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本文引用的文献

1
Effect of Prolonged Exposure Therapy Delivered Over 2 Weeks vs 8 Weeks vs Present-Centered Therapy on PTSD Symptom Severity in Military Personnel: A Randomized Clinical Trial.为期2周、8周的延长暴露疗法与以当下为中心疗法对军事人员创伤后应激障碍症状严重程度的影响:一项随机临床试验
JAMA. 2018 Jan 23;319(4):354-364. doi: 10.1001/jama.2017.21242.
2
A Window Into the Evolution of Trauma-Focused Psychotherapies for Posttraumatic Stress Disorder.洞察创伤后应激障碍的创伤聚焦心理治疗的演变
JAMA. 2018 Jan 23;319(4):343-345. doi: 10.1001/jama.2017.21880.
3
Efficacy of eye movement desensitization and reprocessing on the phantom limb pain of patients with amputations within a 24-month follow-up.眼动脱敏再处理疗法对截肢患者幻肢痛的疗效:24个月随访研究
Int J Rehabil Res. 2017 Sep;40(3):209-214. doi: 10.1097/MRR.0000000000000227.
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Unintended Consequences of Changing the Definition of Posttraumatic Stress Disorder in DSM-5: Critique and Call for Action.《精神疾病诊断与统计手册》第5版中创伤后应激障碍定义改变的意外后果:批判与行动呼吁
JAMA Psychiatry. 2016 Jul 1;73(7):750-2. doi: 10.1001/jamapsychiatry.2016.0647.
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The Meaning of Evidence-Based Treatments for Veterans With Posttraumatic Stress Disorder.基于证据的创伤后应激障碍退伍军人治疗方法的意义。
JAMA Psychiatry. 2016 May 1;73(5):433-4. doi: 10.1001/jamapsychiatry.2015.2878.
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Psychotherapy for Military-Related PTSD: A Review of Randomized Clinical Trials.军事相关 PTSD 的心理治疗:随机临床试验综述。
JAMA. 2015 Aug 4;314(5):489-500. doi: 10.1001/jama.2015.8370.
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Meta-analysis of dropout in treatments for posttraumatic stress disorder.创伤后应激障碍治疗中脱落的荟萃分析。
J Consult Clin Psychol. 2013 Jun;81(3):394-404. doi: 10.1037/a0031474. Epub 2013 Jan 21.
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A meta-analysis of the contribution of eye movements in processing emotional memories.眼动在情绪记忆加工中的作用的元分析。
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Treatment of chronic phantom limb pain using a trauma-focused psychological approach.采用以创伤为中心的心理方法治疗慢性幻肢痛。
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Eye movement desensitization and reprocessing (EMDR) in the treatment of war veterans.眼动脱敏再处理疗法(EMDR)在退伍军人治疗中的应用
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创伤后应激障碍退伍军人的有效治疗:每日强化与每周眼动脱敏再处理疗法的比较

Effective Treatment of Veterans With PTSD: Comparison Between Intensive Daily and Weekly EMDR Approaches.

作者信息

Hurley E C

机构信息

Soldier Center, Clarksville, TN, United States.

出版信息

Front Psychol. 2018 Aug 24;9:1458. doi: 10.3389/fpsyg.2018.01458. eCollection 2018.

DOI:10.3389/fpsyg.2018.01458
PMID:30197612
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6117416/
Abstract

The effectiveness of EMDR therapy in treating veterans diagnosed with PTSD was evaluated in this study using two treatment formats: intensive daily EMDR treatment provided twice a day during a 10-day period and a second format of one session each week. The study used archived outcome data previously collected and stored at Soldier Center. Both formats provided 18-20 treatment sessions of EMDR therapy to veterans diagnosed with PTSD that included dissociative exhibitions and moral injury issues. Questions addressed included: (1) does EMDR therapy administered twice daily ameliorate veterans' PTSD symptoms; (2) does EMDR therapy administered twice daily provide equivalent outcome results as EMDR therapy administered weekly for 18-20 sessions; and (3) does the treatment outcome persist. The effectiveness of the weekly treatment group was also evaluated. Both groups' results were assessed at pre-treatment, post-treatment and 1-year follow-up. The results indicated that both weekly treatment and intensive daily treatment groups produced statistically significant treatment effects ( < 0.001) that were maintained at 1-year follow-up. The10-day EMDR intensive daily treatment (EMDR therapy twice a day for 10 days) produced a similar outcome as to that of the weekly treatment with a 1-year follow-up. Results support the effectiveness of EMDR therapy when offered in both weekly treatment format as well as the intensive 10-day format on an outpatient basis. While recognizing the limitations of this study the results are significant to warrant additional research.

摘要

本研究采用两种治疗形式评估了眼动脱敏再处理疗法(EMDR)对被诊断为创伤后应激障碍(PTSD)的退伍军人的治疗效果:一种是在10天内每天进行两次的强化每日EMDR治疗,另一种是每周进行一次治疗。该研究使用了先前在士兵中心收集和存储的存档结果数据。两种形式都为被诊断患有PTSD且存在分离表现和道德伤害问题的退伍军人提供了18 - 20次EMDR治疗。研究涉及的问题包括:(1)每日两次进行的EMDR治疗能否改善退伍军人的PTSD症状;(2)每日两次进行的EMDR治疗与每周进行18 - 20次的EMDR治疗相比,疗效是否相当;(3)治疗效果是否持续。还评估了每周治疗组的疗效。在治疗前、治疗后和1年随访时评估了两组的结果。结果表明,每周治疗组和强化每日治疗组均产生了具有统计学意义的治疗效果(<0.001),且在1年随访时得以维持。为期10天的每日强化EMDR治疗(每天两次EMDR治疗,持续10天)与每周治疗在1年随访时产生了相似的结果。结果支持了在门诊基础上以每周治疗形式以及强化的10天形式提供EMDR治疗的有效性。尽管认识到本研究的局限性,但这些结果具有重要意义,值得进一步研究。