Grifoni Joy, Pagani Marco, Persichilli Giada, Bertoli Massimo, Bevacqua Maria Gabriela, L'Abbate Teresa, Flamini Ilaria, Brancucci Alfredo, Cerniglia Luca, Paulon Luca, Tecchio Franca
International Telematic University Uninettuno, 00186 Rome, Italy.
LET'S and LABSS, Institute of Cognitive Sciences and Technologies ISTC, Consiglio Nazionale delle Ricerche CNR, 00185 Rome, Italy.
Brain Sci. 2023 Jul 10;13(7):1050. doi: 10.3390/brainsci13071050.
According to the WHO (World Health Organization), Eye Movement Desensitization and Reprocessing (EMDR) is an elective therapy to treat people with post-traumatic stress disorders (PTSD). In line with the personalization of therapeutic strategies, through this pilot study, we assessed in people suffering from the effects of trauma the feasibility, safety, acceptance, and efficacy of EMDR enriched with sound stimulation (by administering neutral sounds synchronized with the guided bilateral alternating stimulation of the gaze) and musical reward (musical listening based on the patients' predisposition and personal tastes). Feasibility, quantified by the number of patients who completed the treatment, was excellent as this was the case in 12 out of the 12 enrolled people with psychological trauma. Safety and acceptance, assessed by self-compiled questionnaires, were excellent, with an absence of side effects and high satisfaction. Efficacy, quantified by the number of EMDR treatment sessions required to reach the optimal scores on the Subjective Units of Disturbance (SUD) and Validity of Cognition (VOC) scales typical of EMDR protocols, revealed an average duration of 8.5 (SD 1.2) sessions, which is well below the 12 sessions considered a standard EMDR treatment duration. EMDR+ appears to be a relevant personalization of EMDR, particularly in music-sensitive people, consolidating the therapeutic alliance through a multisensory communicative bond for trauma treatment.
根据世界卫生组织（WHO）的说法，眼动脱敏再处理疗法（EMDR）是一种用于治疗创伤后应激障碍（PTSD）患者的选择性疗法。为了符合治疗策略的个性化，通过这项初步研究，我们在遭受创伤影响的人群中评估了富含声音刺激（通过给予与引导性双眼交替注视刺激同步的中性声音）和音乐奖励（基于患者的倾向和个人喜好进行音乐聆听）的EMDR疗法的可行性、安全性、可接受性和疗效。以完成治疗的患者数量来量化的可行性非常好，因为在12名登记的有心理创伤的患者中，有12人完成了治疗。通过自行编制的问卷评估的安全性和可接受性也非常好，没有副作用且满意度很高。以达到EMDR方案典型的干扰主观单位（SUD）和认知有效性（VOC）量表的最佳分数所需的EMDR治疗疗程数量来量化的疗效显示，平均疗程为8.5（标准差1.2）个疗程，远低于被视为标准EMDR治疗疗程的12个疗程。EMDR+似乎是EMDR的一种重要个性化方式，特别是在对音乐敏感的人群中，通过一种多感官交流纽带巩固治疗联盟以进行创伤治疗。
