眼动脱敏和再加工治疗创伤后应激障碍儿童和青少年轻度至边缘性智力残疾:一项多基线跨受试者研究

Liesbeth Mevissen, Robert Didden, Hubert Korzilius, Ad de Jongh
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引用次数: 29

摘要

背景:本研究采用多基线跨受试者设计,探讨眼动脱敏和再加工(EMDR)治疗轻度至边缘性智力残疾(MBID)患者创伤后应激障碍(PTSD)的有效性。方法:1名患有MBID的儿童和1名青少年,根据PTSD临床访谈(即ADIS-C PTSD部分)符合PTSD诊断标准,并针对该目标群体进行适应和验证,给予4次EMDR。在EMDR之前,期间和之后以及六周的随访中测量创伤后应激障碍症状。结果:对于两名参与者,PTSD症状的数量在治疗后减少,并且在治疗后不再符合PTSD标准。这一结果在6周的随访中保持不变。结论:本研究的结果进一步支持了EMDR可以有效治疗患有MBID的儿童和青少年PTSD的观点。在更大的样本和随机对照设计中重复这项研究是有必要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Eye movement desensitisation and reprocessing therapy for posttraumatic stress disorder in a child and an adolescent with mild to borderline intellectual disability: A multiple baseline across subjects study.

Background: This study explored the effectiveness of eye movement desensitisation and reprocessing (EMDR) therapy for post-traumatic stress disorder (PTSD) in persons with mild to borderline intellectual disability (MBID) using a multiple baseline across subjects design.

Methods: One child and one adolescent with MBID, who met diagnostic criteria for PTSD according to a PTSD clinical interview (i.e., ADIS-C PTSD section), adapted and validated for this target group, were offered four sessions of EMDR. PTSD symptoms were measured before, during and after EMDR, and at six weeks follow-up.

Results: For both participants, number of PTSD symptoms decreased in response to treatment and both no longer met PTSD criteria at post-treatment. This result was maintained at 6-week follow-up.

Conclusions: The results of this study add further support to the notion that EMDR can be an effective treatment for PTSD in children and adolescents with MBID. Replication of this study in larger samples and using a randomized controlled design is warranted.

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