今日文獻亮點集中在EMDR的臨床應用拓展與實證累積:包含共病SUD的時機與療法比較RCT、災後遠端EMDR與CBT的直接頭對頭比較、以及複雜性創傷兒少的團體EMDR新協定,顯示EMDR在多元場域與族群中的適用性持續被驗證。
Behaviour Research and Therapy · Effects of timing and type of trauma-focused treatment on psychosocial functioning: secondary outcomes from a randomized controlled trial in patients with co-occurring substance use disorder and posttraumatic stress disorder.
在SUD+PTSD共病患者中,同時進行EMDR或ImRs能顯著改善情緒調節、人際問題等多項心理社會功能,且同時治療優於序列治療,支持臨床共同決策。
Frontiers in Psychiatry · Remote EMDR versus CBT for PTSD after the Kahramanmaraş earthquakes: a randomized trial.
遠端EMDR與CBT在大型災難後均呈現極大效果量(d≈1.9)的PTSD症狀減輕,兩者整體效能相當,但EMDR在核心PTSD症狀上有優勢傾向,CBT在憂鬱症狀上較強。
OSF Preprints · Efficacy of the EMDR-Trauma Management Protocol in treating complex-traumatized children and adolescents
針對複雜性創傷兒少開發的EMDR-TMP團體協定,能將PTSD症狀顯著降至臨床門檻以下,且行為問題在兩個月追蹤時亦見改善,為資源有限地區提供可擴展的介入模式。
· Effectiveness of EMDR Therapy on Cognitive Performances in Patients with Post-Traumatic Stress Disorder and Complex Post-Traumatic Stress Disorder: A 6-Month Follow-Up Study
此六個月追蹤研究探討EMDR對PTSD與CPTSD患者認知功能的影響,為EMDR超越症狀減輕、進一步改善認知表現提供長期追蹤實證。
· Exploring inter-subject variability in the emotional domain to characterize typical and atypical neural responses in longitudinal settings: insights from Eye Movement Desensitization and Reprocessing rehabilitative treatment
相較於傳統GLM分析,基於閾值加權重疊圖的新方法成功偵測到EMDR治療後多發性硬化症患者的神經變異性降低,伴隨憂鬱症狀顯著改善,突顯變異性分析在偵測神經可塑性變化的優勢。
· Effectiveness of Eye-Movement Desensitization and Reprocessing (EMDR) on Anger and Psychological Well-Being in Adolescent Girls with a History of Physical Abuse in Yazd, Iran: a quasi-experimental study
EMDR能顯著降低有身體虐待史青少女的憤怒水準並提升心理幸福感,支持將EMDR作為處理脆弱族群情緒創傷的有效介入。
F1000Research
首個EMDR治療FGM的個案報告,以目標分解取代安全地點程序等協定變更,成功處理FGM相關創傷與陰道疼痛。
8次EMDR介入能顯著降低ICU醫護人員的焦慮水準(BAI分數),支持EMDR作為高壓力醫療環境中職場心理健康介入的潛力。