Kaygı Duyarlığını Azaltmada Göz Hareketleriyle Duyarsızlaştırma ve Yeniden İşleme (EMDR) Tedavisi

Göz Hareketleriyle Duyarsızlaştırma ve Yeniden İşleme (EMDR: Eye Movement Desensitization and Reprocessing) kontrollü çalışmalarla desteklenmiş Travma Sonrası Stres Bozukluğu (TSSB) tedavilerinden biridir ve bugün diğer psikolojik bozukluklara da giderek uygulanmaktadır. Bu çalışma kaygı duyarlığının tedavisinde kas gevşetme ve EMDR işlem yollarının etkilerini karşılaştırmak için düzenlenmiştir. 19 üniversite öğrencisine standart, kendini değerlendirmeye dayalı, dört alt ölçeği olan Kaygı Duyarlığı Profili (KDP) uygulanmıştır. Katılımcılar seçkisiz olarak iki gruba atanmışlar (tedavi koşulu; kas gevşetme ve EMDR) ve müdahale öncesi uygulanan KDP, müdahaleden beş gün ile dört ay sonra kendilerine tekrar uygulanmıştır (müdahale; müdahale öncesi, müdahale sonrası ve izleme çalışması). Bulgulara göre, EMDR yaklaşımı müdahale sonrasında, solunum ile ilgili belirtilerden korkma alt ölçek puanlarında anlamlı azalmaya yol açmış ve dört ay sonraki izleme çalışmasında duyarlık daha da azalmıştır. Yanı sıra EMDR koşulunda, kalple ilgili belirtilerden korkma alt ölçek puanları da dört ay sonraki izleme çalışmasında azalmıştır. Bulgular travmaya bağlı ya da belirli durumlarda kaygı duyarlığı yaşayan kişilerin tedavisinde, EMDR' nin etkili bir tedavi yolu olabileceği görüşünü desteklemektedir. Bulguların literatür ile tutarlığı tartışılmıştır.

Eye Movement Desensitization and Reprocessing (EMDR) Approach in the Treatment of Anxiety Sensitivity

Eye Movement Desensitization and Reprocessing (EMDR) is one of the first treatments of Posttraumatic Stress Disorder (PTSD) to be supported in controlled research, and it is now increasingly extended to other psychological disorders. The present study was designed to compare the effects of muscle relaxation and EMDR procedures in the treatment of anxiety sensitivity. Nineteen undergraduate students responded on the Anxiety Sensitivity Profile (asp) which was a standardized, self-report measure with four subscales. They were randomly assigned to two groups (treatment condition; muscle relaxation and EMDR); and they were filled out the ASP scale before, five days, and four months after the intervention (intervention time; pre and post intervention and follow up). Results showed that EMDR treatment produced a significant decline in fear of respiratory symptoms subscale score, and this decline appeared to continue after a four month follow-up. In addition fear of the cardiac symptoms too decreased in EMDR condition after a four month follow-up. The findings support the notion that EMDR can be a more effective treatment than the muscle relaxation for those who have an anxiety sensitivity with a trauma related etiology and also who experience anxiety sensitivity in certain circumstances. Consistency of the findings with the literature was discussed.

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