眼动脱敏和再加工(EMDR)对减少出生创伤症状的影响

Silvia Wetherell
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引用次数: 0

摘要

背景:分娩相关的创伤经历是一个被忽视的心理痛苦领域,通常会导致创伤后应激障碍、围产期情绪和焦虑障碍,以及母婴之间的联系困难。本研究旨在评估眼动脱敏和再处理作为一种简短的心理干预措施在减少出生创伤症状方面的有效性。方法:采用前瞻性实验纵向设计,12名居住在新加坡的有出生创伤症状的女性平均在两周内接受了三次90分钟的眼动和脱敏(EMDR)治疗。参与者通过两份创伤自我报告问卷进行评估,并接受了简短的自主神经系统(ANS)评估。结果:治疗后评估显示,平均创伤评分存在显著差异,改良围产期创伤后应激障碍问卷降低了76%(z=-3.061,p=.002),事件影响量表修订版降低了70%(z=3.061,p=0.002)。从基线到压力源的皮肤电导反应变化降低了4%,但无统计学意义(z=-0.863,p=0.39)。结论:简易EMDR有望成为治疗出生创伤的有效方法。与安慰剂对照组相比,需要进行更大规模的对照随机研究来评估EMDR的有效性。
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Investigating the impact of eye movement desensitization and reprocessing (EMDR) in reducing birth trauma symptoms
Background: Childbirth-related traumatic experiences are an overlooked area of psychological suffering, often leading to Post-Traumatic Stress Disorder, Perinatal Mood and Anxiety Disorders, and difficulties in bonding between mother and baby. This study aimed to evaluate the effectiveness of Eye Movement Desensitization and Reprocessing as a brief psychological intervention in reducing Birth Trauma symptoms. Methodology: Using a prospective experimental longitudinal design, 12 women residing in Singapore with Birth Trauma symptoms received three 90-minute eye-movement and desensitization (EMDR) sessions over two weeks on average. Participants were assessed through two trauma self-report questionnaires and underwent a brief Autonomic Nervous System (ANS) assessment. Results: Post-treatment assessment showed significant differences in mean trauma scores with a 76% reduction on the Modified Perinatal PTSD Questionnaire (z = -3.061, p = .002) and 70% reduction on the Impact of Event Scale Revised (z = -3.061, p = 0.002). Skin conductance response changes from baseline to stressor reduced by 4% but were not statistically significant (z = -.863, p = 0.39). Conclusion: Brief EMDR has shown promise as an effective treatment for Birth Trauma. Larger controlled randomized studies are required to evaluate the effectiveness of EMDR when compared to a placebo control group.
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