Workplace Mental Health Institute, Gangbuk Samsung Medical Center, Seoul, Korea.
Department of Psychiatry, College of Medicine, Hanyang University, Seoul, Korea.
J Korean Med Sci. 2018 Nov 5;33(48):e306. doi: 10.3346/jkms.2018.33.e306. eCollection 2018 Nov 26.
This study examined the add-on efficacy of eye movement desensitization and reprocessing (EMDR) therapy among adult civilians with post-traumatic stress disorder (PTSD) who continued to be symptomatic after more than 12 weeks of initial antidepressant treatment. Scores for the Clinician Administered PTSD Scale (CAPS) were rated pre- and post-EMDR and at a 6-month follow-up. After an average of six sessions of EMDR treatment, seven of 14 patients (50%) showed more than a 30% decrease in CAPS score and eight (57%) no longer met the criteria for PTSD. Our results indicate that EMDR could be successfully added after failure of initial pharmacotherapy for PTSD.
本研究旨在探讨眼动脱敏再处理(EMDR)疗法对初始抗抑郁治疗 12 周后仍有症状的 PTSD 成年平民患者的附加疗效。采用临床医生管理 PTSD 量表(CAPS)对患者进行治疗前、治疗后及 6 个月随访时的评分。在接受平均 6 个疗程的 EMDR 治疗后,14 名患者中有 7 名(50%)的 CAPS 评分下降超过 30%,8 名(57%)不再符合 PTSD 诊断标准。我们的结果表明,在初始 PTSD 药物治疗失败后,EMDR 治疗可以成功添加。