眼动脱敏和再加工作为增强认知行为治疗的附加治疗方法，用于报告儿童期虐待的神经性厌食症患者：一项准实验性多中心研究。

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC ACS Applied Electronic Materials Pub Date : 2023-10-30 DOI:10.1002/erv.3044

Eleonora Rossi, Emanuele Cassioli, Lucia Cecci, Francesca Arganini, Michela Martelli, Carolina Alberta Redaelli, Simona Anselmetti, Sara Bertelli, Isabel Fernandez, Valdo Ricca, Giovanni Castellini

{"title":"眼动脱敏和再加工作为增强认知行为治疗的附加治疗方法，用于报告儿童期虐待的神经性厌食症患者：一项准实验性多中心研究。","authors":"Eleonora Rossi, Emanuele Cassioli, Lucia Cecci, Francesca Arganini, Michela Martelli, Carolina Alberta Redaelli, Simona Anselmetti, Sara Bertelli, Isabel Fernandez, Valdo Ricca, Giovanni Castellini","doi":"10.1002/erv.3044","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>This quasi-experimental study aimed to compare the outcome of patients with Anorexia Nervosa (AN) reporting moderate/severe childhood maltreatment (CM) treated exclusively with Enhanced Cognitive Behaviour Therapy (CBT-E) or with CBT-E <i>plus</i> Eye Movement Desensitisation and Reprocessing (EMDR).</p>\n </section>\n \n <section>\n \n <h3> Method</h3>\n \n <p>A total of 75 patients with AN reporting moderate/severe CM were initially assessed regarding body mass index (BMI), general and eating disorder (ED)-specific psychopathology, and dissociative symptoms, and re-evaluated after 40 CBT-E sessions (T1). Then, 18 patients received EMDR, whereas the others were placed on a waiting list and continued CBT-E. T2 assessment was performed after 20–25 sessions of EMDR or CBT-E. A control group of 67 patients without CM was also enroled and treated with CBT-E.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Contrary to patients without CM, neither of the traumatised groups improved in BMI, general and ED psychopathology, or dissociation at T1. However, at T2, both traumatised groups improved in BMI and ED-specific psychopathology, with the CBT + EMDR group demonstrating greater improvements. Moreover, only the CBT + EMDR group improved in general psychopathology and dissociative symptoms. The reduction of ED symptoms in traumatised patients was mediated by the amelioration of dissociation.</p>\n </section>\n \n <section>\n \n <h3> Discussion</h3>\n \n <p>The addition of EMDR to CBT-E may benefit patients with AN reporting moderate/severe CM.</p>\n </section>\n </div>","PeriodicalId":3,"journal":{"name":"ACS Applied Electronic Materials","volume":null,"pages":null},"PeriodicalIF":4.3000,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3044","citationCount":"0","resultStr":"{\"title\":\"Eye movement desensitisation and reprocessing as add-on treatment to enhanced cognitive behaviour therapy for patients with anorexia nervosa reporting childhood maltreatment: A quasi-experimental multicenter study\",\"authors\":\"Eleonora Rossi, Emanuele Cassioli, Lucia Cecci, Francesca Arganini, Michela Martelli, Carolina Alberta Redaelli, Simona Anselmetti, Sara Bertelli, Isabel Fernandez, Valdo Ricca, Giovanni Castellini\",\"doi\":\"10.1002/erv.3044\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>This quasi-experimental study aimed to compare the outcome of patients with Anorexia Nervosa (AN) reporting moderate/severe childhood maltreatment (CM) treated exclusively with Enhanced Cognitive Behaviour Therapy (CBT-E) or with CBT-E <i>plus</i> Eye Movement Desensitisation and Reprocessing (EMDR).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Method</h3>\\n \\n <p>A total of 75 patients with AN reporting moderate/severe CM were initially assessed regarding body mass index (BMI), general and eating disorder (ED)-specific psychopathology, and dissociative symptoms, and re-evaluated after 40 CBT-E sessions (T1). Then, 18 patients received EMDR, whereas the others were placed on a waiting list and continued CBT-E. T2 assessment was performed after 20–25 sessions of EMDR or CBT-E. A control group of 67 patients without CM was also enroled and treated with CBT-E.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Contrary to patients without CM, neither of the traumatised groups improved in BMI, general and ED psychopathology, or dissociation at T1. However, at T2, both traumatised groups improved in BMI and ED-specific psychopathology, with the CBT + EMDR group demonstrating greater improvements. Moreover, only the CBT + EMDR group improved in general psychopathology and dissociative symptoms. The reduction of ED symptoms in traumatised patients was mediated by the amelioration of dissociation.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Discussion</h3>\\n \\n <p>The addition of EMDR to CBT-E may benefit patients with AN reporting moderate/severe CM.</p>\\n </section>\\n </div>\",\"PeriodicalId\":3,\"journal\":{\"name\":\"ACS Applied Electronic Materials\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":4.3000,\"publicationDate\":\"2023-10-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3044\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"ACS Applied Electronic Materials\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/erv.3044\",\"RegionNum\":3,\"RegionCategory\":\"材料科学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ENGINEERING, ELECTRICAL & ELECTRONIC\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACS Applied Electronic Materials","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/erv.3044","RegionNum":3,"RegionCategory":"材料科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENGINEERING, ELECTRICAL & ELECTRONIC","Score":null,"Total":0}

