眼动脱敏再处理法和认知行为治疗法对心理症状的影响

Fatih Bal
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引用次数: 0

摘要

本研究旨在探讨眼动脱敏与再处理疗法(EMDR)和认知行为疗法(CBT)对心理症状的影响。本研究的研究小组由 240 名参与者组成,他们于 2020-2021 学年向伊斯坦布尔省贝奥卢区的一家私人医疗中心提出申请。研究共包括 240 名参与者,其中 EMDR 实验组 60 人,对照组 60 人,CBT 实验组 60 人,对照组 60 人。为了确定本研究中研究组的社会人口学信息,研究人员使用自己编制的个人信息表来测量研究组的简短症状清单(SCL 90-R)研究组的特征。研究组每周进行 14 次治疗,每次 90 分钟。对实验组和对照组个人的简短症状清单和测试前测量进行的同质性和正态性检验所得到的所有结果进行了综合考虑,决定在研究中使用参数检验,并在 SPSS 25.00 程序中进行了分析。研究结果表明,实验组的心理症状评分在 EMDR 和 CBT 治疗前后有显著差异(P < 0.001)。考虑到 EMDR 法对心理症状的效应大小,躯体化 Cohen's d = 0.47,强迫 Cohen's d = 0.54,人际敏感 Cohen's d = 0.77,抑郁 Cohen's d = 0.53,愤怒、敌对 Cohen's d = 0.57,恐怖焦虑 Cohen's d = 0.78,精神病 Cohen's d = 0.78,焦虑 Cohen's d = 0.95,如果考虑到 CBT 方法对心理症状的效应力,躯体化 Cohen's d = 0.36、强迫症 Cohen's d = 0.48、人际关系敏感性 Cohen's d = 0.43、抑郁科恩氏 d = 0.42、愤怒、敌对科恩氏 d = 0.42、恐惧症焦虑科恩氏 d = 0.63、精神病科恩氏 d = 0.49 和焦虑科恩氏 d = 0.50。根据研究结果和 Cohen-d 效应量,EMDR 在减少心理症状方面比 CBT 更有优势。因此,建议在门诊中使用 EMDR 来减轻心理症状,而将 CBT 作为第二种治疗方法或同时使用的一种治疗方法。尽管取得了这些结果,但有专家建议,这项研究应得到不同研究的支持,并在所有条件下重复进行。
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The Effect of Eye Movement Desensitization and Reprocessing and Cognitive Behavioral Therapy Method on Psychological Symptoms

The aim of this study was to examine the effect of eye movement desensitization and reprocessing (EMDR) and cognitive behavioral therapy (CBT) on psychological symptoms. The study group of this research consists of 240 participants who applied to a private health center in Beyoğlu District of Istanbul Province in the 2020–2021 academic year. A total of 240 participants, 60 in the EMDR Experiment group, 60 in the control group, 60 in the CBT Experiment group, and 60 in the control group were included in the study. In order to determine the sociodemographic information of the study group in the study, the personal information form developed by the researcher was used to measure the characteristics of the study group’s brief symptom inventory (SCL 90-R) study group. The study group consisted of 14 weekly sessions of 90 min each. All the results obtained from the homogeneity and normality tests performed for the brief symptom inventory and pre-test measurements of the individuals in the experimental and control groups were considered together, and it was decided that parametric tests could be used in the research and analyzes were made in the SPSS 25.00 program. As a result of the study, it was determined that there was a significant difference between the psychological symptom scores of the experimental group before and after EMDR and CBT (P < 0.001). Considering the effect size of EMDR method on psychological symptoms, Somatization Cohen’s d = 0.47, Obsessive Compulsive Cohen’s d = 0.54, Interpersonal Sensitivity Cohen’s d = 0.77, Depression Cohen’s d = 0.53, Anger, Hostility Cohen’s d = 0.57, Phobic Anxiety Cohen’s d = 0.78, Psychoticism Cohen’s d = 0.78 and Anxiety Cohen’s d = 0.95, when the effect power of the CBT method on psychological symptoms is taken into consideration, Somatization Cohen’s d = 0.36, Obsessive Compulsive Cohen’s d = 0.48, Interpersonal Sensitivity Cohen’s d = 0.43, Depression Cohen’s d = 0.42, Anger, Hostility Cohen’s d = 0.42, Phobic Anxiety Cohen’s d = 0.63, Psychoticism Cohen’s d = 0.49 and Anxiety Cohen’s d = 0.50, respectively. According to the results obtained in the study and the Cohen-d effect size, EMDR suggests that it has an advantage over CBT in reducing psychological symptoms. In this context, it is recommended to use EMDR in clinics to reduce psychological symptoms, and CBT to be used as a second therapy method or as a therapy method together. Despite these results, it was suggested that the study should be supported by different studies and repeated under all conditions.

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