Department of Neurosciences, Biomedicine and Movement Sciences, Section of Clinical Psychology, University of Verona, Verona, Italy.
Department of Neurosciences, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy; Department of Neuroscience and Mental Health, IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
J Affect Disord. 2020 May 15;269:1-11. doi: 10.1016/j.jad.2020.03.001. Epub 2020 Mar 14.
Eye Movement Desensitization and Reprocessing (EMDR) is a psychotherapeutic approach that has originally been developed to treat post-traumatic stress disorder (PTSD). Recently it has been suggested as a complementary therapy in a wide range of clinical conditions. In particular, affective disorders as bipolar disorder (BD) and major depressive disorder (MDD) have a higher lifetime prevalence of traumatic or stressful life events (SLEs) compared to the general population, which makes them good candidates for the application of EMDR.
A bibliographic search on PUBMED, Scopus, and ScienceDirect of studies applying EMDR to people with a primary diagnosis of bipolar disorder (BD) and major depressive disorder (MDD) (with or without a comorbid PTSD) was conducted.
Literature search retrieved 15 studies, of which 3 were focused on BD and 12 on MDD. Overall, they suggest EMDR as an effective tool in reducing trauma-related but also manic and depressive symptoms, with few effect sides and high adherence rates.
Few small studies exist with heterogeneous and not gold-standard methodology, especially for BD.
Overall, retrieved studies can be considered as first attempts at investigating the applicability of EMDR in affective disorders. Although far to be conclusive, preliminary evidence suggests EMDR as a useful adjunctive approach in the treatment of BD and MDD, especially when other treatments have failed. It is now the time to implement such trauma-focused therapy to larger samples of patients using more rigorous methods.
眼动脱敏再处理（EMDR）是一种心理治疗方法，最初是为了治疗创伤后应激障碍（PTSD）而开发的。最近，它已被建议作为广泛的临床条件下的补充治疗方法。特别是，双相情感障碍（BD）和重度抑郁症（MDD）等情感障碍的一生中创伤性或应激性生活事件（SLE）的发生率高于普通人群，这使它们成为 EMDR 应用的良好候选者。
在 PUBMED、Scopus 和 ScienceDirect 上对应用 EMDR 治疗原发性双相情感障碍（BD）和重度抑郁症（MDD）（伴有或不伴有共病 PTSD）的患者的研究进行了文献检索。
文献检索共检索到 15 项研究，其中 3 项专注于 BD，12 项专注于 MDD。总体而言，它们表明 EMDR 是一种有效工具，可以减少与创伤相关的但也有躁狂和抑郁症状，副作用少，依从性高。
存在一些小的研究，具有异质性且不是黄金标准的方法，尤其是对于 BD。
总的来说，检索到的研究可以被认为是首次尝试调查 EMDR 在情感障碍中的适用性。尽管还远不能得出结论，但初步证据表明 EMDR 是 BD 和 MDD 的一种有用的辅助治疗方法，特别是在其他治疗方法失败时。现在是时候使用更严格的方法将这种创伤聚焦的治疗方法应用于更大的患者样本了。
