Meneses Alexandra Yakeline Meneses, Fernández-Gonzalo Sol, Vicente Mercè Jodar
School of Psychology and Education, Universidad de Las Américas, Quito, Ecuador.
Department of Clinical and Health Psychology, Universitat Autònoma de Barcelona, Barcelona, Spain.
Womens Health Rep (New Rochelle). 2024 Dec 6;5(1):984-996. doi: 10.1089/whr.2023.0110. eCollection 2024.
The number of female victims of violence has significantly increased in recent years, resulting in physical, mental, and social damage.
To determine the effectiveness of the eye movement desensitization and reprocessing (EMDR) psychotherapeutic model compared with narrative exposure therapy (NET) as treatments for clinical improvement, neuropsychological outcomes, and quality of life in women who have experienced violence.
A randomized experimental study was conducted, involving 120 women exposed to physical, psychological, and sexual violence, who were assigned to either an EMDR or NET group. An extensive battery of clinical, neuropsychological, and quality of life tests was administered both before and after a 10-session therapeutic intervention.
Compared with the group of women treated with NET, the group of women who received EMDR therapy, exposed to physical, psychological, and sexual violence, achieved a greater decrease in anxiety ( = 0.001), depression ( = 0.001), and post-traumatic symptoms ( = 0.002). Additionally, there was an increase in the quality of life index ( = 0.001), performance in working memory ( = 0.000), and executive functioning tests ( = 0.000), compared with NET.
EMDR proved to be more effective compared with NET in reducing post-traumatic clinical symptoms, increasing the level of quality of life, and enhancing cognitive performance in women affected by gender-based violence. Additionally, it demonstrated independence in therapeutic response across most estimated sociodemographic factors, making it a therapy with broader therapeutic reach in the community of Ecuadorian women.
近年来，女性暴力受害者的数量显著增加，造成了身体、心理和社会损害。
确定眼动脱敏再处理（EMDR）心理治疗模式与叙事暴露疗法（NET）相比，对遭受暴力的女性在临床改善、神经心理学结果和生活质量方面的治疗效果。
进行了一项随机实验研究，120名遭受身体、心理和性暴力的女性被分为EMDR组或NET组。在进行10次治疗干预前后，进行了一系列广泛的临床、神经心理学和生活质量测试。
与接受NET治疗的女性组相比，接受EMDR治疗的遭受身体、心理和性暴力的女性组在焦虑（P = 0.001）、抑郁（P = 0.001）和创伤后症状（P = 0.002）方面有更大程度的降低。此外，与NET相比，生活质量指数（P = 0.001）、工作记忆表现（P = 0.000）和执行功能测试（P = 0.000）有所提高。
在减少创伤后临床症状、提高生活质量水平以及增强受性别暴力影响女性的认知表现方面，EMDR被证明比NET更有效。此外，它在大多数估计的社会人口学因素的治疗反应中表现出独立性，使其成为厄瓜多尔女性社区中具有更广泛治疗范围的一种疗法。
