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眼动脱敏再处理疗法对难民和寻求庇护者的干预:系统评价与荟萃分析

EMDR Interventions in Refugees and Asylum Seekers: A Systematic Review and Meta-Analysis.

作者信息

Antuña-Camblor Celia, Hernández Víctor Tejedor

机构信息

Faculty of Psychology, University of Oviedo, Oviedo, Spain.

Faculty of Health Sciences, Catholic University of Ávila, Ávila, Spain.

出版信息

Clin Psychol Psychother. 2025 Jan-Feb;32(1):e70039. doi: 10.1002/cpp.70039.

Abstract

Both refugees and asylum seekers exhibit poorer mental health and higher rates of mental disorders, particularly posttraumatic stress disorder (PTSD), for which EMDR therapy has been shown to be effective. This review analyses the efficacy of EMDR in reducing PTDS in refugees or asylum seekers using randomized controlled studies (RCTs). A systematic review and meta-analysis published in PROSPERO (CRD42024595506) using the databases PubMed, PsycINFO and Web of Science were conducted. The authors independently reviewed the articles to maintain double blind. A total of 10 articles met the criteria for inclusion. The analysis of these studies revealed that a nonsignificant effect of EMDR on PTSD symptoms was observed at the end of the intervention period and the effect sizes reflect interaction effects between treatment/control over time on outcome, and these represent changes over time. It should be interpreted with awareness of the potential limitations introduced by excluding other study designs due to heterogeneity.

摘要

难民和寻求庇护者都表现出较差的心理健康状况和较高的精神障碍发生率,尤其是创伤后应激障碍(PTSD),而眼动脱敏再处理疗法(EMDR)已被证明对其有效。本综述使用随机对照研究(RCT)分析了EMDR在减少难民或寻求庇护者的创伤后应激障碍方面的疗效。我们在PROSPERO(CRD42024595506)上发表了一项系统综述和荟萃分析,使用了PubMed、PsycINFO和科学网数据库。作者独立审查文章以保持双盲。共有10篇文章符合纳入标准。对这些研究的分析表明,在干预期结束时,观察到EMDR对PTSD症状的影响不显著,效应大小反映了治疗/对照随时间对结果的交互作用,这些代表了随时间的变化。在解释时应意识到由于异质性排除其他研究设计所带来的潜在局限性。

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