{"title":"巴基斯坦眼动脱敏和再加工与认知行为疗法治疗创伤后应激障碍的比较研究：来自一项全面随机对照试验的见解","authors":"Anwar Khan, Amalia bt Madihie, Faseeh Ullah, Omer Abid, Khizra Hafeez Awan","doi":"10.1002/capr.12870","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background and Aim</h3>\n \n <p>Post-traumatic stress disorder (PTSD) is a psychiatric disorder, triggered by traumatic events. Modern evidence-based psychotherapies, such as eye movement desensitisation and reprocessing (EMDR) and cognitive behavioural therapy (CBT), have been widely used for the treatment of PTSD. However, limited evidence is available regarding their comparative efficacy, especially in the context of Pakistan. Given this context, a single-blinded, two-group randomised controlled trial was conducted to compare the efficacy of EMDR and CBT in treating patients with PTSD in Pakistan.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A consecutive sample of 80 patients was selected. Patients were randomly allocated to EMDR and CBT in accordance with covariate-adaptive stratified randomisation. This study was carried out at two mental health rehabilitation centres in the capital city of Peshawar, Pakistan. Data on PTSD symptoms and other related aspects were collected through the Clinician-Administered PTSD Scale for DSM-5. Data were analysed using descriptive statistics, non-inferiority analysis and a general linear model repeated measures ANOVA.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Results regarding treatment fidelity revealed that both therapies were carried out in adherence to treatment protocols. Treatment efficacy results showed that PTSD symptoms were high during the baseline stage of therapy (CAPS-5 mean score of 98.80 for EMDR and 100.50 for CBT) but decreased to low in the follow-up stage (CAPS-5 mean score of 30.20 for EMDR and 34.20 for CBT); however, overall, EMDR therapy was found to be non-inferior and more efficacious than CBT.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The findings of this study hold significant implications at both individual and policy levels. EMDR therapy emerges as a viable alternative to CBT for the treatment of PTSD in Pakistan. Therefore, the study recommends the adoption of EMDR therapy as an effective treatment option for PTSD in Pakistan.</p>\n </section>\n </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2000,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A comparative exploration of eye movement desensitisation and reprocessing versus cognitive behavioural therapy for post-traumatic stress disorder in Pakistan: Insights from a full-fledged randomised controlled trial\",\"authors\":\"Anwar Khan, Amalia bt Madihie, Faseeh Ullah, Omer Abid, Khizra Hafeez Awan\",\"doi\":\"10.1002/capr.12870\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background and Aim</h3>\\n \\n <p>Post-traumatic stress disorder (PTSD) is a psychiatric disorder, triggered by traumatic events. Modern evidence-based psychotherapies, such as eye movement desensitisation and reprocessing (EMDR) and cognitive behavioural therapy (CBT), have been widely used for the treatment of PTSD. However, limited evidence is available regarding their comparative efficacy, especially in the context of Pakistan. Given this context, a single-blinded, two-group randomised controlled trial was conducted to compare the efficacy of EMDR and CBT in treating patients with PTSD in Pakistan.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A consecutive sample of 80 patients was selected. Patients were randomly allocated to EMDR and CBT in accordance with covariate-adaptive stratified randomisation. This study was carried out at two mental health rehabilitation centres in the capital city of Peshawar, Pakistan. Data on PTSD symptoms and other related aspects were collected through the Clinician-Administered PTSD Scale for DSM-5. Data were analysed using descriptive statistics, non-inferiority analysis and a general linear model repeated measures ANOVA.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Results regarding treatment fidelity revealed that both therapies were carried out in adherence to treatment protocols. Treatment efficacy results showed that PTSD symptoms were high during the baseline stage of therapy (CAPS-5 mean score of 98.80 for EMDR and 100.50 for CBT) but decreased to low in the follow-up stage (CAPS-5 mean score of 30.20 for EMDR and 34.20 for CBT); however, overall, EMDR therapy was found to be non-inferior and more efficacious than CBT.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>The findings of this study hold significant implications at both individual and policy levels. EMDR therapy emerges as a viable alternative to CBT for the treatment of PTSD in Pakistan. Therefore, the study recommends the adoption of EMDR therapy as an effective treatment option for PTSD in Pakistan.</p>\\n </section>\\n </div>\",\"PeriodicalId\":46997,\"journal\":{\"name\":\"Counselling & Psychotherapy Research\",\"volume\":\"25 1\",\"pages\":\"\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2025-01-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Counselling & Psychotherapy Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/capr.12870\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Counselling & Psychotherapy Research","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/capr.12870","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
A comparative exploration of eye movement desensitisation and reprocessing versus cognitive behavioural therapy for post-traumatic stress disorder in Pakistan: Insights from a full-fledged randomised controlled trial
Background and Aim
Post-traumatic stress disorder (PTSD) is a psychiatric disorder, triggered by traumatic events. Modern evidence-based psychotherapies, such as eye movement desensitisation and reprocessing (EMDR) and cognitive behavioural therapy (CBT), have been widely used for the treatment of PTSD. However, limited evidence is available regarding their comparative efficacy, especially in the context of Pakistan. Given this context, a single-blinded, two-group randomised controlled trial was conducted to compare the efficacy of EMDR and CBT in treating patients with PTSD in Pakistan.
Methods
A consecutive sample of 80 patients was selected. Patients were randomly allocated to EMDR and CBT in accordance with covariate-adaptive stratified randomisation. This study was carried out at two mental health rehabilitation centres in the capital city of Peshawar, Pakistan. Data on PTSD symptoms and other related aspects were collected through the Clinician-Administered PTSD Scale for DSM-5. Data were analysed using descriptive statistics, non-inferiority analysis and a general linear model repeated measures ANOVA.
Results
Results regarding treatment fidelity revealed that both therapies were carried out in adherence to treatment protocols. Treatment efficacy results showed that PTSD symptoms were high during the baseline stage of therapy (CAPS-5 mean score of 98.80 for EMDR and 100.50 for CBT) but decreased to low in the follow-up stage (CAPS-5 mean score of 30.20 for EMDR and 34.20 for CBT); however, overall, EMDR therapy was found to be non-inferior and more efficacious than CBT.
Conclusion
The findings of this study hold significant implications at both individual and policy levels. EMDR therapy emerges as a viable alternative to CBT for the treatment of PTSD in Pakistan. Therefore, the study recommends the adoption of EMDR therapy as an effective treatment option for PTSD in Pakistan.
期刊介绍：
Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
