Altmeyer Susanne, Wollersheim Leonie, Kilian-Hütten Niclas, Behnke Alexander, Hofmann Arne, Tumani Visal
Gezeitenhaus Traumahospital Schloss Eichholz, Wesseling, Germany.
Clinical and Biological Psychology, Institute of Psychology and Education, Ulm University, Ulm, Germany.
Front Psychol. 2022 Aug 10;13:937204. doi: 10.3389/fpsyg.2022.937204. eCollection 2022.
Increasing prevalence of depression poses a huge challenge to the healthcare systems, and the success rates of current standard therapies are limited. While 30% of treated patients do not experience a full remission after treatment, more than 75% of patients suffer from recurrent depressive episodes. Eye Movement Desensitization and Reprocessing (EMDR) therapy represents an emerging treatment option of depression, and preliminary studies show promising effects with a probably higher remission rate when compared to control-therapies such as cognitive behavioral therapy. In the present study, 49 patients with severe depression were treated with an integrated systemic treatment approach including EMDR therapy that followed a specific protocol with a treatment algorithm for depression in a naturalistic hospital setting. Following their discharge from the hospital, the patients were followed up by a structured telephone interview after 3 and 12 months. 27 of the 49 (55%) patients fulfilled the Beck's depression criteria of a full remission when they were discharged. At the follow-up interview, 12 months after discharge, 7 of the 27 patients (26%) reported a relapse, while the remaining 20 patients (74%) had stayed relapse-free. The findings of our observational study confirm reports of earlier studies in patients with depression, showing that EMDR therapy leads to a high rate of remission, and is associated with a decreased number of relapses. Patients with depression receiving EMDR treatment may be more resilient to stressors.
抑郁症患病率的不断上升给医疗系统带来了巨大挑战，当前标准疗法的成功率有限。虽然30%接受治疗的患者在治疗后未实现完全缓解，但超过75%的患者会出现复发性抑郁发作。眼动脱敏再处理（EMDR）疗法是一种新兴的抑郁症治疗选择，初步研究表明其效果良好，与认知行为疗法等对照疗法相比，缓解率可能更高。在本研究中，49名重度抑郁症患者在一家自然主义医院环境中接受了包括EMDR疗法在内的综合系统治疗方法，该疗法遵循针对抑郁症的特定治疗方案和算法。患者出院后，在3个月和12个月时通过结构化电话访谈进行随访。49名患者中有27名（55%）在出院时达到了贝克抑郁症完全缓解标准。在出院12个月后的随访访谈中，27名患者中有7名（26%）报告复发，其余20名患者（74%）未复发。我们观察性研究的结果证实了早期对抑郁症患者研究的报告，表明EMDR疗法导致高缓解率，并与复发次数减少相关。接受EMDR治疗的抑郁症患者可能对压力源更具恢复力。
