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The effectiveness of eye movement desensitization and reprocessing toward anxiety disorder: A meta-analysis of randomized controlled trials.
Journal of Psychiatric Research ( IF 3.7 ) Pub Date : 2020-01-28 , DOI: 10.1016/j.jpsychires.2020.01.005
Ninik Yunitri , Ching-Chiu Kao , Hsin Chu , Joachim Voss , Huei-Ling Chiu , Doresses Liu , Shu-Tai H. Shen , Pi-Chen Chang , Xiao Linda Kang , Kuei-Ru Chou

BACKGROUND Eye Movement Desensitization and Reprocessing (EMDR) has been well established as an effective treatment for post-traumatic stress disorder (PTSD). However, PTSD has been re-categorized as part of trauma and stressor-related disorders instead of anxiety disorders. We conducted the first meta-analysis on Randomized Controlled Trials to evaluate the effectiveness of EMDR on reducing symptoms of anxiety disorders. METHODS A manual and systematic search using various databases and reference lists of systematic review articles published up to December 2018 was conducted. The symptoms of anxiety, phobia, panic, traumatic feelings and behaviors/somatic symptoms were examined. Hedges' g effect sizes were computed, and random effect models were used for all analyses. RESULTS A total of 17 trials with 647 participants were included in this meta-analysis. EMDR was associated with a significant reduction of anxiety (g = -0.71; 95% CI: -0.96 to -0.47), panic (g = -0.62; 95% CI: -1.10 to -0.14), phobia (g = -0.45; 95% CI: -0.81 to -0.08), behavioural/somatic symptoms (g = -0.40; 95% CI: -0.63 to -0.12), but not traumatic feelings (g = -0.48; 95% CI: -1.14 to -0.18). Subgroup analysis revealed greater effects of EMDR if compared to passive control. However, the effects were not significantly different based on the duration, number of therapy sessions, or the number of weekly sessions. CONCLUSIONS Our meta-analysis indicates that EMDR is efficacious for reducing symptoms of anxiety, panic, phobia, and behavioural/somatic symptoms. Further research is needed to explore EMDR's long term efficacy on anxiety disorders.

中文翻译:

眼球运动脱敏和对焦虑症的后处理的有效性:一项随机对照试验的荟萃分析。

背景技术眼动脱敏和再加工(EMDR)已经被很好地确立为创伤后应激障碍(PTSD)的有效治疗方法。但是,PTSD已被重新分类为创伤和与应激源相关的疾病的一部分,而不是焦虑症。我们对随机对照试验进行了首次荟萃分析,以评估EMDR减轻焦虑症症状的有效性。方法使用截至2018年12月发布的各种数据库和系统评价文章参考列表进行手动和系统搜索。检查焦虑,恐惧症,恐慌,外伤的感觉和行为/身体症状的症状。计算对冲的g效应大小,并使用随机效应模型进行所有分析。结果该荟萃分析共纳入17项试验,共有647名参与者。EMDR与焦虑症(g = -0.71; 95%CI:-0.96至-0.47),惊慌(g = -0.62; 95%CI:-1.10至-0.14),恐惧症(g = -0.45)的显着减少有关。 ; 95%CI:-0.81至-0.08),行为/躯体症状(g = -0.40; 95%CI:-0.63至-0.12),但没有创伤感(g = -0.48; 95%CI:-1.14至-0.18)。与被动控制相比,亚组分析显示EMDR的效果更大。但是,根据疗程的持续时间,疗程次数或每周疗程次数,效果没有显着差异。结论我们的荟萃分析表明,EMDR可有效减轻焦虑症,惊恐症,恐怖症和行为/躯体症状。需要进一步研究以探索EMDR'
更新日期:2020-01-30
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