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Trauma-focused treatments for refugee children and adolescents with PTSD: a three-arm randomized controlled trial comparing the efficacy of EMDR and KIDNET versus a waitlist control group (the KIEM study).
· Trauma-focused treatments for refugee children and adolescents with PTSD: a three-arm randomized controlled trial comparing the efficacy of EMDR and KIDNET versus a waitlist control group (the KIEM study).
EMDR在難民兒童青少年PTSD治療中顯著優於待辦清單組,且效果優於KIDNET,支持其作為該人群首選創傷聚焦療法。
P難民兒童和青少年(年齡8-18歲),伴有照護者,符合部分或完全PTSD診斷標準
IEye Movement Desensitization and Reprocessing (EMDR)療法,每週1次,共8次
C待辦清單控制組(WL),後續重新隨機分配至EMDR或KIDNET
OEMDR組臨床評定PTSD症狀顯著降低(d=1.31),優於KIDNET(d=0.94)與WL,生活品質、情緒行為症狀亦見顯著改善
Hope enhances treatment outcome of intensive trauma-focused treatment for PTSD.
European journal of psychotraumatology · Hope enhances treatment outcome of intensive trauma-focused treatment for PTSD.
希望水平顯著預測強化創傷聚焦治療中PTSD症狀的改善,且治療過程中希望的提升進一步強化療效,顯示其為重要可塑性預後因子。
P被診斷為PTSD的參與者(N=339,82.9%女性)
I為期八天的強化創傷聚焦治療方案,包括8次延長暴露、8次EMDR、體能活動與心理教育
C無對照組(觀察性研究),透過時間點比較希望與症狀變化
O希望水平顯著增加(d=0.47),PTSD症狀顯著下降(d=2.04);初始希望與希望變化均顯著預測症狀改善(p<.01及<.001)
Therapeutic alliance in intensive PTSD treatment with a therapist rotation model.
European journal of psychotraumatology · Therapeutic alliance in intensive PTSD treatment with a therapist rotation model.
在輪換治療師模式下,治療聯盟仍可建立並預後症狀改善,初始嚴重度與聯盟雙向關聯提醒臨床師注意早期關係建立的重要性。
P接受4天強化創傷聚焦治療(結合暴露與EMDR)之PTSD患者(N=133,75.8%女性,平均年齡41.32歲)
I輪換治療師模式下的強化創傷聚焦治療
C無對照組,觀察治療聯盟(WAI-SF)與症狀(PCL-5)隨時間變化
O治療聯盟從第二天開始至中期顯著增加(d=0.19),初始PTSD嚴重度負向預測後續聯盟,而早期聯盟正向預測症狀減少
The combination of dialectical behavioral skills training with EMDR in the treatment of borderline personality disorder and psychological trauma: a feasibility randomized trial.
· The combination of dialectical behavioral skills training with EMDR in the treatment of borderline personality disorder and psychological trauma: a feasibility randomized trial.
DBT技能訓練結合EMDR在BPD與創傷共病患者中可行且可接受,並顯著減少解離症狀,支持其作為複雜創傷之整合療法方案。
P邊緣型人格障礙併心理創傷患者(N=42,40位女性,平均年齡28.5歲)
I先完成6個月DBT團體技能訓練(階段1),隨機分配至實驗組(接收EMDR)或對照組(繼續DBT技能訓練)
C對照組繼續DBT技能訓練,實驗組為DBT+EMDR
O兩組皆減少BPD症狀,僅實驗組(DBT+EMDR)顯著減少解離症狀,保留率實驗組72.2% vs 對照組81.2%,差異無統計顯著性
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患者的前刺激神經活動(備電位與前額葉陰性)正常化,伴隨症狀與行為表現改善,支持EMDR對認知控制神經機制的修復作用。
PPTSD患者(N=18)與健康對照組(N=24,年齡與性別匹配)
IEMDR心理治療
C健康對照組無治療,僅重複評估
O治療後PTSD組備電位(BP)與前額葉陰性(pN)振幅顯著增加,至與健康對照組無顯著差異;伴隨焦慮、抑鬱、解離症狀減少及行為表現改善
Study on the cognitive effects of eye movement desensitization and reprocessing: proposed active mechanisms.
· Study on the cognitive effects of eye movement desensitization and reprocessing: proposed active mechanisms.
透過基因表達與人工神經網路模型分析,IL-10與B細胞活性顯著關聯於PTSD緩解與EMDR療效,提議免疫調節為EMDR之潛在作用機制。
PPTSD患者基因表達資料(公開資料庫)
IEMDR療法(透過生物標誌物推斷其效應)
C無直接對照,分析基因表達與療效關聯
OIL-10成為B細胞分化與增殖的中心調節分子,與創傷復原力相關,可為早期PTSD之生物標誌物;IL-6與NPY亦關聯於長期神經生物學復原力
Eye Movement Desensitization and Reprocessing (EMDR) for Shame Related Offense Trauma in a Justice Involved Individual Presenting With Active Suicidality and Self-Harm.
