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Psychiatric nurse-delivered Eye Movement Desensitization and Reprocessing (EMDR) for adults with moderate to severe post-traumatic stress symptoms in Jordan: a preliminary randomized controlled trial.
· Psychiatric nurse-delivered Eye Movement Desensitization and Reprocessing (EMDR) for adults with moderate to severe post-traumatic stress symptoms in Jordan: a preliminary randomized controlled trial.
由精神科護士在約旦進行的EMDR治療,顯著降低中度至重度創傷後壓力症狀,一個月後追蹤幾乎完全緩解,支持EMDR在資源有限環境中的擴展應用。
P約旦成年人,中度至重度創傷後壓力症狀
I精神科護士提供的EMDR療法
C待機控制組
OEMDR組在干預後和一個月追蹤時,PC-PTSD顯著下降(3.71→2.34→0.03),優於控制組(3.77→3.10→2.70)
Eye movement desensitization and reprocessing treatment for birth trauma: a scoping review.
European journal of psychotraumatology · Eye movement desensitization and reprocessing treatment for birth trauma: a scoping review.
針對產傷EMDR應用的範疇性回顧證實其具有潛力,但文獻異質性高,需更多長期、多元族群及伴侶視角的研究。
P經歷產傷的個人及其伴侶
IEMDR治療
C無(範疇性回顧)
OEMDR顯示治療產傷的潛力,但證據基礎有限且方法學多樣,需進一步長期與質化研究。
Efficacy of the EMDR-Trauma Management Protocol in treating complex-traumatized children and adolescents
· Efficacy of the EMDR-Trauma Management Protocol in treating complex-traumatized children and adolescents
在肯亞進行的RCT證實EMDR創傷管理協議(EMDR-TMP)能將複雜創傷兒少的PTSD症狀降至非臨床水準,行為問題亦獲改善。
P肯亞11-14歲,複雜創傷且PTSD的兒童與青少年(n=103)
IEMDR創傷管理協議(EMDR-TMP)
C等待控制組
O治療後PTSD症狀(CATS)顯著下降至非臨床值,行為問題在兩個月追蹤時顯著改善。
Normalization of anticipatory neural activity in PTSD after EMDR psychotherapy
· Normalization of anticipatory neural activity in PTSD after EMDR psychotherapy
EMDR治療後,PTSD患者的前腦準備神經活動(BP和pN)正常化,伴隨症狀與行為改善,支持其神經機制假設。
PPTSD患者(n=18)及健康對照組(n=24)
IEMDR心理治療
C未接受EMDR的對照組(同時間間隔重測)
O治療後PTSD組的備势電位(BP)與前顳陰性(pN)振幅增加至與健康組無顯著差異,症狀與行為顯著改善。
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
· 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
在伊朗青春期女孩(曾遭身體虐待)中,EMDR顯著降低憤怒並提升心理幸福感,支持其在特殊創傷類型中的適用性。
P伊朗雅茲德有身體虐待史的青春期女孩(n=30)
IEMDR療法
C對照組
O實驗組憤怒顯著降低,心理幸福感顯著提升。
📚其他值得關注的文獻
Applicability and effectiveness of group EMDR therapy for forced migrants.
團體EMDR對難民人口有效減輕PTSD與複雜PTSD症狀,輟學率低,出席率高,顯示其在真實世界中的可行性。
Treating complex PTSD with Schema Therapy, ImRs and EMDR: a review and case study.
整合Schema Therapy、Imagery Rescripting與EMDR於複雜PTSD個案中顯示療效,但需RCT進一步驗證。
Eye movement desensitization and reprocessing for occupational memories associated with prolonged depressive and trauma-related symptoms after COVID-19 administrative redeployment: a public health nurse case report.
單一案例顯示EMDR針對公衛護士因COVID-19行政調職所致職業記憶創傷有效,症狀顯著改善。
Interventions for post-traumatic stress disorder among first responders: implications for public health response and system resilience.
系統性回顧顯示創傷聚焦療法(尤其是EMDR與CBT)在第一線人員中對減少PTSD症狀最具一致性效果。
Psychotherapy for complex post-traumatic stress disorder: efficacy and therapeutic factors.
