Laurian Hafkemeijer,Simon Hofman,Ad de Jongh,Dorien de Roos,Maaike van Velzen,Annemieke Starrenburg,Karin Slotema
{"title":"EMDR治疗对人格障碍患者PTSD症状和诊断状态的有效性:一项随机对照试验","authors":"Laurian Hafkemeijer,Simon Hofman,Ad de Jongh,Dorien de Roos,Maaike van Velzen,Annemieke Starrenburg,Karin Slotema","doi":"10.1159/000547622","DOIUrl":null,"url":null,"abstract":"Background Individuals with a personality disorder (PD) often report high exposure to adverse events. Given the strong link between negative life events and PD pathology, it is essential to evaluate trauma-focused treatments in this population. Objective This study evaluated the effectiveness of EMDR versus waitlist in reducing PTSD symptoms and diagnostic status, distinguishing between patients with and without PTSD. Secondarily, it examined the impact of EMDR on adverse event memories, both meeting and not meeting Criterion A for PTSD. Method Participants (n=159) were randomly assigned to EMDR therapy or waitlist. PDs were assessed using the Structured Clinical Interview for DSM-5. PTSD symptoms and diagnoses were evaluated using the Clinician-Administered PTSD Scale for DSM-5. Secondary analyses examined the effectiveness of EMDR on various types of memories. Results Significant group-by-time interactions showed a greater reduction in PTSD symptoms in the EMDR group, regardless of baseline PTSD diagnosis. In patients with PTSD, large effects were found post-treatment (d = 1.26; control: d = .28) and at follow-up (d = 1.5; control: d = .69). In patients without PTSD, moderate to large effects emerged post-treatment (d = .77; control: d = .18) and at follow-up (d = 1.09; control: d = .46). EMDR reduced symptoms associated with Criterion A trauma and other adverse events. Post-treatment, 65.5% of EMDR patients lost their PTSD diagnosis, increasing to 73.1% at follow-up. Conclusions EMDR effectively reduced PTSD symptoms in individuals with a PD, regardless of PTSD diagnosis, and proved effective for memories not meeting Criterion A.","PeriodicalId":20744,"journal":{"name":"Psychotherapy and Psychosomatics","volume":"37 1","pages":"1-21"},"PeriodicalIF":17.4000,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The effectiveness of EMDR Therapy on PTSD symptoms and diagnostic status in patients with a personality disorder: a Randomized Controlled Trial.\",\"authors\":\"Laurian Hafkemeijer,Simon Hofman,Ad de Jongh,Dorien de Roos,Maaike van Velzen,Annemieke Starrenburg,Karin Slotema\",\"doi\":\"10.1159/000547622\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background Individuals with a personality disorder (PD) often report high exposure to adverse events. Given the strong link between negative life events and PD pathology, it is essential to evaluate trauma-focused treatments in this population. Objective This study evaluated the effectiveness of EMDR versus waitlist in reducing PTSD symptoms and diagnostic status, distinguishing between patients with and without PTSD. Secondarily, it examined the impact of EMDR on adverse event memories, both meeting and not meeting Criterion A for PTSD. Method Participants (n=159) were randomly assigned to EMDR therapy or waitlist. PDs were assessed using the Structured Clinical Interview for DSM-5. PTSD symptoms and diagnoses were evaluated using the Clinician-Administered PTSD Scale for DSM-5. Secondary analyses examined the effectiveness of EMDR on various types of memories. Results Significant group-by-time interactions showed a greater reduction in PTSD symptoms in the EMDR group, regardless of baseline PTSD diagnosis. In patients with PTSD, large effects were found post-treatment (d = 1.26; control: d = .28) and at follow-up (d = 1.5; control: d = .69). In patients without PTSD, moderate to large effects emerged post-treatment (d = .77; control: d = .18) and at follow-up (d = 1.09; control: d = .46). EMDR reduced symptoms associated with Criterion A trauma and other adverse events. Post-treatment, 65.5% of EMDR patients lost their PTSD diagnosis, increasing to 73.1% at follow-up. Conclusions EMDR effectively reduced PTSD symptoms in individuals with a PD, regardless of PTSD diagnosis, and proved effective for memories not meeting Criterion A.\",\"PeriodicalId\":20744,\"journal\":{\"name\":\"Psychotherapy and Psychosomatics\",\"volume\":\"37 1\",\"pages\":\"1-21\"},\"PeriodicalIF\":17.4000,\"publicationDate\":\"2025-07-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychotherapy and Psychosomatics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1159/000547622\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychotherapy and Psychosomatics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1159/000547622","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
The effectiveness of EMDR Therapy on PTSD symptoms and diagnostic status in patients with a personality disorder: a Randomized Controlled Trial.
Background Individuals with a personality disorder (PD) often report high exposure to adverse events. Given the strong link between negative life events and PD pathology, it is essential to evaluate trauma-focused treatments in this population. Objective This study evaluated the effectiveness of EMDR versus waitlist in reducing PTSD symptoms and diagnostic status, distinguishing between patients with and without PTSD. Secondarily, it examined the impact of EMDR on adverse event memories, both meeting and not meeting Criterion A for PTSD. Method Participants (n=159) were randomly assigned to EMDR therapy or waitlist. PDs were assessed using the Structured Clinical Interview for DSM-5. PTSD symptoms and diagnoses were evaluated using the Clinician-Administered PTSD Scale for DSM-5. Secondary analyses examined the effectiveness of EMDR on various types of memories. Results Significant group-by-time interactions showed a greater reduction in PTSD symptoms in the EMDR group, regardless of baseline PTSD diagnosis. In patients with PTSD, large effects were found post-treatment (d = 1.26; control: d = .28) and at follow-up (d = 1.5; control: d = .69). In patients without PTSD, moderate to large effects emerged post-treatment (d = .77; control: d = .18) and at follow-up (d = 1.09; control: d = .46). EMDR reduced symptoms associated with Criterion A trauma and other adverse events. Post-treatment, 65.5% of EMDR patients lost their PTSD diagnosis, increasing to 73.1% at follow-up. Conclusions EMDR effectively reduced PTSD symptoms in individuals with a PD, regardless of PTSD diagnosis, and proved effective for memories not meeting Criterion A.
期刊介绍:
Psychotherapy and Psychosomatics is a reputable journal that has been published since 1953. Over the years, it has gained recognition for its independence, originality, and methodological rigor. The journal has been at the forefront of research in psychosomatic medicine, psychotherapy research, and psychopharmacology, and has contributed to the development of new lines of research in these areas. It is now ranked among the world's most cited journals in the field.
As the official journal of the International College of Psychosomatic Medicine and the World Federation for Psychotherapy, Psychotherapy and Psychosomatics serves as a platform for discussing current and controversial issues and showcasing innovations in assessment and treatment. It offers a unique forum for cutting-edge thinking at the intersection of medical and behavioral sciences, catering to both practicing clinicians and researchers.
The journal is indexed in various databases and platforms such as PubMed, MEDLINE, Web of Science, Science Citation Index, Social Sciences Citation Index, Science Citation Index Expanded, BIOSIS Previews, Google Scholar, Academic Search, and Health Research Premium Collection, among others.