⭐今日精選 TOP Picks
Eye Movement Desensitization and Reprocessing for Posttraumatic Stress Disorder: A Systematic Review and Meta-Analysis of Randomized Controlled Trials Comparing Passive and Active Control Conditions.
· Efficacy of Eye Movement Desensitization and Reprocessing for Posttraumatic Stress Disorder: A Systematic Review and Meta-Analysis of Randomized Controlled Trials Comparing Passive and Active Control Conditions.
EMDR 在減少 PTSD 嚴重程度方面較被動對照有顯著效果,但與主動干預相比效果較小,提醒臨床解釋需考慮對照組類型。
PPTSD 患者
IEMDR 療法
C被動對照(如待機)與主動對照(如其他創傷焦點療法)
OPTSD 症狀嚴重程度減少
Normalization of anticipatory neural activity in PTSD after EMDR psychotherapy
· Normalization of anticipatory neural activity in PTSD after EMDR psychotherapy
EMDR 使 PTSD 患者的前激動神經活動(BP、pN)恢復至健康對照組水準,支持其透過調節認知控制機制改善症狀。
PPTSD 患者(n=18)與健康對照組(n=24)
IEMDR 心理治療
C治療前 vs 治療後(對照組價重測)
O前激動 ERP 成分(BP、pN)幅度正常化,伴隨臨床與行為改善
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.
· 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.
EMDR 與 ImRs 作為 SUD 治療的附加療法,可改善社會功能(如情緒調節、人際關係),同時給藥顯著優於延遲給藥。
P共病 PTSD 與 SUD 患者(n=209)
IPE、EMDR 或 ImRs,同時或序贯給予 SUD 治療
C同時 vs 序贯給藥;不同創傷焦點療法間比較
O心理困擾、情緒失調、人際問題、創傷相關內疚與羞恥、憤怒控制
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.
· 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.
針對公共衛生護士因 COVID-19 調職引發的職業記憶進行 EMDR 介入,顯著減少 PTSD 與抑鬱症狀,提醒職業創傷評估的重要性。
P30 歲左右,因調職至 unfamiliar COVID-19 行政工作而出現延伸創傷症狀的公共衛生護士
I6 次門診 EMDR,針對職業記憶(公民投訴、程序模糊、工作場所衝突)
C治療前 vs 治療後(June vs December 2025)
OPDS-5、PCL-5、IES-R 分數顯著下降(31→12, 32→11, 25→7)
Applicability and effectiveness of group EMDR therapy for forced migrants.
· Applicability and effectiveness of group EMDR therapy for forced migrants.
團體 EMDR(GTEP 改編版)在歐洲難民中心顯著減少 PTSD 與抑鬱症狀,CPTSD 診斷率下降超過 75%,接受度高。
P成年強迫移民(N=71),診斷為 PTSD
I改編的團體創傷節目協議(GTEP)
C治療前 vs 治療後(無對照組)
OPTSD、抑鬱(PHQ-9)、CPTSD(ITQ)顯著改善;較低脫離率(15%)、高出席率(80%)
Pacing in posttraumatic stress disorder therapy: A meta-regression of treatment frequency and completion rates.
· Pacing in posttraumatic stress disorder therapy: A meta-regression of treatment frequency and completion rates.
與 CPT 與 PE 相比,EMDR 顯著提高治療完成率(OR=2.44),提示其在依從性方面的潛在優勢。
PPTSD 臨床試驗參與者(k=66 研究,84 臨床試驗 braço)
IEMDR、CPT、PE
C不同療法間完成率;治療頻率(週一次 vs 多於週一次)
O治療完成率(定義為完成所有療程次數)
Psychological and immunological benefits of eye movement desensitization and reprocessing in hashimoto thyroiditis: Preliminary findings from a randomized controlled trial.
· Psychological and immunological benefits of eye movement desensitization and reprocessing in hashimoto thyroiditis: Preliminary findings from a randomized controlled trial.
EMDR 在 Hashimoto 甲狀腺炎患者中改善憂鬱、焦慮、解離等心理指標,並初步觀察到抗-TPO 下降,提示身心免疫連結潛力。
PHashimoto 甲狀腺炎成人(N=91)
IEMDR + 常規治療(TAU)
C安慰劑 + TAU vs 單獨 TAU
O心理功能(憂鬱、焦慮、解離、情緒調節等)、生活品質、抗-TPO、抗-TG 水準
Enhancing trauma-focused therapy (EMDR) with Imagery Rescripting for childhood abuse-related PTSD: a case study.
· Enhancing trauma-focused therapy (EMDR) with Imagery Rescripting for childhood abuse-related PTSD: a case study.
對進展停滯的童年虐待相關 PTSD 案例,將 Imagery Rescripting 整合至標準 EMDR 中,促成症狀持續改善與三個月追蹤穩定。
P25 歲荷蘭男性,印尼與蘇里南血統,童年性與身體虐待相關 PTSD
I標準 EMDR(4 次) + 意象重寫(ImRs,5 次) + 再 EMDR(5 次)
C治療前 vs 治療後 & 三個月追蹤
OPTSD 與心理症狀(GSI)顯著減少,接近臨床截止值並維持
📚其他值得關注的文獻
The Current State of Eye Movement Desensitization and Reprocessing Therapy in Sport and Exercise Psychology
提出 EMDR 作為處理運動相關壓力記憶的潛在工具,並構建概念模型以理解其對運動表現與參與的影響。
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
首次探討情緒價值轉變(非僅是雙側刺激)在 EMDR 模擬中的作用,顯示價值轉變與刺激的互動效應。
Fast-Imagery Reversal Script for Trauma-release (FIRST ® ): proof of concept in two populations with employment-related PTSD
FIRST 作為創傷釋放的簡短非創傷焦點療法,在軍醫護與醫護人員兩群就業相關 PTSD 中證明 PTC 改善可行。
Treatment as usual psychological therapy for complex post-traumatic stress disorder in National Health Services in Scotland.
蘇格蘭 NHS 中複雜 PTSD 的常規治療多樣化,階段性模型常用,但缺乏標準化與效果預測因素。
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 在伊朗有身體虐待史的青少年女孩中顯著減少憤怒並提升心理福祉,支持其在青少年創傷干預中的應用。
Efficacy of the EMDR-Trauma Management Protocol in treating complex-traumatized children and adolescents
EMDR-TMP 在肯亞遠端地區的複雜創傷兒童與青少年中顯著降低 PTSD 行為症狀,達到非臨床值。
Implementing Prolonged Exposure Therapy in a Community Substance Use Treatment Program: A Qualitative Study.
雖知 PE 效果佳,但社區 SUD 項目因客戶準備與後勤挑戰而更熟悉 EMDR,顯示實施落差。
Ketamine-Assisted Psychotherapy for Posttraumatic Stress Disorder: A Systematic Review and Individual Participant Data Meta-Analysis of Predictors of Treatment Effects.
基線 PTSD 嚴重程度是複合 ketamine 心理治療療效最一致的預測因子,其他因素證據較弱。
Phase-Based Versus Trauma-Focused Therapy for Adult Survivors of Childhood Trauma: A Systematic Review and Meta-Analysis.
階段性治療在成人童年創傷 PTSD 上相較於單一創傷焦點療法並無顯著優勢,效果大小極小。