· Eye Movement Desensitization and Reprocessing (EMDR) for Shame Related Offense Trauma in a Justice Involved Individual Presenting With Active Suicidality and Self-Harm.
單一案例顯示EMDR在司法系統內之醫護人員,針對犯罪相關羞恥、自殺意圖與自傷行為具有潛在療益,支持其在複雜創傷與高風險行為中的應用。
P司法系統內之醫護人員,42歲女性,服監竊盗罪,具活躍自殺意圖與自傷行為,深度犯罪相關羞恥
I20次EMDR療程,遵循八個標準階段
C無對照組(單一案例研究)
O描述性結果顯示治療過程中症狀改善,作者強調EMDR個案概念化在治療規劃中的重要性
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
在肯亞偏遠地區進行之RCT顯示,EMDR創傷管理協議(EMDR-TMP)能顯著減少複雜創傷兒童青少年PTSD症狀至非臨床水準,並改善行為問題。
P肯亞偏遠地區患有PTSD之兒童與青少年(N=103,年齡11-14歲)
IEMDR創傷管理協議(EMDR-TMP)團體治療
C等待控制組
O治療後主觀痛苦分數(SUD)幾近零,CATS顯示PTSD症狀顯著減少至非臨床值,兩個月後續行為症狀亦顯著減少
📚其他值得關注的文獻
Hope enhances treatment outcome of intensive trauma-focused treatment for PTSD.
European journal of psychotraumatology
希望水平顯著預測強化創傷聚焦治療中PTSD症狀的改善,且治療過程中希望的提升進一步強化療效,顯示其為重要可塑性預後因子。
Therapeutic alliance in intensive PTSD treatment with a therapist rotation model.
European journal of psychotraumatology
在輪換治療師模式下,治療聯盟仍可建立並預後症狀改善,初始嚴重度與聯盟雙向關聯提醒臨床師注意早期關係建立的重要性。
Trauma-focused treatments for refugee children and adolescents with PTSD: a three-arm randomized controlled trial comparing the efficacy of EMDR and KIDNET versus a waitlist control group (the KIEM study).
EMDR在難民兒童青少年PTSD治療中顯著優於待辦清單組,且效果優於KIDNET,支持其作為該人群首選創傷聚焦療法。
The combination of dialectical behavioral skills training with EMDR in the treatment of borderline personality disorder and psychological trauma: a feasibility randomized trial.
DBT技能訓練結合EMDR在BPD與創傷共病患者中可行且可接受,並顯著減少解離症狀,支持其作為複雜創傷之整合療法方案。
Normalization of anticipatory neural activity in PTSD after EMDR psychotherapy
EMDR治療後,PTSD患者的前刺激神經活動(備電位與前額葉陰性)正常化,伴隨症狀與行為表現改善,支持EMDR對認知控制神經機制的修復作用。
Study on the cognitive effects of eye movement desensitization and reprocessing: proposed active mechanisms.
透過基因表達與人工神經網路模型分析,IL-10與B細胞活性顯著關聯於PTSD緩解與EMDR療效,提議免疫調節為EMDR之潛在作用機制。
Eye Movement Desensitization and Reprocessing (EMDR) for Shame Related Offense Trauma in a Justice Involved Individual Presenting With Active Suicidality and Self-Harm.
單一案例顯示EMDR在司法系統內之醫護人員,針對犯罪相關羞恥、自殺意圖與自傷行為具有潛在療益,支持其在複雜創傷與高風險行為中的應用。
Efficacy of the EMDR-Trauma Management Protocol in treating complex-traumatized children and adolescents
在肯亞偏遠地區進行之RCT顯示,EMDR創傷管理協議(EMDR-TMP)能顯著減少複雜創傷兒童青少年PTSD症狀至非臨床水準,並改善行為問題。
Treatment dose and reliable change in trauma-focused therapy for comorbid PTSD and MDD.
在PTSD併重度抑鬱症患者中,完成完整療程方能較大機會達到可靠症狀改善,顯示治療依從性對此共病之療效關鍵。
Expanding access to perinatal trauma care: A dual-model evaluation of perinatal narrative exposure therapy training.
兩種 perinatal narrative exposure therapy 培訓模式均獲好評,參與者隨時間提升 perceived competence,支持擴大產前創傷照護培訓之可行性。
Determinants of mental health in earthquake survivors: Trauma memories, cognitions, identity and safety-seeking behaviours in PTSD and CPTSD models.
地震倖存者之創傷記憶經認知中介影響身份與安全-seeking行為,進而預測PTSD與CPTSD症狀,凸顯記憶與認知在災後心理健康之核心角色。
Randomized Clinical Trial of Imagery Stabilization and Rescripting Therapy for Psychiatric Outpatients with Posttraumatic Stress Disorder.
