Child and Adolescent Psychiatry Department, Gaziantep University Medical School, Gaziantep, Turkey.
Department of Child and Adolescent Psychiatry, Gaziantep University Faculty of Medicine, Gaziantep, Turkey.
Int J Psychiatry Clin Pract. 2020 Mar;24(1):77-82. doi: 10.1080/13651501.2019.1682171. Epub 2019 Oct 30.
The purpose of this study is to explore whether eye movement desensitisation and reprocessing (EMDR) is an effective therapy and to investigate whether EMDR affects anxiety levels for children and adolescents. We conducted this study with 30 clients. The clients completed self-administered questionnaires Child Post-Traumatic Stress Reaction Index Scale and The State-Trait Anxiety Inventory. The questionnaires were conducted before the therapy and 6 weeks after the completion of the therapy. Nineteen clients (63%) had only one traumatic event, but 11 clients (37%) had more than one traumatic event. While the mean score on the PTSD symptom scale was 60 (±8.7), this rate decreased to 24 (±10.1), whereas the mean STAI-T scale was 59 (±8.9) before treatment and 41 (±11.5) after treatment. We found a statistically significant difference between symptom scores as quantified by both questionnaires before and after EMDR therapy ( < .05). As a result, we have shown that EMDR is an effective method for children and adolescents with PTSD in terms of both post-traumatic and anxiety symptom levels; however, we recommend a larger sample size with a control group to further establish the effectiveness of EMDR therapy in children.KEY POINTSPTSD is a common disorder in children and adolescents.Additional psychiatric disorders such as anxiety and depression are common in children and adolescents with PTSD.In PTSD cases applying for psychiatric treatment, trauma associated with sexual abuse is more pronounced and complex.EMDR is an effective therapy in children and adolescents as well as in adults.There is a statistically significant decrease at anxiety and PTSD symptom scores as quantified by questionnaires in patients with PTSD after EMDR therapy.
本研究旨在探讨眼动脱敏再处理(EMDR)是否为一种有效的疗法,并研究 EMDR 是否会影响儿童和青少年的焦虑水平。我们对 30 名客户进行了此项研究。客户完成了自我管理问卷,即儿童创伤后应激反应指数量表和状态特质焦虑量表。这些问卷在治疗前和治疗结束后的 6 周内进行了调查。19 名客户(63%)仅有一次创伤事件,但 11 名客户(37%)有超过一次的创伤事件。虽然 PTSD 症状量表的平均得分为 60(±8.7),但这一比率下降至 24(±10.1),而治疗前 STAI-T 量表的平均得分为 59(±8.9),治疗后为 41(±11.5)。我们发现,EMDR 治疗前后两种问卷的症状评分均有统计学上的显著差异( < .05)。因此,我们表明,EMDR 对 PTSD 儿童和青少年在创伤后和焦虑症状水平方面都是一种有效的治疗方法;但是,我们建议增加一个有对照组的更大样本量,以进一步确立 EMDR 疗法对儿童的有效性。
PTSD 是儿童和青少年的常见疾病。
焦虑和抑郁等其他精神疾病在 PTSD 儿童和青少年中很常见。
在寻求精神科治疗的 PTSD 病例中,与性虐待相关的创伤更为明显和复杂。
EMDR 是一种在儿童和成人中均有效的治疗方法。
PTSD 患者在接受 EMDR 治疗后,通过问卷量化的焦虑和 PTSD 症状评分有统计学上的显著下降。