A Mixed Methods Evaluation of EMDR for Treating Female Survivors of Sexual and Domestic Violence

Counseling Outcome Research and Evaluation Pub Date : 2020-01-02 DOI:10.1080/21501378.2018.1561146

Jill E. Schwarz, Dana Baber, Ariel Barter, Katherine Dorfman

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引用次数: 9

Abstract

Abstract This study assessed the efficacy of eye movement desensitization and reprocessing (EMDR) for women who experienced trauma due to sexual or domestic violence. Twenty-one adult female clients at a nonprofit agency participated in this mixed-methods study during which they completed 8 sessions of EMDR, pre and postassessments, and an in-person interview (four counselors were also interviewed). Levels of depression, anxiety, posttraumatic stress, and overall wellness were assessed through the Beck Depression Inventory-II, Generalized Anxiety Disorder–7, PTSD Checklist (PLC-5) for DSM–5, and the Outcome Questionnaire–45.2. Paired sample t tests revealed statistically significant improvement for each measure. Qualitative analysis of individual interviews with clients and counselors further corroborated these results and indicated that engaging in EMDR accelerated and enhanced the therapeutic process and client progress, decreased depression, and increased confidence and hope in clients. These results support EMDR as an effective treatment modality for survivors of sexual and domestic violence and highlight the need for its inclusion in counselor education programs.

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EMDR治疗女性性暴力和家庭暴力幸存者的混合方法评价

摘要本研究旨在评估眼动脱敏与再加工(EMDR)对遭受性暴力或家庭暴力创伤的女性的治疗效果。一家非营利机构的21名成年女性客户参与了这项混合方法的研究，在此期间，她们完成了8次EMDR，前后评估和一次面对面访谈(四名咨询师也接受了访谈)。抑郁、焦虑、创伤后应激和整体健康水平通过贝克抑郁量表- ii、广泛性焦虑障碍- 7、DSM-5的PTSD检查表(PLC-5)和结局问卷- 45.2进行评估。配对样本t检验显示，每项测量都有统计学上的显著改善。对来访者和咨询师的个人访谈的定性分析进一步证实了这些结果，并表明参与EMDR加速和加强了治疗过程和来访者的进展，减少了抑郁，增加了来访者的信心和希望。这些结果支持EMDR作为性暴力和家庭暴力幸存者的有效治疗方式，并强调了将其纳入辅导员教育计划的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Counseling Outcome Research and Evaluation Psychology-Psychology (all)

CiteScore

4.50

自引率

0.00%

发文量

期刊介绍： Counseling Outcome Research and Evaluation (CORE) provides counselor educators, researchers, educators, and other mental health practitioners with outcome research and program evaluation practices for work with individuals across the lifespan. It addresses topics such as: treatment efficacy, clinical diagnosis, program evaluation, research design, outcome measure reviews. This journal also serves to address ethical, legal, and cultural concerns in the assessment of dependent variables, implementation of clinical interventions, and outcome research. Manuscripts typically fall into one of the following categories: Counseling Outcome Research: Treatment efficacy and effectiveness of mental health, school, addictions, rehabilitation, family, and college counseling interventions across the lifespan as reported in clinical trials, single-case research designs, single-group designs, and multi- or mixed-method designs.