc, Pérez Víctor, Amann Benedikt L
Centre Emili Mira, Institute of Neuropsychiatry and Addictions, Parc de Salut Mar, Barcelona, Spain.
Centre Fòrum Research Unit, Institute of Neuropsychiatry and Addictions, Parc de Salut Mar, Barcelona, Spain.
Front Psychol. 2017 Sep 26;8:1668. doi: 10.3389/fpsyg.2017.01668. eCollection 2017.
Eye Movement Desensitization and Reprocessing (EMDR) is a psychotherapeutic approach that has demonstrated efficacy in the treatment of Post-traumatic Stress Disorder (PTSD) through several randomized controlled trials (RCT). Solid evidence shows that traumatic events can contribute to the onset of severe mental disorders and can worsen their prognosis. The aim of this systematic review is to summarize the most important findings from RCT conducted in the treatment of comorbid traumatic events in psychosis, bipolar disorder, unipolar depression, anxiety disorders, substance use disorders, and chronic back pain. Using PubMed, ScienceDirect, and Scopus, we conducted a systematic literature search of RCT studies published up to December 2016 that used EMDR therapy in the mentioned psychiatric conditions. RCT are still scarce in these comorbid conditions but the available evidence suggests that EMDR therapy improves trauma-associated symptoms and has a minor effect on the primary disorders by reaching partial symptomatic improvement. EMDR therapy could be a useful psychotherapy to treat trauma-associated symptoms in patients with comorbid psychiatric disorders. Preliminary evidence also suggests that EMDR therapy might be useful to improve psychotic or affective symptoms and could be an add-on treatment in chronic pain conditions.
眼动脱敏再处理疗法（EMDR）是一种心理治疗方法，通过多项随机对照试验（RCT）已证明其在治疗创伤后应激障碍（PTSD）方面的有效性。确凿证据表明，创伤事件可导致严重精神障碍的发作，并会使其预后恶化。本系统评价的目的是总结在治疗精神病、双相情感障碍、单相抑郁症、焦虑症、物质使用障碍和慢性背痛等共病创伤事件的随机对照试验中的最重要发现。我们利用PubMed、ScienceDirect和Scopus对截至2016年12月发表的在上述精神疾病中使用眼动脱敏再处理疗法的随机对照试验研究进行了系统的文献检索。在这些共病情况下，随机对照试验仍然很少，但现有证据表明，眼动脱敏再处理疗法可改善与创伤相关的症状，并通过部分症状改善对原发性疾病产生轻微影响。眼动脱敏再处理疗法可能是治疗共病精神障碍患者创伤相关症状的一种有用的心理治疗方法。初步证据还表明，眼动脱敏再处理疗法可能有助于改善精神病性或情感症状，并且可能是慢性疼痛状况下的一种附加治疗方法。
