Eye movement desensitization and reprocessing (EMDR): A meta-analysis

Eye movement desensitization and reprocessing (EMDR): A meta-analysis
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DOI:
10.1037//0022-006x.69.2.305
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发表时间:
2001-04-01
影响因子:
5.9
通讯作者:
Parker, KCH
Parker, KCH
中科院分区:
心理学1区
文献类型:
--
作者:
Davidson, PR;Parker, KCH

文献摘要

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眼动脱敏和再处理(EMDR)是一种有争议的治疗创伤后应激障碍(PTSD)和其他疾病的方法,在一项对34项研究的荟萃分析中进行了评估,该研究考察了不同人群和措施的EMDR。过程和结果测量分别进行了检查,EMDR在与不治疗和不使用焦虑刺激的治疗相比以及在EMDR前的比较中都显示出效果。然而,当EMDR与其他暴露技术进行比较时,没有发现显著的影响。当EMDR与没有EMDR的相同手术进行比较时,没有注意到眼球运动的递增效应。R.J.DeRubeis和P.Crits-Christoph(1998)指出,EMDR是治疗非战斗创伤后应激障碍的一种潜在的有效治疗方法,但对这类患者群体的研究并未明确支持这一点。总而言之,EMDR似乎并不比其他暴露技术更有效,而且有证据表明,治疗过程中不可或缺的眼球运动及其名称是不必要的。
Eye movement desensitization and reprocessing (EMDR), a controversial treatment suggested for posttraumatic stress disorder (PTSD) and other conditions, was evaluated in a meta-analysis of 34 studies that examined EMDR with a variety of populations and measures. Process and outcome measures were examined separately, and EMDR showed an effect on both when compared with no treatment and with therapies not using exposure to anxiety-provoking stimuli and in pre-post EMDR comparisons. However, no significant effect was found when EMDR was compared with other exposure techniques. No incremental effect of eye movements was noted when EMDR was compared with the same procedure without them. R. J. DeRubeis and P. Crits-Christoph (1998) noted that EMDR is a potentially effective treatment for noncombat PTSD, but studies that examined such patient groups did not give clear support to this. In sum, EMDR appears to be no more effective than other exposure techniques, and evidence suggests that the eye movements integral to the treatment, and to its name, are unnecessary.