超越创伤后应激障碍(ptsd):眼动脱敏与再加工(emdr)在心理障碍中的临床疗效研究现状。

4区 医学 Q2 Medicine
Psychiatria Danubina Pub Date : 2025-09-01
Alessandro Lepri
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引用次数: 0

摘要

眼动脱敏和再处理(EMDR)最初是作为创伤后应激障碍(PTSD)的治疗而发展起来的,但近年来其应用范围得到了显著扩展。这篇叙述性综述探讨了EMDR在创伤后应激障碍以外的一系列心理障碍中的临床疗效的证据现状。我们研究了随机对照试验、系统评价和荟萃分析的结果——包括Scelles和Bulnes(2021)的综合系统评价——评估了EMDR对焦虑症、抑郁症、强迫症(OCD)、躯体症状障碍、疼痛、成瘾和人格障碍的影响。虽然作用机制仍有争议,但经验证据表明,在某些情况下,EMDR可以产生与现有心理疗法相当或更好的结果。对现有研究的方法学局限性和将EMDR纳入更广泛的循证治疗框架的重要性进行了批判性讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
BEYOND POST-TRAUMATIC STRESS DISORDER (PTSD): STATE OF THE ART ON PSYCHOLOGICAL DISORDERS IN WHICH EYE MOVEMENT DESENSITIZATION AND REPROCESSING (EMDR) CURRENTLY SHOWS CLINICAL EFFICACY.

Eye Movement Desensitization and Reprocessing (EMDR) was originally developed as a treatment for post-traumatic stress disorder (PTSD), but its applications have expanded significantly in recent years. This narrative review explores the current state of evidence for EMDR's clinical efficacy across a spectrum of psychological disorders beyond PTSD. We examine findings from randomized controlled trials, systematic reviews, and meta-analyses - including the comprehensive systematic review by Scelles and Bulnes (2021) - that assess EMDR's impact on anxiety disorders, depression, obsessive-compulsive disorder (OCD), somatic symptom disorders, pain, addiction, and personality disorders. While the mechanism of action remains debated, empirical evidence suggests EMDR can yield outcomes comparable to or superior to established psychotherapies in certain contexts. A critical discussion is offered regarding the methodological limitations in existing studies and the importance of integrating EMDR within broader evidence-based treatment frameworks.

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来源期刊
Psychiatria Danubina
Psychiatria Danubina 医学-精神病学
CiteScore
3.00
自引率
0.00%
发文量
288
审稿时长
4-8 weeks
期刊介绍: Psychiatria Danubina is a peer-reviewed open access journal of the Psychiatric Danubian Association, aimed to publish original scientific contributions in psychiatry, psychological medicine and related science (neurosciences, biological, psychological, and social sciences as well as philosophy of science and medical ethics, history, organization and economics of mental health services).
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