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[眼动脱敏再处理疗法(EMDR)在疼痛治疗中的应用:对伴有创伤背景的慢性疼痛的潜力、机制及临床应用]

[Eye movement desensitization and reprocessing (EMDR) in pain therapy : Potentials, mechanisms and clinical applications for chronic pain with traumatic background].

作者信息

Vock Stephanie, Tesarz Jonas

机构信息

Abteilung für Allgemeine Innere Medizin und Psychosomatik, Universitätsklinikum Heidelberg, Universität Heidelberg, Heidelberg, Deutschland.

Standort Heidelberg, Deutsches Zentrum für Psychische Gesundheit (DZPG), Heidelberg/Mannheim/Ulm, Deutschland.

出版信息

Schmerz. 2025 Jun 30. doi: 10.1007/s00482-025-00890-w.

Abstract

BACKGROUND

Eye movement desensitization and reprocessing (EMDR) is an evidence-based treatment for posttraumatic stress disorder (PTSD) that is also increasingly being used in pain therapy. The use of EMDR can offer a promising therapeutic approach, particularly for patients with previous traumatic experiences.

OBJECTIVE

This article aims to elucidate the link between chronic pain and traumatic experiences as well as to present the underlying mechanisms, opportunities and limitations of EMDR in this specific context.

MATERIAL

Based on a selective literature search, the article summarizes the central concepts of EMDR treatment, such as the dual attention focus and bilateral stimulation, and reviews relevant studies on pain reduction.

RESULTS

Studies show that EMDR not only reduces psychological stress, which contributes to the chronification of pain but can also reduces the intensity of pain itself. Possible mechanisms of action discussed include the stimulation of the working memory and the modulation of neuronal networks.

CONCLUSION

The integration of EMDR into multimodal pain management programs offers a promising perspective for improving the quality of life in patients with complex pain disorders. Nevertheless, the results emphasize that further research is needed to validate the long-term effectiveness of EMDR and to integrate its use into clinical guidelines; however, the underlying mechanism of action of EMDR is still not conclusively clarified and represents a central goal of future research.

摘要

背景

眼动脱敏再处理疗法(EMDR)是一种针对创伤后应激障碍(PTSD)的循证治疗方法,在疼痛治疗中的应用也越来越广泛。EMDR的使用可以提供一种有前景的治疗方法,特别是对于有过创伤经历的患者。

目的

本文旨在阐明慢性疼痛与创伤经历之间的联系,并介绍EMDR在这一特定背景下的潜在机制、机遇和局限性。

材料

基于选择性文献检索,本文总结了EMDR治疗的核心概念,如双重注意力聚焦和双侧刺激,并回顾了有关疼痛减轻的相关研究。

结果

研究表明,EMDR不仅可以减轻导致疼痛慢性化的心理压力,还可以降低疼痛本身的强度。讨论的可能作用机制包括对工作记忆的刺激和神经网络的调节。

结论

将EMDR纳入多模式疼痛管理方案为改善复杂疼痛障碍患者的生活质量提供了一个有前景的视角。然而,结果强调需要进一步研究以验证EMDR的长期有效性并将其应用纳入临床指南;然而,EMDR的潜在作用机制仍未得到最终阐明,这是未来研究的核心目标。

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