Prolonged Exposure vs EyeMovement Desensitization and Reprocessing vsWaiting List for Posttraumatic Stress Disorder in PatientsWith a Psychotic Disorder A Randomized Clinical Trial

نویسندگان

  • David P. G. van den Berg
  • Carlijn de Roos
چکیده

RESULTS Data were analyzed as intent to treat with linear mixedmodels and generalized estimating equations. Participants in the PE and EMDR conditions showed a greater reduction of PTSD symptoms than those in theWL condition. Between-group effect sizes were 0.78 (P < .001) in PE and 0.65 (P = .001) in EMDR. Participants in the PE condition (56.6%; odds ratio [OR], 3.41; P = .006) or the EMDR condition (60.0%; OR, 3.92; P < .001) were significantly more likely to achieve loss of diagnosis during treatment than those in theWL condition (27.7%). Participants in the PE condition (28.3%; OR, 5.79; P = .01), but not those in the EMDR condition (16.4%; OR, 2.87; P = .10), weremore likely to gain full remission than those in theWL condition (6.4%). Treatment effects weremaintained at the 6-month follow-up in PE and EMDR. Similar results were obtained regarding secondary outcomes. There were no differences in severe adverse events between conditions (2 in PE, 1 in EMDR, and 4 inWL). The PE therapy and EMDR therapy showed no difference in any of the outcomes and no difference in participant dropout (24.5% in PE and 20.0% in EMDR, P = .57).

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تاریخ انتشار 2015