Versluis Anne, de Jongh Ad, Mevissen Liesbeth, Schuengel Carlo, Bakkum Lianne, Didden Robert
Advisium, 's Heeren Loo, Amersfoort, The Netherlands.
Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands.
Eur J Psychotraumatol. 2025 Dec;16(1):2495642. doi: 10.1080/20008066.2025.2495642. Epub 2025 May 19.
Individuals with mild intellectual disability (MID; IQ 50-70) or borderline intellectual functioning (BIF; IQ 70-85) are at an elevated risk of post-traumatic stress disorder (PTSD), with PTSD symptoms possibly associated with behavioural problems. It is important to test the effectiveness of trauma-focused treatments, such as eye movement desensitisation and reprocessing (EMDR) therapy, for adults with MID-BIF, PTSD, and severe behavioural problems. To determine the safety and effectiveness of brief intensive EMDR therapy carried out by a team of rotating therapists in adults with MID-BIF, PTSD, and severe behavioural problems. Using a randomised non-concurrent multiple baseline between-subjects design, 11 adults with MID-BIF, PTSD, and severe behavioural problems received a maximum of 16 intensive EMDR sessions twice daily for a maximum of two weeks from six different EMDR therapists. Primary outcome measurements included severity of PTSD symptoms, PTSD diagnostic status, and adverse events. Secondary outcome measurements included the frequency and severity of behavioural problems, presence of adaptive behaviour, and the use of involuntary care. Outcome measurements were assessed at baseline, during the intervention and post-intervention phases, and at the follow-up phases, and subject to randomisation tests for statistical significance. Intensive EMDR therapy carried out by a team of rotating therapists resulted in significant decreases in PTSD symptoms ( = 15.84, < .001) with nine of 11 participants no longer meeting the PTSD diagnostic criteria immediately following treatment and at the 9-week follow-up. Randomisation tests revealed no significant changes in adaptive behaviour, frequency, and severity of behavioural problems. Additionally, no decrease in the use of involuntary care measures was observed. One participant dropped out; no adverse events were observed. Brief intensive EMDR therapy for individuals with MID-BIF and severe behavioural problems, conducted by a team of rotating therapists, can be done safely and effectively to reduce PTSD symptoms.
轻度智力障碍（MID；智商50 - 70）或边缘智力功能（BIF；智商70 - 85）的个体患创伤后应激障碍（PTSD）的风险较高，PTSD症状可能与行为问题有关。对于患有MID - BIF、PTSD和严重行为问题的成年人，测试以创伤为重点的治疗方法，如眼动脱敏再处理（EMDR）疗法的有效性非常重要。为了确定由一组轮流治疗师对患有MID - BIF、PTSD和严重行为问题的成年人进行的简短强化EMDR疗法的安全性和有效性。采用随机非同期多基线被试间设计，11名患有MID - BIF、PTSD和严重行为问题的成年人接受了来自6名不同EMDR治疗师的每日两次、每次最多16次强化EMDR治疗，为期最多两周。主要结局指标包括PTSD症状的严重程度、PTSD诊断状态和不良事件。次要结局指标包括行为问题的频率和严重程度、适应性行为的存在情况以及非自愿护理的使用情况。在基线、干预期间、干预后阶段以及随访阶段对结局指标进行评估，并进行随机化检验以确定统计学意义。由一组轮流治疗师进行的强化EMDR疗法导致PTSD症状显著减轻（= 15.84，< .001），11名参与者中有9名在治疗后立即以及9周随访时不再符合PTSD诊断标准。随机化检验显示适应性行为、行为问题的频率和严重程度没有显著变化。此外，未观察到非自愿护理措施的使用有所减少。一名参与者退出；未观察到不良事件。由一组轮流治疗师对患有MID - BIF和严重行为问题的个体进行简短强化EMDR疗法，可以安全有效地减轻PTSD症状。
