Eye Movement Desensitization and Reprocessing (EMDR) is a well-established psychological therapy for the treatment of post-traumatic stress disorder, based on the recommendations of clinical practice guidelines. However, these guidelines are not as consistent in recommending EMDR interventions for the early treatment of post-traumatic symptoms. The main objective of this review is to evaluate the effectiveness of EMDR therapy for early intervention after a traumatic event. A systematic search for randomized clinical trials has been carried out in the PUBMED, CINAHL, Psyc-INFO and Cochrane Library search engines. We included individuals exposed to a recent traumatic event (within 3 months of a traumatic incident). Outcomes on PTSD, depression and anxiety in post-treatment, and at follow-up at 3, 6 and 12 months, as well as on safety and tolerability were extracted. A total of 11 RCTs were found. Studies showed beneficial effects of early EMDR interventions on post-traumatic symptoms at post-treatment and at 3-month follow-up. No differences were found between EMDR and no intervention or another intervention in the remaining analyses. The main limitations are the low quality of the studies, the small number of studies per outcome assessed, and the small sample sizes. There is evidence for the short-term beneficial effect of early EMDR interventions on post-traumatic symptoms. Although it appears to be a safe therapeutic choice, more studies are necessary that include safety data.

中文翻译：

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EMDR 对创伤事件后早期干预的功效：系统评价和荟萃分析


眼动脱敏和再处理（EMDR）是一种基于临床实践指南建议的成熟的治疗创伤后应激障碍的心理疗法。然而，这些指南在建议早期治疗创伤后症状的 EMDR 干预措施方面并不一致。本次综述的主要目的是评估 EMDR 治疗在创伤事件后早期干预的有效性。 PUBMED、CINAHL、Psyc-INFO 和 Cochrane Library 搜索引擎已对随机临床试验进行了系统搜索。我们纳入了最近经历过创伤性事件的个体（创伤性事件发生后 3 个月内）。提取治疗后以及 3、6 和 12 个月随访时的 PTSD、抑郁和焦虑以及安全性和耐受性的结果。总共发现了 11 项 RCT。研究表明，早期 EMDR 干预对治疗后和 3 个月随访时的创伤后症状具有有益作用。在其余分析中，EMDR 与不干预或其他干预之间没有发现差异。主要限制是研究质量低、每个评估结果的研究数量少以及样本量小。有证据表明早期 EMDR 干预措施对创伤后症状具有短期有益效果。尽管它似乎是一种安全的治疗选择，但仍需要进行更多包括安全性数据的研究。