意象穩定與重寫療法(ISRT)雖未達統計顯著優於CBT,但完成治療者之臨床狀況、PTSD症狀與生活品質在治療後及6個月隨訪中傾向更佳,支持其為安全且可能有效之選項。
Neuropsychological Functioning and Coping Strategy Intervention Approaches in Youth with Posttraumatic Stress Disorder.
兒青PTSD常伴隨注意、工作記憶與執行功能受損,TF-CBT仍具最佳支持,而正念與神經回饋作為新興介入,顯示需多模式策略以應對神經認知負面影響。
Combining trauma therapy with computer-based neurocognitive training in soldiers with post-traumatic stress disorder: a quasi-experimental study on symptom reduction and long-term memory functions.
電腦神經認知訓練對士兵PTSD之迴避及負認知有 modest 改善,但未顯著改善長期記憶,顯示其可作為低門檻補助而非記憶修復之主要手段。
Eye movement desensitization and reprocessing <i>versus </i>cognitive behavioral therapy in the treatment of inpatients with obesity, binge eating disorder, and traumatic experiences: a randomized controlled trial.
EMDR與CBT在肥胖伴暴食症及創傷經歷住院患者中無顯著差異,但兩組均見抑鬱、焦慮、壓力及情緒調節改善,顯示結合性住院治療本身可能具備治療效應。
Posttraumatic stress disorder from early childhood to late adolescence: a resilience-oriented approach to prevention, diagnosis, and clinical management.
兒青PTSD仍被漏診,強調發展性評估與復原導向框架之重要性,TF-CBT為金標準,EMDR與KidNET為有效替代,早期單次諮商不宜,而CFTSI等多會期介入可減輕急性痛苦並加強照護者支持。
Phase-based versus non-phase-based psychological interventions for complex PTSD: a systematic review and meta-analysis.
在複雜PTSD治療中,階段性與非階段性介入總體效果無顯著差異,但多階段介入對PTSD核心症狀較佳,而階段性、多階段及暴露介入對情緒調節(DSO-affect)較有益。
Psychotherapy for complex post-traumatic stress disorder: efficacy and therapeutic factors.
標準證據療法(如CBT、EMDR)對核心PTSD症狀有效,但對DSO影響較小;階段性整合療法及動力學療法在身份與人際功能上表現更好,治療聯盟與共情為關鍵療癒因素。
Treating complex PTSD with Schema Therapy, ImRs and EMDR: a review and case study.
個案顯示結合圖式療法、意象重寫與EMDR可顯著減少不適應圖式並使PTSD症狀降至臨床切-off以下,但需RCT進一步驗證此整合模式之療效與序銜影響。
The effect of eating disorders and trauma day treatment in women with eating disorders and childhood maltreatment history: A pilot study.
進食 Disorders 伴童年虐待史之女性參與創傷日間治療後,飲食症狀、PTSD與CPTSD顯著改善,支持整合飲食與創傷介入之潛在療益。
Re-examining the comorbidity between borderline personality disorder and post-traumatic stress disorder: a systematic narrative review.
邊緣型人格障礙併PTSD之共病率高,情緒失調為核心特徵,創傷聚焦療法為最具實證支持之介入,且不會因併發症而降低療效,情緒調節技巧之加入可能進一步提升療效。
Fast-Imagery Reversal Script for Trauma-release (FIRST ® ): proof of concept in two populations with employment-related PTSD
FIRST作為brief非創傷聚焦療法之概念驗證,在軍人與醫社照護者兩組就業相關PTSD中皆見顯著症狀減少,支持其作為早期、低門檻之創傷介入選項。
Post-traumatic Stress Disorder in Individuals With Autism Spectrum Disorder: A Literature Review.
自閉症譜系兒青之創傷相關困境常被忽視,因評估困難與症狀重疊,建議調整篩選工具並考量修正版創傷聚焦療法(如EMDR)以支援個別化管理。
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
準實驗研究顯示EMDR可顯著減少伊朗青少年女子之憤怒並提升其心理幸福感,支持其在身體虐待史青少年之應用。
Efficacy of the EMDR-Trauma Management Protocol in treating complex-traumatized children and adolescents
在肯亞偏遠地區進行之RCT顯示,EMDR創傷管理協議(EMDR-TMP)能顯著減少複雜創傷兒童青少年PTSD症狀至非臨床水準,並改善行為問題。
It’s not the shimmy, it’s the shift: Differential effects of valence shift type and stimulation mode during a simulated EMDR session in PTSD patients and healthy controls
模擬EMDR會談顯示,當情緒價值轉向中性或正面時,無論是否有雙側刺激,主觀與生理反應皆有顯著變化;雙側刺激生理上促進去唤醒(對照組)或加速心率(患者組),且其唤醒調節效應價值價值在情緒轉移時才被參與者察覺,揭示價值轉移與生理機制之互動。