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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.

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。

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