引用次数: 0

摘要

目的：本准实验研究旨在比较报告中度/重度儿童虐待（CM）的神经性厌食症（AN）患者仅接受强化认知行为疗法（CBT-E）或CBT-E加眼动脱敏和再处理（EMDR）治疗的结果。方法：对75名报告中度/重度CM的AN患者进行初步评估，包括体重指数（BMI）、一般和饮食障碍（ED）特异性精神病理学和解离症状，并在40次CBT-E治疗后（T1）进行重新评估。然后，18名患者接受了EMDR，而其他患者则被列入等待名单，继续CBT-E。T2评估在20至25次EMDR或CBT-E疗程后进行。一个由67名无CM患者组成的对照组也被纳入并接受CBT-E治疗。结果：与没有CM的患者相反，两个创伤组的BMI、一般和ED精神病理学或T1时的解离都没有改善。然而，在T2时，两个创伤组的BMI和ED特异性精神病理学都有所改善，CBT+EMDR组表现出更大的改善。此外，只有CBT+EMDR组在一般精神病理学和解离症状方面有所改善。创伤患者ED症状的减轻是由解离的改善介导的。讨论：在CBT-E中添加EMDR可能有利于报告中度/重度CM的AN患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

摘要图片

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

Eye movement desensitisation and reprocessing as add-on treatment to enhanced cognitive behaviour therapy for patients with anorexia nervosa reporting childhood maltreatment: A quasi-experimental multicenter study

Objective

This quasi-experimental study aimed to compare the outcome of patients with Anorexia Nervosa (AN) reporting moderate/severe childhood maltreatment (CM) treated exclusively with Enhanced Cognitive Behaviour Therapy (CBT-E) or with CBT-E plus Eye Movement Desensitisation and Reprocessing (EMDR).

Method

A total of 75 patients with AN reporting moderate/severe CM were initially assessed regarding body mass index (BMI), general and eating disorder (ED)-specific psychopathology, and dissociative symptoms, and re-evaluated after 40 CBT-E sessions (T1). Then, 18 patients received EMDR, whereas the others were placed on a waiting list and continued CBT-E. T2 assessment was performed after 20–25 sessions of EMDR or CBT-E. A control group of 67 patients without CM was also enroled and treated with CBT-E.

Results

Contrary to patients without CM, neither of the traumatised groups improved in BMI, general and ED psychopathology, or dissociation at T1. However, at T2, both traumatised groups improved in BMI and ED-specific psychopathology, with the CBT + EMDR group demonstrating greater improvements. Moreover, only the CBT + EMDR group improved in general psychopathology and dissociative symptoms. The reduction of ED symptoms in traumatised patients was mediated by the amelioration of dissociation.