关键词: COVID-19 EMDR OCD PTSD disgust guilt and shame mental contamination psychological trauma

来  源:   DOI:10.3389/fpsyt.2024.1369216   PDF(Pubmed)

Abstract:
UNASSIGNED: It has been suggested that the COVID-19 pandemic was a potentially traumatic occurrence that may have induced generalized anxiety and discomfort, particularly in susceptible populations like individuals with mental illnesses. The therapeutic approach known as eye movement desensitization and reprocessing (EMDR) has been shown to be successful in helping patients process traumatic events and restore wellbeing. Nevertheless, little is known about the precise processes through which EMDR fosters symptom recovery.
UNASSIGNED: In order to disentangle these issues, we conducted a randomized controlled trial (ClinicalTrials.gov Identifier NCT06110702) with 107 participants who were selected from university hospitals as a sample of investigation. Random assignments were applied to the participants in order to assign them to the experimental and control groups. The experimental group, but not the control group, underwent an 8-week EMDR intervention. Body perception, disgust, and emotions of guilt and shame, as well as mental contamination and posttraumatic and obsessive-compulsive symptoms, were investigated before and after the EMDR intervention.
UNASSIGNED: The EMDR intervention was able to improve all of the variables investigated. Path analysis showed that body perception was able to predict both disgust and emotions of guilt and shame. Disgust was able to predict both mental contamination and obsessive-compulsive symptoms, while guilt and shame were able to predict post-traumatic symptoms.
UNASSIGNED: EMDR is an effective therapy for the treatment of post-traumatic and obsessive symptoms that acts through the promotion of improvement of the emotions of guilt/shame and disgust, respectively. Implications for clinical practice are examined.
UNASSIGNED: https://www.clinicaltrials.gov, identifier NCT06110702.
摘要:
有人认为COVID-19大流行是一种潜在的创伤性事件,可能会引起广泛性焦虑和不适,特别是在患有精神疾病的易感人群中。称为眼球运动脱敏和再处理(EMDR)的治疗方法已被证明可以成功地帮助患者处理创伤事件并恢复健康。然而,关于EMDR促进症状恢复的确切过程知之甚少。
为了解决这些问题,我们进行了一项随机对照试验(ClinicalTrials.govIdentifierNCT06110702),纳入了来自大学医院的107名参与者作为研究样本.对参与者进行随机分配,以将他们分配给实验组和对照组。实验组,但不是对照组,接受了为期8周的EMDR干预.身体感知,厌恶,内疚和羞耻的情绪,以及精神污染和创伤后强迫症状,在EMDR干预前后进行了调查。
EMDR干预能够改善所研究的所有变量。路径分析表明,身体感知能够预测厌恶和内疚和羞耻的情绪。厌恶能够预测精神污染和强迫症状,而内疚和羞愧能够预测创伤后的症状。
EMDR是治疗创伤后和强迫性症状的有效疗法,通过促进内/羞耻和厌恶情绪的改善起作用,分别。检查了对临床实践的影响。
https://www.clinicaltrials.gov,标识符NCT06110702。
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