Vock S, Hofmann A, Lehnung M, Böhm K, Wieland S, Seidler G H, Beiner E, Hermes M, Friederich H-C, Eich W, Tesarz J
Department of General Internal Medicine and Psychosomatics, Heidelberg University, Heidelberg, Germany.
EMDR-Institute, Eckernfoerde, Germany.
Front Psychol. 2024 Oct 4;15:1449150. doi: 10.3389/fpsyg.2024.1449150. eCollection 2024.
Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based treatment, primarily established for post-traumatic stress disorder (PTSD). While it is increasingly being applied to chronic pain, its efficacy in this area is not yet supported by the same level of evidence as that which exists for PTSD. Studies in this area often show heterogeneous results with small case numbers, and the potential side effects of EMDR in the treatment of chronic pain are not well understood. Systematic documentation of treatment effects, potential predictors of treatment response and non-response, and side effects is crucial for progress in this field.
The primary aim is to establish a research framework to systematically investigate the delivery of EMDR therapies by outpatient clinicians in the field of pain. This study aims to provide a comprehensive analysis of treatment outcomes, side effects and determinants of treatment effectiveness, whether positive response or non-response.
This framework will oversee the documentation and evaluation of EMDR interventions delivered in outpatient settings using an Embedded Continuous Cumulative Evaluation Design (ECCED). It will focus on detailed characterisation of positive and negative therapeutic effects. It will also identify and analyse prognostic factors that influence individual variability in response to treatment. Treatment materials, standardised assessments and an intervision platform for regular exchange will be provided.
The establishment of the EMDR Pain Network Germany and an interdisciplinary scientific-clinical platform is essential to promote clinical exchange and understanding of the effects of EMDR in pain therapy. This platform offers standardised treatment protocols, an online data collection system with anonymised data, comprehensive baseline assessments and an intervision platform for regular exchange. The knowledge gained is intended to personalise future therapies and serve as a basis for large randomised clinical trials.
眼动脱敏再处理疗法（EMDR）是一种循证治疗方法，主要用于治疗创伤后应激障碍（PTSD）。虽然它越来越多地应用于慢性疼痛，但该领域的疗效尚未得到与PTSD领域相同水平证据的支持。该领域的研究往往因病例数少而结果各异，且EMDR治疗慢性疼痛的潜在副作用尚不清楚。系统记录治疗效果、治疗反应和无反应的潜在预测因素以及副作用对于该领域的进展至关重要。
主要目的是建立一个研究框架，以系统地调查疼痛领域门诊临床医生提供EMDR疗法的情况。本研究旨在全面分析治疗结果、副作用以及治疗效果的决定因素，无论治疗反应是阳性还是阴性。
该框架将使用嵌入式连续累积评估设计（ECCED）监督门诊环境中EMDR干预措施的记录和评估。它将专注于对正负治疗效果的详细描述。它还将识别和分析影响个体治疗反应差异的预后因素。将提供治疗材料、标准化评估和定期交流的督导师平台。
建立德国EMDR疼痛网络和跨学科科学临床平台对于促进临床交流以及理解EMDR在疼痛治疗中的效果至关重要。该平台提供标准化治疗方案、具有匿名数据的在线数据收集系统、全面的基线评估以及定期交流的督导师平台。所获得的知识旨在使未来的治疗个性化，并为大型随机临床试验提供依据。
