Parnassia Psychiatric Institute,Den Haag,The Netherlands.
Mental Health Organization (MHO) GGZ Oost Brabant,The Netherlands.
Br J Psychiatry. 2018 Mar;212(3):180-182. doi: 10.1192/bjp.2017.30. Epub 2018 Feb 7.
We present 12-month follow-up results for a randomised controlled trial of prolonged exposure and eye movement desensitisation and reprocessing (EMDR) therapy in 85 (78.8%) participants with psychotic disorder and comorbid post-traumatic stress disorder (PTSD). Positive effects on clinician-rated PTSD, self-rated PTSD, depression, paranoid-referential thinking and remission from schizophrenia were maintained up to 12-month follow-up. Negative post-traumatic cognitions declined in prolonged exposure and were stable in EMDR. A significant decline in social functioning was found, whereas reductions in interference of PTSD symptoms with social functioning were maintained. These results support that current PTSD guidelines apply to individuals with psychosis. Declaration of interest M.v.d.G. and D.v.d.B. receive income for published books on psychotic disorders and for the training of postdoctoral professionals in the treatment of psychotic disorders. A.d.J. receives income for published books on EMDR therapy and for the training of postdoctoral professionals in this method. A.v.M. receives income for published book chapters on PTSD and for the training of postdoctoral professionals in prolonged exposure. C.d.R. receives income for the training of postdoctoral professionals in EMDR therapy.
我们报告了一项为期 12 个月的随访结果，该研究为随机对照试验，比较了延长暴露疗法和眼动脱敏再加工疗法（EMDR）治疗 85 名（78.8%）伴有精神病性障碍和共病创伤后应激障碍（PTSD）患者的疗效。在 12 个月的随访中，临床医生评定的 PTSD、自我评定的 PTSD、抑郁、偏执思维和精神分裂症缓解的疗效仍保持阳性。在延长暴露疗法中，负性创伤后认知下降，而在 EMDR 中则保持稳定。社会功能显著下降，而 PTSD 症状对社会功能的干扰减少。这些结果支持当前的 PTSD 指南适用于精神病患者。利益冲突声明：M.v.d.G.和 D.v.d.B.因出版有关精神病障碍的书籍以及培训治疗精神病障碍的博士后专业人员而获得收入。A.d.J.因出版有关 EMDR 疗法的书籍以及培训该方法的博士后专业人员而获得收入。A.v.M.因出版有关 PTSD 的书籍章节以及培训延长暴露疗法的博士后专业人员而获得收入。C.d.R.因培训 EMDR 疗法的博士后专业人员而获得收入。
