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附加眼动脱敏再处理(EMDR)疗法治疗初始抗抑郁药物治疗反应不佳的创伤后应激障碍成人。

Add-on Eye Movement Desensitization and Reprocessing (EMDR) Therapy for Adults with Post-traumatic Stress Disorder Who Failed to Respond to Initial Antidepressant Pharmacotherapy.

机构信息

Workplace Mental Health Institute, Gangbuk Samsung Medical Center, Seoul, Korea.

Department of Psychiatry, College of Medicine, Hanyang University, Seoul, Korea.

出版信息

J Korean Med Sci. 2018 Nov 5;33(48):e306. doi: 10.3346/jkms.2018.33.e306. eCollection 2018 Nov 26.

Abstract

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.

摘要

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。

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