敘述性回顧顯示標準療法對核心PTSD症狀有效,但對自我組織障礙效果有限,階段性與關係導向方法更有益。
Timing and type of posttraumatic stress disorder treatment in patients with co-occurring substance use disorder and posttraumatic stress disorder - A randomized controlled trial.
在共病SUD與PTSD患者中,同時vs循序治療及PE、EMDR、ImRs類型無主要差異,但同時治療在3月時優於循序治療。
Enhancing trauma-focused therapy (EMDR) with Imagery Rescripting for childhood abuse-related PTSD: a case study.
個案顯示將意象重新編寫(ImRs)整合至標準EMDR中,於兒童虐待相關PTSD停滯時可促進復原,三月追蹤維持。
Trauma-Informed Psychotherapy for Complex Post-traumatic Stress Disorder in a Young Adult Woman: A Case Report.
創傷知照整合療法於一名具有嚴重童年創傷的年輕女性中顯著改善情緒調節、創傷解決及人際關係,支持階段性照護模式。
The role of tonic immobility in trauma treatment.
雖然 peri-traumatic 冬眠反應不預測治療反應,但在重體驗期間減少的冬眠反應與 PTSD 症狀減少正相關。
Invisible traces after traffic accidents: Psychological and behavioral consequences of physical Injuries.
敘述性回顧指出道路交通事故倖存者常見PTSD等心理反應,兒童青少年較脆弱,創傷聚焦CBT與EMDR為有效干預。
Confronting trauma as a team: therapists' experience with providing intensive trauma-focused treatment, within a framework of therapist rotation.
質性研究顯示治療師輪值框架可減少對創傷聚焦療法的恐懼與迴避,增強團隊支持與協作。
Written Exposure Therapy as Transformative, Scalable Care for Posttraumatic Stress Disorder.
新聞觀點文章介紹寫面曝露療法為PTSD的簡短可擴展干預,符合全球擴張心理健康照護的需求。
Massed prolonged exposure for posttraumatic stress disorder among individuals in comprehensive substance use treatment: Study protocol for a randomized controlled trial.
描述一項正在進行的RCT,比較集中延長暴露(M-PE)與常規創傷治療,於合併SUD住戶及門診計畫中。
Expanding access to perinatal trauma care: A dual-model evaluation of perinatal narrative exposure therapy training.
兩種模型評估顯示 perinatal 叙事暴露療法培訓受歡迎,參與者隨時間感覺勝任力提升,有助於擴散 perinatal PTSD 照護。
Multivariate Brain Representations of the Traumatic Memory in PTSD: Changes Across Exposure Sessions and Impact of Dopaminergic Manipulation.
fMRI研究證實反覆暴露可改變創傷記憶的前顳皮質網絡表象,但多巴胺增強(L-DOPA)對焦慮表象的影響僅在情境改變時顯現。
Toward a definition of treatment-resistant posttraumatic stress disorder: A systematic review.
系統性回顧發現治療抵抗PTSD的定義極其多樣,缺乏一致標準,建議納入順從性、共病等動態因素以建立未來研究框架。
From therapeutic promise to evidentiary discipline: Reassessing MDMA-assisted psychotherapy for posttraumatic stress disorder.
評論指出雖MDMA輔助心理治療對PTSD症狀減少有希望,但盲法缺失、期待效應等方法論限制須解決,並應納入功能與生活品質等更廣泛復原指標。
Phase-Based Versus Trauma-Focused Therapy for Adult Survivors of Childhood Trauma: A Systematic Review and Meta-Analysis.
meta分析顯示階段性方法相較於單獨創傷聚焦療法僅有微小正效應(g=0.17),完成率無顯著差異。
Evaluating effectiveness and engagement strategies for asynchronous, messaging, trauma-focused therapy for posttraumatic stress disorder: Study design and methodology for a hybrid effectiveness-implementation randomized controlled trial.
研究設計描述一個混合效能-實施RCT,評估以簡訊形式提供的認知處理療法(CPT-Text)對PTSD的臨床效果與參與度。
3MDR: From rehabilitation technology to a transformative trauma therapy for posttraumatic stress disorder.
述評介紹3MDR(動作輔助多模式記憶脫敏與重新鞏固)為治療抵抗性PTSD的有望進展,證實其減少症狀、提升情感處理與依從性。