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Elméleti háttér

Az EMDR (Eye Movement Desensitization and Reprocessing) mint pszichoterápiás módszer harminc éve létezik. A Francine Shapiro által az 1980-as évek második felében az Egyesült Államokban kidolgozott eljárás kezdetben sok vitát kavart, de ma már bizonyítékokon alapuló módszernek számít a poszttraumás stressz zavar (PTSD) kezelésében. Használata számos más mentális betegség (pl. pánikzavar, depresszió, kényszerbetegség) gyógyításában is egyre gyakoribb. Magyarországon a módszer még kevéssé terjedt el.

Cél

Bemutatni az EMDR-terápia történetét, elméleti hátterét, a hatásmechanizmusára vonatkozó hipotéziseket, a kezelés struktúráját és hatásait.

Módszerek

Szakirodalmi áttekintés az angol nyelvű adatbázisok (ISI Web of Science, PubMed, Scopus, PsycINFO) alapján, az eljárás nevével történt szisztematikus kulcsszókereséssel. Az áttekintés lehetőség szerint összefoglaló vagy magas evidenciaszintű (randomizált kontrollált) vizsgálatokra alapoz.

Eredmények

EMDR során deszenzitizáció, a traumás emlékekhez való jobb hozzáférés és mélyebb információfeldolgozás történik, ami nemcsak stresszcsökkentést, hanem adaptívabb, magasabb szintű működést eredményez. Képalkotó eljárásokkal kimutatható, hogy az EMDR specifikus hatótényezője, a bilaterális ingerlés, egyebek közt paraszimpatikus túlsúlyt eredményez, és kedvező változásokat idéz elő a PTSD által érintett agyi struktúrák működésében. Az EMDR hatásmechanizmusáról számos hipotézis született (pl. dekondicionálás-, munkamemória-, REM-hipotézis), mindazonáltal, az eljárásban valószínűleg több aktív komponens van jelen. Sikeres EMDR-terápia hatására a személy napirendre tér az életútját megakasztó események felett, és egységes narratívába emeli őket, amely hozzájárulhat személyisége integrációjához.

Következtetések

Az EMDR nemcsak ismert és eredeti terápiás elemek újszerű kombinációja, nem is a már meglévő traumakezelési eljárások technikai kiegészítése, hanem bizonyítottan hatékony, teljes értékű, integratív, mégis önálló pszichoterápiás módszer, saját elméleti modellel, hatásmechanizmussal és eszköztárral.

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Senior editors

Editor(s)-in-Chief: Adrienne STAUDER

Editor(s): Edit CZEGLÉDI

Editorial Board

  • László Csaba DÉGI (Babeş-Bolyai Tudományegyetem, Kolozsvár, Románia)
  • Zsolt DEMETROVICS (Eötvös Loránd University, Budapest)
  • Barna KONKOLŸ THEGE (Waypoint Centre for Mental Health Care, Penetanguishene, Canada)
  • Karolina KÓSA (University of Debrecen, Debrecen)
  • Márta NOVÁK (University of Toronto, University Health Network, Toronto, Canada)
  • Bettina PIKÓ (University of Szeged, Szeged)
  • József RÁCZ (Semmelweis University, Budapest; Eötvös University, Budapest)
  • István TIRINGER (University of Pécs, Pécs)

Editorial Correspondence: Czeglédi, Edit
Institute of Behavioural Sciences
Semmelweis University
Nagyvárad tér 4.
H-1089 Budapest, Hungary
Phone: (36 1) 210 2930 ext. 56151 ---- Fax: (36 1) 210 2955
E-mail: mentalhigiene.pszichoszomatika@gmail.com

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2020  
Scimago
H-index
11
Scimago
Journal Rank
0,15
Scimago
Quartile Score
Neuropsychology and Physiological Psychology Q4
Psychiatry and Mental Health Q4
Scopus
Cite Score
23/67=0,3
Scopus
Cite Score Rank
Neuropsychology and Physiological Psychology 57/60 (Q4)
Psychiatry and Mental Health 452/502 (Q4)
Scopus
SNIP
0,24
Scopus
Cites
77
Scopus
Documents
14
Days from submission to acceptance 140
Days from acceptance to publication 90

 

2019  
Scimago
H-index
10
Scimago
Journal Rank
0,127
Scimago
Quartile Score
Neuropsychology and Physiological Psychology Q4
Psychiatry and Mental Health Q4
Scopus
Cite Score
26/70=0,4
Scopus
Cite Score Rank
Neuropsychology and Physiological Psychology 59/61 (Q4)
Psychiatry and Mental Health 442/506 (Q4)
Scopus
SNIP
0,135
Scopus
Cites
67
Scopus
Documents
18

 

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Mentálhigiéné és Pszichoszomatika
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2021 Volume 22
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