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[摘要:眼动脱敏再处理疗法心理治疗的科学评估]

[Summary: Scientific evaluation of EMDR psychotherapy].

作者信息

Haour F, de Beaurepaire C

机构信息

Association EMDR France, 30, place Saint-Georges, 75009 Paris, France.

EPS de Maison-Blanche, 6-10, rue Pierre-Bayle, 75020 Paris, France.

出版信息

Encephale. 2016 Jun;42(3):284-8. doi: 10.1016/j.encep.2016.02.012. Epub 2016 Mar 23.

Abstract

OBJECTIVE

The evaluation of psychotherapy methods is made difficult by their practical and theoretical diversities as well as the increasing number of available therapies. Evaluation based on scientific criteria in randomized control trials is providing the highest level of proof and recognition by Health Agencies. A recently described integrative psychotherapy, eye movement desensitization and reprocessing (EMDR), developed by F. Shapiro since 1989, has been confronted with the validation procedure used in pharmacological treatment. It was of interest to review the scientific validation steps carried out for this EMDR psychotherapy and for its mechanisms of action.

AIM OF THE REVIEW

The practical and methodological protocol of the EMDR psychotherapy for trauma integration is reviewed as well as clinical results and mechanisms.

RESULTS

This EMDR therapy, focused on the resolutions of traumas, was started by treating patients with post-traumatic stress disorders (PTSD). The integrative EMDR protocol obtained the highest level of efficiency, for PTSD treatment, twenty years after its first publication. The efficiency of the protocol is now under study and scientific evaluation for troubles in which the trauma experiences are triggers or factors of maintenance of the troubles: anxiety, depression, phobia, sexual troubles, schizophrenia, etc.

CONCLUSION

This new integrative psychotherapy follows the pathways and the timing observed for the evaluation and the validation of other therapies.

摘要

目的

心理治疗方法在实践和理论上的多样性以及可用疗法数量的不断增加,使得对其进行评估变得困难。基于科学标准在随机对照试验中进行的评估提供了最高水平的证据,并得到了卫生机构的认可。一种最近描述的综合心理治疗方法,即眼动脱敏再处理疗法(EMDR),由F. 夏皮罗自1989年开发,一直面临着药理学治疗中使用的验证程序。回顾针对这种EMDR心理治疗及其作用机制所开展的科学验证步骤很有意义。

综述目的

回顾EMDR心理治疗用于创伤整合的实践和方法学方案以及临床结果和作用机制。

结果

这种专注于创伤解决的EMDR疗法始于对创伤后应激障碍(PTSD)患者的治疗。综合EMDR方案在首次发表二十年后,在PTSD治疗方面获得了最高水平的疗效。目前正在对该方案在创伤经历是引发问题或维持问题的触发因素或因素的疾病中的疗效进行研究和科学评估,这些疾病包括焦虑症、抑郁症、恐惧症、性障碍、精神分裂症等。

结论

这种新的综合心理治疗遵循了其他疗法评估和验证所观察到的途径和时间安排。

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