대한불안의학회지 (Anxiety and mood)
- 제4권1호
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- Pages.55-61
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- 2008
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- 2586-0151(pISSN)
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- 2586-0046(eISSN)
외상후 스트레스 장애 이외의 정신 장애에 대한 EMDR 전후의 치료 반응 및 증상 변화
Treatment Response and Symptomatic Changes after Eye Movement Desensitization and Reprocessing in Psychiatric Disorders Other than Posttraumatic Stress Disorder
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이해원
(한양대학교 의과대학 신경정신과학교실) ;
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김대호
(한양대학교 의과대학 신경정신과학교실) ;
- 배활립 (한양대학교 의과대학 신경정신과학교실) ;
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최준호
(한양대학교 의과대학 신경정신과학교실) ;
- 오동훈 (국군원주병원 정신과) ;
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박용천
(한양대학교 의과대학 신경정신과학교실)
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Lee, Hae-Won
(Department of Neuropsychiatry, College of Medicine, Hanyang University) ;
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Kim, Dae-Ho
(Department of Neuropsychiatry, College of Medicine, Hanyang University) ;
- Bae, Hwal-Lip (Department of Neuropsychiatry, College of Medicine, Hanyang University) ;
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Choi, Joon-Ho
(Department of Neuropsychiatry, College of Medicine, Hanyang University) ;
- Oh, Dong-Hoon (Department of Psychiatry, Armed Forces Wonju Hospital) ;
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Park, Yong-Chon
(Department of Neuropsychiatry, College of Medicine, Hanyang University)
- 투고 : 2008.02.18
- 심사 : 2008.03.25
- 발행 : 2008.04.30
초록
Objective : Eye movement desensitization and reprocessing (EMDR) has been established as an effective treatment for patients with posttraumatic stress disorder (PTSD). However, the literature is unclear as to whether EMDR is effective in the treatment of other psychiatric disorders. The purpose of this study was to evaluate the potential use of EMDR in the treatment of psychiatric disorders other than PTSD by using a clinician's impression of patient response and a subjective symptom evaluation. Methods : Seventeen diagnostically heterogenous patients without PTSD underwent an average of 4.3 sessions of EMDR. Symptom severity was assessed by the Clinical Global Impression-Change Scale (CGIC), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), and Symptom Checklist-90- Revised (SCL-90-R) before and after EMDR. Those whose CGI-C scores were 'very much improved' and 'much improved' after EMDR were classified as 'responders.' The patients' before and after treatment scores of symptom severity and group differences were compared. Results : Twelve of the 17 participants (12/17, 71%) were classified as 'responders.' The patients' scores on all of the scales, with the exception of the trait anxiety scale and obsession-compulsion scale of the SCL- 90-R, significantly decreased after treatment. There was no difference in sociodemographic and clinical variables between the responders and non-responders. Conclusion : The results of our study suggest that EMDR can be a promising candidate for the treatment of patients with psychiatric disorders other than PTSD, and thus further controlled studies are needed to determine whether EMDR can be applied to various psychiatric populations.
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