Emotional processing during eye movement desensitization and reprocessing therapy of Vietnam veterans with chronic posttraumatic stress disorder.

Emotional processing during eye movement desensitization and reprocessing therapy of Vietnam veterans with chronic posttraumatic stress disorder.
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患有慢性创伤后应激障碍的越南退伍军人进行眼动脱敏和再处理治疗期间的情绪处理。

DOI:
10.1016/s0010-440x(96)90025-5
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发表时间:
1996
影响因子:
7.3
通讯作者:
Macklin,ML
Macklin,ML
中科院分区:
医学2区
文献类型:
--
作者:
Pitman,RK;Orr,SP;Altman,B;Longpre,RE;Poiré,RE;Macklin,ML

文献摘要

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本研究探讨了情绪处理和结果在17个越南退伍军人与慢性创伤后应激障碍(PTSD)谁经历了眼动脱敏和再加工(EMDR)治疗,有和没有眼动组件,在交叉设计。结果支持部分情绪处理的发生,但在眼睛运动与眼睛固定的条件下,其程度没有差异。治疗产生了中度至中度的总体改善,主要是在事件影响量表上。眼动条件的改善略大于眼动条件的改善。情绪处理的程度和治疗结果之间几乎没有联系。在我们看来,EMDR治疗与战斗有关的PTSD至少与先前研究中证明的想象洪水一样有效,并且受试者的耐受性更好。然而,研究结果表明,眼动并没有发挥显着的作用,在EMDR的创伤信息的处理和眼动以外的因素是负责EMDR的治疗效果。这是美国政府的工作。它的使用没有限制。
This study examined emotional processing and outcome in 17 Vietnam veterans with chronic posttraumatic stress disorder (PTSD) who underwent eye movement desensitization and reprocessing (EMDR) therapy, with and without the eye movement component, in a crossover design. Results supported the occurrence of partial emotional processing, but there were no differences in its extent in the eye-movement versus eyes-fixed conditions. Therapy produced a modest to moderate overall improvement, mostly on the Impact of Event Scale. There was slightly more improvement in the eyes-fixed than eye-movement condition. There was little association between the extent of emotional processing and therapeutic outcome. In our hands, EMDR was at least as efficacious for combat-related PTSD as imaginal flooding proved to be in a previous study, and was better tolerated by subjects. However, results suggest that eye movements do not play a significant role in processing of traumatic information in EMDR and that factors other than eye movements are responsible for EMDR's therapeutic effect. This is a US government work. There are no restrictions on its use.