Zat Çiftçi Zeynep, Delibaş Dursun Hakan, Kaya Taciser, Külcü Duygu Geler, Sarı Aylin, Nazlıkul Hüseyin, Coşkun Topsakal İlkem, Aydın Yunus Emre, Kavakçı Önder, Savran Canan, Konuk Emre
Institute for Behavioral Studies, Adult and Family Department, Istanbul, Türkiye.
Department of Psychiatry, Izmir Bozyaka Training and Research Hospital, Izmir, Türkiye.
Front Psychiatry. 2024 May 21;15:1286118. doi: 10.3389/fpsyt.2024.1286118. eCollection 2024.
In addition to pharmacological treatment, psychotherapeutic approaches are recommended for the treatment of fibromyalgia. There is a suggestion that eye movement desensitization and reprocessing (EMDR) therapy may be effective. This study aimed to investigate the impact of EMDR therapy on fibromyalgia symptoms, depression, sleep quality, and traumatic stress in fibromyalgia patients through a randomized controlled study (RCT).
The sample for this study comprised 79 individuals diagnosed with fibromyalgia. Participants were randomly assigned to two groups: the "Treatment as Usual" (TAU) group and the TAU + EMDR group. Prior to the study and at six different time points (before starting the study, at the end of the 5th, 10th, and 15th sessions, 1 month later, and 3 months later), participants completed assessments, including the Fibromyalgia Impact Questionnaire (FIQ), Visual Analog Scale (VAS), Fibromyalgia ACR 2010 Diagnostic Criteria [Widespread Pain Index (WPI) and Symptom Severity Scale (SSS)], Beck Depression Inventory (BDI), Pittsburgh Sleep Quality Index (PSQI), and Trauma Symptom Checklist-40 (TSC-40).
There were no differences in the sociodemographic variables between the study and experimental groups. Analysis of variance revealed a statistically significant group effect on VAS (p = 0.019), WPI (p = 0.018), BDI (p = 0.019), and TSC-40 (p = 0.21). After applying Bonferroni correction, EMDR was found to be effective for VAS, WPI, SSS, BDI, PSQI, and TSC-40 (p <0.05).
The results of the current study suggest that EMDR therapy is a viable alternative treatment for fibromyalgia. We believe these findings offer robust evidence supporting the efficacy of EMDR therapy in treating fibromyalgia, particularly in the context of a randomized controlled trial (RCT). The application of EMDR therapy for the treatment of patients with fibromyalgia is likely to be beneficial.
ClinicalTrials.gov, identifier NCT06265194.
除药物治疗外，推荐采用心理治疗方法来治疗纤维肌痛。有迹象表明，眼动脱敏再处理（EMDR）疗法可能有效。本研究旨在通过一项随机对照试验（RCT），调查EMDR疗法对纤维肌痛患者的纤维肌痛症状、抑郁、睡眠质量和创伤应激的影响。
本研究样本包括79名被诊断为纤维肌痛的个体。参与者被随机分为两组：“常规治疗”（TAU）组和TAU + EMDR组。在研究前以及六个不同时间点（研究开始前、第5、10和15次治疗结束时、1个月后和3个月后），参与者完成了评估，包括纤维肌痛影响问卷（FIQ）、视觉模拟量表（VAS）、纤维肌痛ACR 2010诊断标准[广泛性疼痛指数（WPI）和症状严重程度量表（SSS）]、贝克抑郁量表（BDI）、匹兹堡睡眠质量指数（PSQI）和创伤症状清单-40（TSC-40）。
研究组和实验组在社会人口统计学变量方面没有差异。方差分析显示，组间效应在VAS（p = 0.019）、WPI（p = 0.018）、BDI（p = 0.019）和TSC-40（p = 0.21）上具有统计学意义。应用Bonferroni校正后，发现EMDR对VAS、WPI、SSS、BDI、PSQI和TSC-40有效（p <0.05）。
本研究结果表明，EMDR疗法是纤维肌痛一种可行的替代治疗方法。我们认为这些发现提供了有力证据，支持EMDR疗法在治疗纤维肌痛方面的疗效，特别是在随机对照试验（RCT）的背景下。EMDR疗法应用于纤维肌痛患者的治疗可能是有益的。
ClinicalTrials.gov，标识符NCT06265194。
