A multisite retrospective review exploring the delivery of eye movement desensitization and reprocessing (EMDR) therapy to veterans via telehealth (TH) versus in person (IP).

IF 2.7 2区心理学 Q2 PSYCHIATRY

Psychological trauma : theory, research, practice and policy Pub Date : 2025-05-26 DOI:10.1037/tra0001917

Christina L D Fairbanks, Elizabeth A Penix-Smith, Stephanie C Glitsos, Kayla D Keener, Jeannette M Giorgio, Katherine H Poulos, Lauren F Albinson, Courtney E Baker, Colleen A McGuirl, Sonia P Wisniewski

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引用次数: 0

Abstract

Objective: Eye movement desensitization and reprocessing (EMDR) is strongly recommended for posttraumatic stress disorder (PTSD). Yet, few studies have evaluated EMDR in veterans, and no study has compared in-person (IP) to telehealth (TH) delivery among veterans. This study aimed to (a) evaluate the effectiveness of EMDR among veterans and (b) compare outcomes between IP and TH modalities.

Method: In this chart review, 279 veterans met inclusion criteria (IP n = 139; TH n = 140). Mixed effects and logistic regression models were used for continuous and categorical outcomes, respectively.

Results: PTSD (Cohen's d = 0.76) and depression (Cohen's d = 0.56) symptoms improved between EMDR initiation and termination. After controlling for covariates, the IP group (Cohen's d = 0.85) reported even greater PTSD symptom improvement from initiation to termination compared to the TH group (Cohen's d = 0.66). There were no differences between groups for treatment completion and achieving reliable change and clinically significant change in PTSD and depression symptoms.

Conclusions: Findings suggest that EMDR is an effective PTSD treatment for veterans. IP and TH modalities largely yielded similar outcomes, highlighting both modalities as effective. These results underscore the importance of further evaluating EMDR delivered via IP and TH to veterans. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

查看原文本刊更多论文

通过远程医疗（TH）和面对面医疗（IP）对退伍军人进行眼动脱敏和再加工（EMDR）治疗的多地点回顾性研究。

目的：眼动脱敏与再加工（EMDR）是治疗创伤后应激障碍（PTSD）的有效方法。然而，很少有研究对退伍军人的EMDR进行评估，也没有研究对退伍军人的面对面（IP）和远程医疗（TH）进行比较。本研究旨在(a)评估EMDR在退伍军人中的有效性，(b)比较IP和TH模式之间的结果。方法：279例退伍军人符合纳入标准(IP n = 139；TH n = 140)。混合效应和逻辑回归模型分别用于连续和分类结果。结果：PTSD （Cohen’s d = 0.76）和抑郁（Cohen’s d = 0.56）症状在EMDR开始和结束期间有所改善。在控制协变量后，与TH组（Cohen’s d = 0.66）相比，IP组（Cohen’s d = 0.85）从开始到结束的PTSD症状改善程度更大。两组在PTSD和抑郁症状的治疗完成度、可靠改变和临床显著改变方面无差异。结论：EMDR是治疗退伍军人PTSD的有效方法。IP和TH模式在很大程度上产生了相似的结果，突出了两种模式的有效性。这些结果强调了进一步评估通过IP和TH向退伍军人提供EMDR的重要性。（PsycInfo Database Record (c) 2025 APA，版权所有）。

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来源期刊

Psychological trauma : theory, research, practice and policy Multiple-

CiteScore

11.20

自引率

3.20%

发文量

427

期刊介绍： Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence