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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.
Industrial Health · 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.
對一名因COVID-19行政調動後產生職業創傷的公衛護士進行6次針對職業記憶的EMDR療法,創傷相關量顯著下降,顯示EMDR在處理職場創傷記憶方面具有臨床效益,即使標準藥物與神經調節療法無效。
P30多歲、因COVID-19行政調動後出現延伸性抑鬱、侵入性回憶、夢魘與過度警覺的公衛護士
I6次針對職業相關記憶(民眾抱怨、程序模糊、職場衝突)的EMDR療法
C先前失效的藥物治療與兩次重複經顱磁刺激(rTMS)
OPCL-5、PDS-5與IES-R得分顯著下降(分別從32→11、31→12、25→7),顯示症狀緩解
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.
Cureus · 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.
Meta分析顯示EMDR對PTSD有顯著療效,尤其在被動對照組下效應顯著,主動對照組效應較小,提醒臨床解釋結果時需考慮對照類型。
P被診斷為PTSD的成人
IEMDR療法
C被動對照(如等待名單、常規照護) vs 主動對照(如其他已確立療法)
OPTSD症狀嚴重程度顯著降低,尤其對被動對照組效應較大
Pacing in posttraumatic stress disorder therapy: A meta-regression of treatment frequency and completion rates.
Journal of Traumatic Stress · Pacing in posttraumatic stress disorder therapy: A meta-regression of treatment frequency and completion rates.
分析顯示EMDR的完成率是CPT的2.44倍,且治療頻率增加對EMDR完成率無顯著影響,提示其具較佳依從性與彈性適用性。
P參與CPT、PE或EMDR療法的PTSD患者(來自臨床試驗資料庫)
I不同頻率(週一次或更頻繁)的創傷聚焦療法
C以CPT為基準比較PE與EMDR在完成率上的差異
OEMDR完成率顯著較高(OR=2.44),而增加治療頻率對EMDR完成率無顯著影響
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患者的前腦準備電位(pN)與備動電位(BP)振幅顯著增加,達到健康對照組水準,說明EMDR可正常化與創傷相關的前瞻性神經處理。
P18名PTSD患者及24名健康對照者
I一輪標準EMDR心理治療
C治療前後(T0 vs T1)的前刺激ERP成分(BP、pN)與臨床/行為表現
O治療後焦慮、抑鬱、解離症狀減少,行為表現改善,且BP與pN振幅正常化,無法再與健康對照區分
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.
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.
在共病SUD與PTSD患者中,EMDR與ImRs作為SUD治療的附加療法可改善多項社會心理功能(情緒調節、人際關係等),同時給予效果優於循序給予,支持其作為早期介入的潛力。
P209名共病SUD與PTSD的成人患者
IEMDR、PE或ImRs,同時或循序地與SUD治療結合
C同時 vs 循序給予;不同創傷聚焦療法間的比較
OEMDR與ImRs(非PE)在3個月顯著改善社會心理結果;同時給予優於循序給予
📚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作為處理運動員壓力相關記憶的潛在工具,並構建概念模型以理解其對運動表現、參與與健康結果的影響,擴展EMDR至運動心理領域。
Applicability and effectiveness of group EMDR therapy for forced migrants.
對遭遷移者實施團體EMDR(GTEP適配版),顯著降低PTSD與抑鬱,CPTSD診斷從60.9%降至15.2%,出席率高與輟學率低,支持其在真實世界中的可行性與有效性。
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多項心理指標(憂鬱、焦慮、解離等)並降低抗-TPO抗體,顯示其潛在身心雙重益處,雖免疫效應需更大樣本驗證。
A Pilot Randomized Controlled Trial of Eye Movement Desensitization and Reprocessing Therapy for Adults With Binge-Eating Disorder.
首項針對暴食症(BED)的EMDR試點RCT顯示可行性良好(完成率68.8%),並改善核心症狀(暴食頻率、相關認知、焦慮、睡眠),儘管在體重與自我效能上效果有限。
Treatment as usual psychological therapy for complex post-traumatic stress disorder in National Health Services in Scotland.
蘇格蘭NHS對CPTSD的常規療法呈現高度多樣化(23種模式),階段式療法被廣泛使用,平均21-30次,完成者中86%改善,凸顯需標準化與更多證據支持。