一项眼动脱敏再处理（EMDR）联合标准护理（SC）与 SC 单独治疗 DSM-5 成年智力障碍创伤后应激障碍（PTSD）的混合方法、随机对照可行性试验。
A mixed-methods, randomized controlled feasibility trial of Eye Movement Desensitization and Reprocessing (EMDR) plus Standard Care (SC) versus SC alone for DSM-5 Posttraumatic Stress Disorder (PTSD) in adults with intellectual disabilities.
机构信息
School of Health and Social Care, Edinburgh Napier University, Edinburgh, UK.
Rivers Centre for Traumatic Stress, NHS Lothian, Edinburgh, UK.
出版信息
J Appl Res Intellect Disabil. 2019 Jul;32(4):806-818. doi: 10.1111/jar.12570. Epub 2019 Feb 4.
OBJECTIVE
To report the results of the first randomized feasibility trial of Eye Movement Desensitization and Reprocessing (EMDR) plus Standard Care (SC) versus SC alone for DSM-5 posttraumatic stress disorder (PTSD) in adults with intellectual disabilities.
METHOD
A total of 29 participants were randomized to either to EMDR + SC (n = 15) or SC (n = 14). Participants completed measures on traumatic stress (PCL-C) and comorbid distress at baseline, 1 week post-treatment and 3-month follow-up.
RESULTS
In the EMDR + SC group, 9 (60%) participants at post-treatment and 7 (47%) participants at 3-month follow-up were diagnosis free. In SC, 4 (27%) at post-treatment and follow-up were diagnosis free. At post-treatment, three participants (20%) dropped out from the EMDR + SC group, and 1 (7%) dropped out from the SC group.
CONCLUSIONS
It is feasible, acceptable and potentially effective to deliver EMDR in this population group.
目的
报告第一份针对 DSM-5 成年智障人群创伤后应激障碍（PTSD）的眼动脱敏再处理（EMDR）联合标准治疗（SC）与单纯 SC 对照的随机可行性试验结果。
方法
共有 29 名参与者被随机分配至 EMDR+SC（n=15）或 SC（n=14）组。参与者在基线、治疗后 1 周和 3 个月随访时完成创伤应激（PCL-C）和共病困扰的评估。
结果
在 EMDR+SC 组中，治疗后有 9 名（60%）参与者和 3 个月随访时有 7 名（47%）参与者无诊断。在 SC 组中，治疗后有 4 名（27%）和随访时有 1 名（7%）参与者无诊断。治疗后，EMDR+SC 组有 3 名（20%）参与者脱落，SC 组有 1 名（7%）参与者脱落。
结论
在该人群中开展 EMDR 是可行的、可接受的，且具有潜在的有效性。
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